Can also be seen in children with developmental delay who have lots of oral secretions If there is a candida diaper rash , check the mouth for thrush If breastfeeding, have Mom check her nipples for yeast and treat (may appear more red than white on the breast/nipple) Treat with oral Nystatin – on swab coat tongue Can be mistaken for milk on the tongue, especially if the child has recently eaten You are a nurse on the pediatric floor. Your 1-month-old patient is breastfeeding well. You are assessing the baby and find that there is a white substance on her tongue. Which of the following interventions is LEAST appropriate? Attempt to wipe away the white substance. – assess, milk or something more
Assess baby’s bottom for diaper dermatitis with candida. - assessment Obtain oral swabs and provide oral care q 4. – no med just care Ask mom to assess her nipples for any redness or white patches. - assessment Tinea Corporis ‘Ringworm” Fungal infection “Erythematous wheals with areas of central clearing ” Scaly, dry and flaky Hair loss in the affected area Grow in moist, warm areas More common in those who wear tight-fitting clothing or those who sweat a lot Common among wrestlers , rugby players, and other sports with close physical contact Treat with topical antifungals such as terbinafine (Lamisil) Oral treatment may be necessary if resistant Cannot play sport until cleared up Scratching can lead to broken skin and bacterial infection Tinea Capitis “Ringworm” on the scalp Fungal infection of the hair shaft Thickened, scaly, patches with central clearing Hair loss is always present, which is usually the first sign Seen in families because it spreads easily More common in African American children, due to differences in the hair shaft Requires oral medication : griseofulvin for several months (give with fatty meal) High rate of recurrence May or may not be itchy Pediculosis Lice Spread through direct contact Nits are the eggs and hatch into the louse Feed on blood from the scalp (but do not burrow into the scalp)
Live on hair shafts Louse’s saliva on scalp causes the itching Treat with lice shampoos, which suffocate the louse If under age two , must remove by hand or use a special electric comb Treat entire household Wash all bed sheets, towels, clothing, stuffed animals, couch pillows in hot water and dry on hot Avoid sharing hats, brushes, pillows, etc. Put non-washable items in a sealed garbage bag for 7 days Electric current zaps and kills lice! Scabies Parasite that burrows under the skin Transmitted through direct skin-skin contact or through objects, like clothing Leave linear or “ S” shaped tracts under the skin The female mite lays eggs under the skin and when the egg hatches and nymphes are released, the tracts are formed
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- Spring '17