INTEGUMENTARY WORKSHEET (NUR 230/231/254)
Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
DERMATITIS Contact, Diaper/yeast (Hyperinflamed) OTC barrier creams, hydrocortisone, Nystatin (application)
Irritation, redness, edema, itching Remove the allergen source, keep area dry (remove diaper)
Atopic (eczema) = chronic Skin hydration
dry/itchy/flaky/scaly/crusty, joints Calamine lotion/Oatmeal baths
ACNE sebaceous gland stimulation Avoid touching/picking at areas, triggers
white-/blackheads, pustules OTC benzol peroxide; salicylic acid, antibiotics (oral)
scarring as potential complication Retin-A/Accutane (preg test)
IMPETIGO Bacterial skin infection (? Mild Fever) Avoid touching, Contact precautions
itchy, honey-colored crusts Topical/systemic antibiotics
Soften/remove crusts before topical ointment
PEDICULOSIS CAPITIS adult lice & nits - itching Permethrin (OTC)/Malathion (script)
(head lice) Not spread as humans/animals Treat all in home, retreatment. Remove nits
Clean cloth items w/hot water or sealed bag; disinfect combs
ANIMAL BITES Wound, bleeding, redness, Educate re: don’t approach, taunt, pester, pet strange animal
Cat – cat scratch disease Clean wound & closure; Monitor for infection; Rabies/Tetanus vaccines
INSECT BITES & STINGS Vary depending on type Prevention: clothing, repellant, avoid woody/high grass areas
Redness, edema, warmth, itching Identify type of insect if possible; Remove stinger if applicable; if
poisonous; Itching - hydrocortisone
General Considerations:
Assess Rashes: primary versus secondary lesions
Good Hygiene - Nails trimmed
Healthy diet; adequate hydration
Cool temp; Cotton clothing (no dyes)
Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
DERMATITIS Contact, Diaper/yeast (Hyperinflamed) OTC barrier creams, hydrocortisone, Nystatin (application)
Irritation, redness, edema, itching Remove the allergen source, keep area dry (remove diaper)
Atopic (eczema) = chronic Skin hydration
dry/itchy/flaky/scaly/crusty, joints Calamine lotion/Oatmeal baths
ACNE sebaceous gland stimulation Avoid touching/picking at areas, triggers
white-/blackheads, pustules OTC benzol peroxide; salicylic acid, antibiotics (oral)
scarring as potential complication Retin-A/Accutane (preg test)
IMPETIGO Bacterial skin infection (? Mild Fever) Avoid touching, Contact precautions
itchy, honey-colored crusts Topical/systemic antibiotics
Soften/remove crusts before topical ointment
PEDICULOSIS CAPITIS adult lice & nits - itching Permethrin (OTC)/Malathion (script)
(head lice) Not spread as humans/animals Treat all in home, retreatment. Remove nits
Clean cloth items w/hot water or sealed bag; disinfect combs
ANIMAL BITES Wound, bleeding, redness, Educate re: don’t approach, taunt, pester, pet strange animal
Cat – cat scratch disease Clean wound & closure; Monitor for infection; Rabies/Tetanus vaccines
INSECT BITES & STINGS Vary depending on type Prevention: clothing, repellant, avoid woody/high grass areas
Redness, edema, warmth, itching Identify type of insect if possible; Remove stinger if applicable; if
poisonous; Itching - hydrocortisone
General Considerations:
Assess Rashes: primary versus secondary lesions
Good Hygiene - Nails trimmed
Healthy diet; adequate hydration
Cool temp; Cotton clothing (no dyes)
