MS CHAPTER 57 SKIN DISORDERS
Intertrigo (Candidiasis)
is inflammation of the skin where two skin surfaces touch
the affected area is usually red and weeping with clear margins
the area may be surrounded by vesicles and pustules
Pemphigus
- chronic autoimmune condition in which bullae (blisters) develop on the face,
back, chest, groin, and umbilicus foul smelling drainage
Potassium permanganate baths
Domeboro solutions and oatmeal products with oil may be ordered.
Treatment: Corticosteroids, other immunosuppressants, and oral or topical
antibiotics
Psoriasis
autoimmune disorders chronic skin condition producing red lesions covered
with silvery scales
Treatment:
Corticosteroids, tazarotene, Estar, and Vitamin D derivatives
negative pressure wound therapy
promotes wound healing and wound closure through the application of
uniform negative pressure on the wound bed, reduction in bacteria, and
removal of excess fluid, while providing a moist wound healing environment
indications for negative pressure wound therapy
punch biopsy
removal of a small oval core of skin for laboratory analysis using a sharp, hollow
instrument
nursing considerations for a punch biopsy
Pt are advised to avoid aspirin or other nonsteroidal anti-inflammatory drugs
(NSIADS) for 48 hours before the biopsy to prevent excessive bleeding
phototherapy
, is the use a light
in combination with photosensitive drugs to promote shedding in the
epidermis
patient teaching related to phototherapy
Its contraindicated in pt that a has a history of herpes simplex infection, skin
cancer, cataracts, and lupus erythematosus, after treatment pt may have itchy
or dry skin .asses for signs of phototoxicity(redness, vesicles, pain wear sun
screen protective clothing and dark glasses
Atopic Dermatitis (Eczema)
chronic inflammation of the skin; rash occurs in face, neck , elbows, knees, and
upper trunk of the body along with itching
manifestations (signs and symptoms) of atopic dermatitis
Acute stage, red, oozing, crusty rash and intense pruritus
Subacute redness, exocriation, and scaling plaques or pustules fine scale may
make the skin appear slivery
Chronic stage
the skin becomes dry, thickened, scaly, and brownish gray
Describe nursing interventions and patient teaching for atopic dermatitis
Shower with mild soap after swimming in public pools • Room temp 68-75 •
Use cool mist humidification • Avoid irritants • Wash new clothes in mild
detergent, no fabric softener • Wear loose clothing • Use moisturizers and
sunscreen • Keep nails short, use gloves at night if needed • Avoid hot water
on skin
contact dermatitis and the cause
nflammatory condition caused by contact with a substance that triggers an
allergic response • Can be caused by soaps, chemicals, gloves, foods, plants •
Symptoms include: • Redness, dryness, cracking skin, macules, papules,
vesicles and pruriti
Psoriasis treatment
Phototherpay,
No cure; usually treated with topical medications: corticosteroids, tazarotene,
Estar (coal tar), and vitamin D derivatives • Biologic agents: etanercept
(Enbrel). Agents tend to decrease number of circulating T cells • Systemic
corticosteroids may be used on short-term basis • Methotrexate, oral retinoids
contraindicated during pregnancy due to
Intertrigo (Candidiasis)
is inflammation of the skin where two skin surfaces touch
the affected area is usually red and weeping with clear margins
the area may be surrounded by vesicles and pustules
Pemphigus
- chronic autoimmune condition in which bullae (blisters) develop on the face,
back, chest, groin, and umbilicus foul smelling drainage
Potassium permanganate baths
Domeboro solutions and oatmeal products with oil may be ordered.
Treatment: Corticosteroids, other immunosuppressants, and oral or topical
antibiotics
Psoriasis
autoimmune disorders chronic skin condition producing red lesions covered
with silvery scales
Treatment:
Corticosteroids, tazarotene, Estar, and Vitamin D derivatives
negative pressure wound therapy
promotes wound healing and wound closure through the application of
uniform negative pressure on the wound bed, reduction in bacteria, and
removal of excess fluid, while providing a moist wound healing environment
indications for negative pressure wound therapy
punch biopsy
removal of a small oval core of skin for laboratory analysis using a sharp, hollow
instrument
nursing considerations for a punch biopsy
Pt are advised to avoid aspirin or other nonsteroidal anti-inflammatory drugs
(NSIADS) for 48 hours before the biopsy to prevent excessive bleeding
phototherapy
, is the use a light
in combination with photosensitive drugs to promote shedding in the
epidermis
patient teaching related to phototherapy
Its contraindicated in pt that a has a history of herpes simplex infection, skin
cancer, cataracts, and lupus erythematosus, after treatment pt may have itchy
or dry skin .asses for signs of phototoxicity(redness, vesicles, pain wear sun
screen protective clothing and dark glasses
Atopic Dermatitis (Eczema)
chronic inflammation of the skin; rash occurs in face, neck , elbows, knees, and
upper trunk of the body along with itching
manifestations (signs and symptoms) of atopic dermatitis
Acute stage, red, oozing, crusty rash and intense pruritus
Subacute redness, exocriation, and scaling plaques or pustules fine scale may
make the skin appear slivery
Chronic stage
the skin becomes dry, thickened, scaly, and brownish gray
Describe nursing interventions and patient teaching for atopic dermatitis
Shower with mild soap after swimming in public pools • Room temp 68-75 •
Use cool mist humidification • Avoid irritants • Wash new clothes in mild
detergent, no fabric softener • Wear loose clothing • Use moisturizers and
sunscreen • Keep nails short, use gloves at night if needed • Avoid hot water
on skin
contact dermatitis and the cause
nflammatory condition caused by contact with a substance that triggers an
allergic response • Can be caused by soaps, chemicals, gloves, foods, plants •
Symptoms include: • Redness, dryness, cracking skin, macules, papules,
vesicles and pruriti
Psoriasis treatment
Phototherpay,
No cure; usually treated with topical medications: corticosteroids, tazarotene,
Estar (coal tar), and vitamin D derivatives • Biologic agents: etanercept
(Enbrel). Agents tend to decrease number of circulating T cells • Systemic
corticosteroids may be used on short-term basis • Methotrexate, oral retinoids
contraindicated during pregnancy due to
