3. Inform parents that medications should be taken at the same time every day to augment effectualness. It is imperative for parents to know medication and food interactions which are specific to these medications. Additionally, teach parents that dosage changes/increase might be needed as the child grows and that urinalysis, liver function tests, and blood cell counts will be acquired and needed at frequent intervals to ascertain the effect of these medications on organ function. 3. A child was sent home from school with head lice. The child's mother has called the helpline nurse for guidance. What are three (3) measures the nurse will inform the mother about to address the infestation of pediculosis capitis? Head lice are tiny (pin-head sized) grey-brown, wingless insects that live by sucking blood from the scalp. The eggs hatch after 7 to 10 days, and by 10 to 14 days after hatching the lice are mature and 2-4 mm long. Once mature they start to reproduce, so numbers can grow alarmingly if not treated right away. Head lice are transferred by close hair to hair contact Nurses should emphasize that anyone can get pediculosis; it has no respect for age, socioeconomic level, or cleanliness. Lice do not jump or fly, but they can be transmitted from one person to another on personal items.
1. Treatment consists of the application of pediculicides and manual removal of nit cases. It is important to treat the child according to the directions on the label of the pediculicide. Parents should be advised to read directions carefully before beginning treatment. The drug of choice for infants and children is permethrin 1% cream rinse (Nix) which kills adult lice and nits because of its efficacy and lack of toxicity. This product and preparations of pyrethrin with piperonyl butoxide can be obtained without a prescription and are more effective and safer than lindane (a medication used to treat scabies and lice). Experts advise that a second treatment at 7 to 10 days to ensure a cure. Make sure to advise patients that pyrethrin products are contraindicated for individuals with contact allergy to ragweed or chrysanthemums. If neither permethrin nor pyrethrin products are effective, the prescription drug of 0.5% malathion, which
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- Fall '15
- Pediculosis, Louse, permethrin