Avoid hot environment, avoid hot foods & alcohol, use a humidifier, wear clothes that let you breathe, do not scratch, keepnails trimmed to prevent skin damage and infection★Folliculitis: antibiotics❏Treatment: systemic antibiotics, when pus is localized then I&D, bactrim (MRSA),cephalosporins(not sure what it is),untreated/ open it-- septic❏Nursing: teach to apply dressing, fever reduction, cleanliness★Herpes SimplexCause:❏Herpes type I virus- occurs in the mouth (85% adults worldwide❏Herpes type II virus- occurs in the gential area❏Both viral types can be found in both locations6
❏Can be triggered by sunlight & stress -- avoid sun exposureGenital Herpes II❏Recurrences begin with tingling, burning, or itching❏Grouped vesicles on a reddened area of the vagina, rectum or penis❏Vesicles rupture, erosion occurs and ulcerations appear❏Severe infections❏MC: in women who have multiple partners, other STIs, or decreased immunity❏More than 1 in every 6 people aged 14-49 has genital herpes❏Can get infected if you come into contact with a cold sore, saliva, skin in the oral area, or sex partner who does not knowthey have it❏Can have no symptoms or sores & have asymptomatic shedding❏Diagnosis: culture of lesion❏Illness, fever, stress, sun, menstrual periods, surgeries trigger outbreaksType II Treatment❏Over 6 outbreaks/ yr= suppressive tx❏Acyclovir (Zovirax)-- can’t have when pregnant, valacyclovir, famciclovir❏Reduces viral shed by 95%❏Pregnancy❏Suppression therapy 3rd trimester❏Active lesions at the time of delivery- C-section★Burn Depth: characteristics of each degreeSuperficial- First DegreeCause: sunburn, low-intensity flashS/S: painful, tingling sensation, minimal or no edema, red, dry, may be blistered, heals in 5-10 daysPartial Thickness- Second DegreeCause: scalds, flash flame,bacon grease burnS/S: painful when epithelium sloughs off, red, blisters, sensitive to cold air, weeping surface, edema, 2-3 weeks to healFull Thickness- Third/ Fourth DegreeCause: flame, prolonged exposure to hot liquids, electric current, chemicals3rd degree: goes through all layers of the skinS/S: painless, nerve fibers destroyed, pale white, leathery, charred broken skin, edema (impossible for skin to regenerate),heals in several months, impossible for skin to regenerate4th degree: includes the muscle / bone / fascia, results in amputationOther factors to consider when determining the depth of the wound:How the injury occurredCausative agent – flame or scalding liquidTemperature of the burning agentDuration of contact with the agentThickness of the skinExtent of the body surface area injuredThe “Rule of Nines”= divides the body into multiples of nine to determine the % of the bodyburned -- estimates the extent of burns in adults, based on TBSA (total body surface area)(Figure 62-3, page 1849)★Stages of burns that they go through when they come in★Burn Wound ManagementEmergent/ Resuscitative Phase●
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Wound infection
