PEDIATRIC TIP Admission is appropriate for neonates and young children with extensive sloughing.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Skin, scaly:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Teach the patient proper skin care, and suggest lubricating baths and emollients. Instruct him not to use hot water to bathe or shower.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Skin turgor, decreased:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise patients who experience fluid loss (for example, from vomiting or diarrhea) to drink enough fluids to replace their losses. Tell them to drink at least one glass of water (or, preferably, a beverage with higher electrolyte content such as a sports drink) after each loose bowel movement or episode of vomiting, to avoid dehydration. If the patient can’t keep fluids down because of persistent vomiting, he may need an antiemetic or I.V. fluid replacement.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Skin, mottled:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient has a chronic condition, such as systemic lupus erythematosus, periarteritis nodosa, or cryoglobulinemia, advise him to watch for mottled skin because it may indicate a flare-up of his disorder.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Staphylococcal scalded skin syndrome:
Treatment
(Handbook of Diseases)
Systemic antibiotics treat the underlying infection. Replacement measures maintain fluid and electrolyte balance to prevent dehydration. Moist compresses may improve comfort, and an emollient may help keep skin moist.
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Source: Handbook of Diseases, 2003
Skin, clammy:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Take the patient’s vital signs frequently and monitor urine output. If clammy skin occurs with an anxiety reaction or pain, offer the patient emotional support, administer pain medication, and provide a quiet environment.
Patient teaching
If an underlying illness is related to the patient’s clammy skin, provide information on the condition. If the condition is related to an alteration in the patient’s blood glucose level, provide information on management of hypoglycemia and early signs of a falling blood glucose level. Provide information on the importance of nutrition and hydration.
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Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Skin, mottled:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Assess for exacerbation of the underlying condition, and refer the patient for medical treatment. Maximize circulation to the affected areas by keeping them warm and in proper alignment.
Patient teaching
If the patient has a chronic condition, such as SLE, periarteritis nodosa, or cryoglobulinemia, advise him to watch for mottled skin because it may indicate a flare-up of his disorder. Encourage the patient to avoid wearing tight clothing and to avoid overexposure to cooling or heating devices.
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Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Pustular rash:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Instruct the patient to keep his bathroom articles and linens separate from those of other family members. Associated pain and itching, altered body image, and the stress of isolation may result in anxiety, depression, and loss of sleep. Give medications to relieve pain and itching, and encourage the patient to express his feelings.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, clammy:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Because the patient with cool, clammy skin may be acutely ill, provide emotional support to him and his family. Explain what’s happening using short, simple sentences. Orient them to the intensive care unit, if applicable, explaining the equipment and the unit’s routines.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, scaly:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient proper skin care, and suggest lubricating baths and emollients. Instruct him not to use hot water to bathe or shower.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, bronze:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Encourage the patient to discuss his concerns about changes in body image. Encourage frequent rest periods if fatigue is a problem. A referral for nutritional counseling may be needed if the patient experiences weight loss, nausea, or vomiting.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, mottled:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach patients to avoid tight clothing and overexposure to cold or to heating devices, such as hot water bottles and heating pads. If the patient has a chronic condition, such as SLE or periarteritis nodosa, advise him to watch for mottled skin because it may indicate a flare-up of his disorder.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Pustular rash:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Observe wound and skin isolation procedures until infection is ruled out by a Gram stain or culture and sensitivity test of the pustule's contents.
▪ If the organism is infectious, don't allow drainage to touch unaffected skin.
▪ Give medications to relieve pain and itching, and encourage the patient to express his feelings.
Patient teaching
▪ Explain the underlying disorder and treatment plan.
▪ Explain methods to prevent the spread of infection.
▪ Discuss ways to relieve pain and itching.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
Skin, clammy:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Take the patient's vital signs frequently.
▪ Monitor the patient's intake and output.
▪ Provide measures to correct the underlying condition. For example, if clammy skin occurs with an anxiety reaction or pain, offer the patient emotional support, administer pain medication, and provide a quiet environment.
Patient teaching
▪ Explain the underlying disorder and its treatment.
▪ Orient the patient to the intensive care unit.
▪ Explain any diagnostic tests or procedures.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
Skin, scaly:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If scaling results from corticosteroid therapy, wean the patient off the drug. (See Managing the patient with psoriasis, page 567.)
▪ Prepare the patient for such diagnostic tests as a Wood's light examination, skin scraping, and skin biopsy.
▪ Administer lotions and creams, as prescribed.
Patient teaching
▪ Instruct the patient in proper skin care.
▪ Explain the underlying disorder and its treatment.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
Skin turgor, decreased:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Turn the patient every 2 hours to prevent skin breakdown.
▪ Monitor the patient's intake and output, administer I.V. fluids, and frequently offer oral fluids.
▪ Weigh the patient daily.
▪ Monitor the patient for signs of electrolyte imbalance; monitor laboratory values.
Patient teaching
▪ Explain the disorder and treatment.
▪ Explain to the patient the importance of fluid replacement.
▪ Explain signs and symptoms the patient needs to report.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
Skin, mottled:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide care to treat the patient's underlying condition.
▪ Monitor vital signs, especially noting blood pressure.
▪ Monitor the patient's skin for changes in the mottled appearance.
▪ Monitor pulses, noting the strength of impulse.
Patient teaching
▪ Teach the patient to avoid tight clothing and overexposure to cold or to heating devices, such as hot water bottles and heating pads.
▪ Discuss treatment of the underlying condition.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
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