الأربعاء، 29 أغسطس 2018

287-Contact Dermatitis

About
Inflammatory reaction to the skin surface due to contact with a physical, biological, or chemical agent.
Assess
Redness, abrasions, burning, itching, edema, blistering, hives, pustules, vesicles, drainage, crusting, dryness, peeling
Complications
Infection, severe inflammation, scarring
Diagnosis
  • acute pain related to inflammatory reaction.
  • Altered comfort related to itching, irritation, burning.
  • Impaired skin integrity related to open lesions.
  • Risk for infection related to break in skin integrity.
Goals
  • The client will state pain level acceptable after intervention.
  • The client will identify strategies to promote comfort and soothing of skin surfaces.
  • The client will remain free form infection.
  • The client will have evidence of decreasing skin involvement and healing of skin surfaces.
Interventions
  • Assess skin surface areas.
  • Monitor for infection and teach patient signs and symptoms to report indicating infection.
  • Use mild agents to clean skin areas ( no soap).
  • Apply cool compresses to involved areas.
  • Use room temperature baths with medication ( as prescribed) for large surface area involvement.
  • Apply lotion or cream agents as prescribed in a thin layer.
  • Apply topical ointments, including hydrocortisone creams, as prescribed and teach client how to apply using aseptic technique.
  • Administer oral steroids as prescribed for severe inflammation.
  • Teach client treatment plan and interventions.

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