-Ice pack -Topical analgesics -Avoid scratching -Prevent future bites (non- pharm) woods. Keep pets free of pests Remove standing water Limit time outside at dawn and dusk Screens and netting Repellents -DEET Insect Stings Exclusion to self-treatment Non- pharmacological treatment Pharmacologic treatment Follow-up monitoring Product selection General treatment approach Prevention Treatment goals -Relieve symptoms such as swelling, pain and itching -Monitor for allergic reactions -Prevent future insect stings **More likely to see allergic reactions in insect stings than bites -<2 years old -Hives, excessive swelling, dizziness, weakness, nausea, vomiting, difficulty breathing **Refer if having a allergic reaction -Allergic response away from site of sting -Previous sting (possible development of hypersensitivity) -Previous severe reaction to bite -Personal or family history of significant allergic reaction -Remove stinger and venom sac -Scrape with fingernail or edge of credit card (Do NOT use tweezers or squeeze) -Quick removal= less venom injected (2-3 minutes to empty venom sac) -Apply ice pack (10 min interval) -Avoid scratching affected area -Prevention Be aware of scents and bright colors -Topical analgesic - Topical (local) anesthetic First line treatment -If allergic to anesthetic -Counterirritant -Topical antihistamine -Skin protectant -Hydrocortisone -Apply 3-4 times per day for no more than 7 days - Reevaluate in 7 days -When to seek medical attention: Symptoms of allergic reaction Symptoms worsen during treatment Symptoms persist after 7 days of topical treatment Secondary infection develops (ex: fever, joint, lymph node enlargement) **if reaction is confined to site and no exclusions to self treatment -Remove stinger -Apply ice pack (promptly and in 10 min intervals) -Apply topical analgesic Pediculosis (lice) Exclusion to self- treatment Non- pharmacological treatment Pharmacologic treatment Follow-up monitoring Product selection General treatment approach Prevention Treatment goals -Age (depending on product) -Inspection of scalp and comb with nit First line= Pediculides Monitor Inspect hair Pyrethrin Two -Apply Pediculides
-Rid patients of infestation (lice and nits) -kill nymphs and adults -Remove nits -Prevent future infestations -<2 years for pyrethrins -<2 months for permthrins -Eyelid or eyebrow involvement -Secondary skin infection in area of lice infestation -Pregnancy or breast feeding -Hypersensitivity to chrysanthemums, ragweed, or pediculicide ingredients -Presence of active tumors -Regional resistance to prediculicides comb (may have to trim hair) -Wash clothing, bedding, towels in hot water (> 130) and dry on hottest dryer stting -Wash brushes, cobs, and toys of infested patients in hot water (> 130) for 10 min -If an item cannot be washed bag it.
You've reached the end of your free preview.
Want to read all 6 pages?
- Spring '14
- Head louse, Allergy, Pediculosis, Body louse, Louse