Peds Module 10 PowerPoint PDF

Module 10 MANAGING THE CARE FOR PEDIATRIC PATIENTS WITH ALTERATIONS IN TISSUE INTEGRITY  MODULE 10 OBJECTIVES 10.4 Describe the...

Module 10 MANAGING THE CARE FOR PEDIATRIC PATIENTS WITH ALTERATIONS IN TISSUE INTEGRITY  MODULE 10 OBJECTIVES 10.4 Describe the nursing plan of 10.2 Integrate knowledge of the care for common skin alterations 10.1 Describe the changes of the integumentary system and lines of 10.3 Identify common skin including bacterial infections skin from birth through adolescence defense into the nursing care for alterations in childhood (impetigo), zoonotic aliments pediatric patients. (animal bites), viral infections, fungal infections 10.8 Describe the pathophysiology 10.5 Describe the nursing plan of and nursing plan of care for skin 10.6 Describe the pathophysiology 10.7 Describe the nursing plan of alterations from allergic reactions, care for common skin alterations and nursing plan of care for common care for contact dermatitis including including hypersensitive rashes from that include infestations, including skin injuries including burns diaper rash and poison ivy medications and Steven Johnson's pediculosis capitis and scabies. syndrome (erythema multiforme major). 10.9 Describe the nursing plan of care for skin alterations including atopic dermatitis or eczema. 2 10.1 DESCRIBE THE CHANGES OF THE SKIN FROM BIRTH THROUGH ADOLESCENCE 3  SKIN CHANGES Infant Thinner-Protection is weaker Less permeable- greater sensitivity to Adolescent external irritants The average adult skin has 10 to 20 The body surface area of neonates and layers of stratum corneum children is relatively larger than the body surface of adults. In addition, neonates’ skin Hormonal changes- acne, sweat is much more permeable, which leads to a greater sensitivity to external irritants and an increased susceptibility to opportunistic infections in these children. 4 10.2 INTEGRATE KNOWLEDGE OF THE INTEGUMENTARY SYSTEM AND LINES OF DEFENSE INTO THE NURSING CARE FOR PEDIATRIC PATIENTS. 5 LINES OF DEFENSE EPIDERMIS consists of dead skin cells that are constantly brushed off and regrow monthly, thereby preventing bacterial colonization. DERMIS contains hair follicles with arrector pili muscles, eccrine (sweat) glands, blood vessels, and nerve endings. SUBCUTANEOUS TISSUE provides an anchor for the dermis to the bone and muscle via connective tissue; this fat layer also assists with temperature regulation. 6 10.3 IDENTIFY COMMON SKIN ALTERATIONS IN CHILDHOOD 7 10.4 DESCRIBE THE NURSING PLAN OF CARE FOR COMMON SKIN ALTERATIONS INCLUDING BACTERIAL INFECTIONS (IMPETIGO), ZOONOTIC AILMENTS (ANIMAL BITES), VIRAL INFECTIONS (VARICELLA, MEASLES AND SHINGLES) AND FUNGAL INFECTIONS (TINEA CAPITIS, TINEA CORPORIS, TINEA CRURIS, TINEA PEDIS, AND ORAL CANDIDIASIS. 8  BACTERIAL INFECTIONS IM PETIGO Caused by Staph, highly contagious, topical antibiotic treatment. Small vesicles that develop a honey- colored(usually on the face) crust CELLU LITIS Spreading Inflammation, systemic antibiotics Lymphangitis -red streaking leading from the affected area to lymph nodes SCA LDED S KIN SYNDROME Rough, textured skin with macular erythema (peeling of the skin). Treat as a burn, prevent secondary infection 9 ZOONOTIC AILMENTS · INSECTS AND ARACHNIDS May cause mild to moderate discomfort · Sensitization to bee stings may result in anaphylaxis Lyme disease- appears in stages Tick remove with tweezers, pulling straight up Black-widow spider bite Systemic response=Take immediately to the ED Apply cool compress, Manage with symptomatic measures and prevention of secondary infection MAMMAL BITES AND SCRATCHES Common pediatric problem, especially for those