NRNP 6531 Week 2 Assignment; i-Human Case Study;
Evaluating and Managing Integumentary Conditions
Primary Diagnosis and ICD-10 code: Allergic contact dermatitis (ACD) is a cutaneous
reaction against 1 or more allergens that come into contact with the skin presenting with redness
and itching (Kostner, et. al, 2017.) ICD-10 code: L23.9 Allergic contact dermatitis, unspecified
cause.
Additional laboratory and diagnostic tests: No additional laboratory or diagnostic testing are
needed at this time.
Consults: No consults or referrals are recommended at this time.
Therapeutic modalities: Non-Pharmacologic treatment of ACD should include gentle cleansing
with lukewarm water and astringent soaks. Pharmacological treatments include topical or
systemic steroids and antihistamines (Al-Otaibi & Alqahtani, 2015.)
Health Promotion: Risk factors for this patient include hiking, use of hot tub and new suntan
lotion.
Patient education: ACD is most commonly caused by allergens such as poison ivy or poison
oak. Education for the patient should include wearing protective clothing to reduce physical
contact and washing skin with mild soap and water to remove allergen as soon as possible, and
avoidance of the allergen in general if at all possible (Al-Otaibi & Alqahtani, 2015.) It’s also
important to advise this patient to patch test any new skincare products to assess for possible
reactions. Patient should also avoid scratching and further irritating skin.
Disposition/follow-up instructions: with the use of steroids, warm soaks and antihistamines the
patient should experience some relief within 1-2 days. If rash worsens, patent should return to
This study source was downloaded by 100000829684747 from CourseHero.com on 07-02-2022 20:54:59 GMT -05:00
https://www.coursehero.com/file/72514865/i-human-week-2docx/
Evaluating and Managing Integumentary Conditions
Primary Diagnosis and ICD-10 code: Allergic contact dermatitis (ACD) is a cutaneous
reaction against 1 or more allergens that come into contact with the skin presenting with redness
and itching (Kostner, et. al, 2017.) ICD-10 code: L23.9 Allergic contact dermatitis, unspecified
cause.
Additional laboratory and diagnostic tests: No additional laboratory or diagnostic testing are
needed at this time.
Consults: No consults or referrals are recommended at this time.
Therapeutic modalities: Non-Pharmacologic treatment of ACD should include gentle cleansing
with lukewarm water and astringent soaks. Pharmacological treatments include topical or
systemic steroids and antihistamines (Al-Otaibi & Alqahtani, 2015.)
Health Promotion: Risk factors for this patient include hiking, use of hot tub and new suntan
lotion.
Patient education: ACD is most commonly caused by allergens such as poison ivy or poison
oak. Education for the patient should include wearing protective clothing to reduce physical
contact and washing skin with mild soap and water to remove allergen as soon as possible, and
avoidance of the allergen in general if at all possible (Al-Otaibi & Alqahtani, 2015.) It’s also
important to advise this patient to patch test any new skincare products to assess for possible
reactions. Patient should also avoid scratching and further irritating skin.
Disposition/follow-up instructions: with the use of steroids, warm soaks and antihistamines the
patient should experience some relief within 1-2 days. If rash worsens, patent should return to
This study source was downloaded by 100000829684747 from CourseHero.com on 07-02-2022 20:54:59 GMT -05:00
https://www.coursehero.com/file/72514865/i-human-week-2docx/
