NURS 5333 Family 1 test 4 Study Guide Dermatology|
Questions with 100% Complete Solutions
eczema (atopic dermatitis)
-"red and weepy" early in the epidermis
-darkened scaring of skin later "lichenification"
Dry...but not diaper butt
inflammatory skin disease with erythematous, papulovesicular, or papulosquamous lesions
ECZEMA DIAGNOSTIC TEST
health history (hereditary)
wrist, posterior knee, cheeks on infants
bone marrow transplant?
>esinophils on CBC
diet elimination
whatever causes it elimination
skin testing
Nylon or wool freak the skin out?
Food allergies? Eggs, nuts milk, Allergy panel with specialist
Eczema treatment
Relieve pruritis with hydration and lubrication
Administer cream emollients,
antihistamines
Administer (topical 2 weeks)and oral corticosteroids, antibiotics Keflex or emycin ( covers staph)
bactroban abx
Elidel or Protopic
no hot showers or saunas
oils in bath water..not babies..slippery suckers.
Cetaphil, Aquaphor, or Crisco .creams only.
Ammonium lactate 6-12% in older patients
no fragrance no dyes
Dove for sensitive soap
hydroxyzine for sleep
seborrhea
overactivity of the sebaceous glands that results in the production of an excessive amount of sebum
Seborrhea Diagnosis "greasy scales"
Is clinical, but sometimes biopsy is done if clinically not obvious
behind ears, scalp
, Fungal or yeast infection
Acute? HIV or DM
Seborrhea Treatment
Similar to dandruff, but more aggressive
Directed toward loosening and removing scales and crusts with oil and mineral oils then break up with
Dawn soap
Nizoral shampoo
Inhibiting yeast colonization
Controlling secondary infection
Reducing erythema and pruritus
contact dermatitis
irritated or allergic response of the skin that can lead to an acute or chronic inflammation
Contact dermatitis
is a localized allergic response caused by contact with an irritant, such as diaper rash. It can also be
caused by exposure to an allergen, such as poison ivy, or an allergic reaction to latex gloves
Contact dermatitis treatment
■ STOP EXPOSURE to substance. CALAMINE lotion; topical STEROIDS; OATMEAL baths (Aveeno).
■ SEVERE rash: ORAL PREDNISONE for "12 to 14" DAYS (WEAN). Avoid reexposure.
Diaper rash management
Is a contact dermatitis
Nystatin
Air exposure of the area
once clear use a barrier cream with zinc oxide
Diagnostic are the satellite lesions
Acne management
-type 1=differin gel, clogging acne tx
-type 2=teens and newborns: newer OC, spironolactone in females
severe: use accutane( refer out)
Type 3=cleocin, zithromax, doxycyline for whiteheads
Type 4=severe acne, redness, reduce inflammation with NSAIDS or steroid injections, ice to acne
-emotional support and reassurance (not contagious, not associated w/uncleanliness or poor hygiene)
-no dietary restrictions (except Acne Rosacea)
Questions with 100% Complete Solutions
eczema (atopic dermatitis)
-"red and weepy" early in the epidermis
-darkened scaring of skin later "lichenification"
Dry...but not diaper butt
inflammatory skin disease with erythematous, papulovesicular, or papulosquamous lesions
ECZEMA DIAGNOSTIC TEST
health history (hereditary)
wrist, posterior knee, cheeks on infants
bone marrow transplant?
>esinophils on CBC
diet elimination
whatever causes it elimination
skin testing
Nylon or wool freak the skin out?
Food allergies? Eggs, nuts milk, Allergy panel with specialist
Eczema treatment
Relieve pruritis with hydration and lubrication
Administer cream emollients,
antihistamines
Administer (topical 2 weeks)and oral corticosteroids, antibiotics Keflex or emycin ( covers staph)
bactroban abx
Elidel or Protopic
no hot showers or saunas
oils in bath water..not babies..slippery suckers.
Cetaphil, Aquaphor, or Crisco .creams only.
Ammonium lactate 6-12% in older patients
no fragrance no dyes
Dove for sensitive soap
hydroxyzine for sleep
seborrhea
overactivity of the sebaceous glands that results in the production of an excessive amount of sebum
Seborrhea Diagnosis "greasy scales"
Is clinical, but sometimes biopsy is done if clinically not obvious
behind ears, scalp
, Fungal or yeast infection
Acute? HIV or DM
Seborrhea Treatment
Similar to dandruff, but more aggressive
Directed toward loosening and removing scales and crusts with oil and mineral oils then break up with
Dawn soap
Nizoral shampoo
Inhibiting yeast colonization
Controlling secondary infection
Reducing erythema and pruritus
contact dermatitis
irritated or allergic response of the skin that can lead to an acute or chronic inflammation
Contact dermatitis
is a localized allergic response caused by contact with an irritant, such as diaper rash. It can also be
caused by exposure to an allergen, such as poison ivy, or an allergic reaction to latex gloves
Contact dermatitis treatment
■ STOP EXPOSURE to substance. CALAMINE lotion; topical STEROIDS; OATMEAL baths (Aveeno).
■ SEVERE rash: ORAL PREDNISONE for "12 to 14" DAYS (WEAN). Avoid reexposure.
Diaper rash management
Is a contact dermatitis
Nystatin
Air exposure of the area
once clear use a barrier cream with zinc oxide
Diagnostic are the satellite lesions
Acne management
-type 1=differin gel, clogging acne tx
-type 2=teens and newborns: newer OC, spironolactone in females
severe: use accutane( refer out)
Type 3=cleocin, zithromax, doxycyline for whiteheads
Type 4=severe acne, redness, reduce inflammation with NSAIDS or steroid injections, ice to acne
-emotional support and reassurance (not contagious, not associated w/uncleanliness or poor hygiene)
-no dietary restrictions (except Acne Rosacea)
