(NUR 106|615 Questions with 100% Correct Answers | Verified | Latest Update|156 Pages

Wound care - treatment for small lacerations that don't require sutures, treatment for puncture wounds - ️️(1) Lacerations: Wash the wound gently with mild soap & water or normal saline (2) Puncture wounds (a) Cleanse by soaking the foot in warm water with soap (b) Avoid the use of hydrogen peroxide, alcohol, & povidone-iodine - have a cytotoxic effect on healthy cells & minimal effect on controlling infection (c) Cover an open wound Impetigo contagiosa - key features - ️️(a) Begins as a reddish macule (b) Becomes vesicular (c) Ruptures easily, leaving superficial, moist erosion (d) Tends to spread peripherally in sharply marginated irregular outlines (e) Exudate dries to form heavy, honey-colored crusts (f) Pruritus common Impetigo contagiosa - how to prevent spread - ️️Handwashing!! Impetigo contagiosa - tx - ️️(a) Careful removal of undermined skin, crusts, & debris by softening with 1: 20 Burow solution compresses (b) Topical application of bacterial ointment (c) Systemic administration of oral parenteral antibiotics (penicillin) in severe or extensive lesions Cellulitis - clinical manifestations - ️️(a) *Lymphangitis* "streaking" frequently seen (b) Inflammation of skin & subcutaneous tissues with intense redness, swelling, & firm infiltration (c) Involvement of regional lymph nodes common (d) May progress to abscess formation