Contact Dermatitis
- General information
- An irritation of the skin from a specific substance or from a hypersensitivity immune reaction from contact with a specific antigen
- Caused by irritants (mechanical, chemical, biologic); allergens
- Assessment findings
- Pruritus
- Erythema; localized edema; vesicles (oozing, crusting, and scaling [later])
- Diagnostic test: skin testing reveals hypersensitivity to specific antigen
- Nursing interventions
- Apply wet dressings of Burrow's solution for 20 minutes 4 times a day to help clear oozing lesions.
- Provide relief from pruritus (see Cirrhosis of the Liver).
- Administer topical steroids and antibiotics as ordered.
- Provide client teaching and discharge planning concerning
- Avoidance of causative agent
- Preventing skin dryness
- use mild soaps (Ivory).
- soak in plain water for 20-30 minutes.
- apply prescribed steroid cream immediately after bath.
- avoid extremes of heat and cold.
- Allowing crusts and scales to drop off skin naturally as healing occurs
- Avoidance of wool, nylon, or fur fibers on sensitive skin
- Need to use gloves if handling irritant or allergenic substances
Tuesday, May 20, 2008
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integumentary disorder
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