Term
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Definition
Skin changes in response to external stimuli
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Term
Dermatitis
4 common types in pediatric population:
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Definition
lContact dermatitis
lDiaper dermatitis
lSeborrheic dermatitis
lAtopic dermatitis (eczema)
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Term
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Definition
Occurs after direct contact-allergen or irritant
Repeated/long-term exposure = allergic response
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Term
Contact Dermatitis
Common Allergens |
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Definition
| poison ivy, oak, lanolin, neomycin, rubber/latex & nickel |
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Term
Contact Dermatitis
Irritants..... |
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Definition
do not require immune response
soaps, detergents, fabric softeners, bleach, lotion, urine, stool & latex
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Term
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Definition
Urine, feces, moisture or friction
Urine ↑ pH of skin introduces microbes = skin breakdown
Secondary candida (yeast) infection -may occur
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Term
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Definition
¡Recurrent inflammatory skin condition
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Term
Seborrheic dermatitis
Found sebaceous gland areas:
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Definition
lScalp
lForehead
lPostauricular
lPeriorbital
lNasolabial folds
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Term
Seborrheic dermatitis
Most common in what age group
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Definition
In infants up to 3 mos, & teens
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Term
Atopic dermatitis (eczema)
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Definition
Chronic, superficial, inflammatory skin disorder
Affects children all ages – 10% of children
Most children develop condition during infancy - 60-75%
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Term
Atopic dermatitis (eczema)
Occurs frequently in children with........ |
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Definition
family hx of allergies (asthma, hayfever, or dermatitis)
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Term
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Definition
Characterized by intense pruritis
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Term
Eczema
Infantile eczema related to |
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Definition
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Term
Eczema in older children:
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Definition
dust mites, pet dander, pollens, irritants (chemicals, soaps, detergents)
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Term
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Definition
| dry skin, easily compromised |
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Term
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Definition
pruritis
erythematous patches
¡Papules, vesicles, exudate, crusts
¡Lichenification - thickening of skin
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Term
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Definition
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Term
Eczema: Nursing Diagnoses
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Definition
lImpaired skin integrity
lRisk for infection
lBody image disturbance
lKnowledge deficit
lSleep deprivation
lIneffective management of therapeutic regimen (families)
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Term
Eczema: Nursing Interventions
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Definition
lBathe in tepid water
lUse mild soap in unaffected areas
lPat skin dry
lApply emollients - immediately after bathing
lUse cotton, non-restrictive clothing
lApply gloves/mittens to prevent scratching
lHumidified air
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Term
Eczema: Clinical Therapy
Hydration
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Definition
lubrication of skin
(Eucerin or Cetaphil)
Applied 3-4 x daily
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Term
Eczema: Clinical Therapy
Topical Corticosteroids |
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Definition
2x daily - 2 wks,
applied before skin lubricant
Hydrocortisone 1% to 2.5%
Triamcinolone 0.1%
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Term
Eczema: Clinical Therapy
Antihistamines |
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Definition
| to control itching (Vistaril, Atarax) |
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Term
Eczema: Clinical Therapy
Oral antibiotics
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Definition
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