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Avoid hot environment avoid hot foods alcohol use a

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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 infectionFolliculitis: antibioticsTreatment: systemic antibiotics, when pus is localized then I&D, bactrim (MRSA),cephalosporins(not sure what it is),untreated/ open it-- septicNursing: teach to apply dressing, fever reduction, cleanlinessHerpes SimplexCause:Herpes type I virus- occurs in the mouth (85% adults worldwideHerpes type II virus- occurs in the gential areaBoth viral types can be found in both locations6
Can be triggered by sunlight & stress -- avoid sun exposureGenital Herpes IIRecurrences begin with tingling, burning, or itchingGrouped vesicles on a reddened area of the vagina, rectum or penisVesicles rupture, erosion occurs and ulcerations appearSevere infectionsMC: in women who have multiple partners, other STIs, or decreased immunityMore than 1 in every 6 people aged 14-49 has genital herpesCan 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 itCan have no symptoms or sores & have asymptomatic sheddingDiagnosis: culture of lesionIllness, fever, stress, sun, menstrual periods, surgeries trigger outbreaksType II TreatmentOver 6 outbreaks/ yr= suppressive txAcyclovir (Zovirax)-- can’t have when pregnant, valacyclovir, famciclovirReduces viral shed by 95%PregnancySuppression therapy 3rd trimesterActive lesions at the time of delivery- C-sectionBurn 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 inBurn Wound ManagementEmergent/ Resuscitative Phase

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Wound infection

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