BOOK NOTES

IMPETIGO
BENZATHINEPENICILLIN OR ORAL PENICILLIN IS PRESCRIBED
ERYTHROMYCIN IS PRESCRIBED IN ALLERGIC CLIENT TO PENICILLIN
NURSE INSTRUCTS PATIENT AND FAMILY MEMBERS TO BATHE AT LEAST ONCE DAILY WITH BACTERICIDAL SOAP
AVOID CONTACT WITH OTHER PEOPLE UNTIL LESIONS HEAL

FOLLICULITIS, FURUNCLES, AND CARBUNCLES

ORAL CLOXACILLIN, DICLOXACILLIN, AND FLUCLOXACILLIN  FIRST LINE MEDS
INCISION AND DRAINAGE – WITH SMALL INCISION CAN SPEED RESOLUTION BY RELIEVING TENSION AND ENSURING DIRECT EVACUATION
WARM MOIST COMPRESSES INCREASE VASCULARIZATION AND HASTEN RESOLUTION OF THE FURUNCLE OR CARBUNCLE.
SURROUNDING AREA MAY BE CLEANED GENTLY WITH ANTIBACTERIAL SOAP, AND AN ANTIBACTERIAL OINTMENT MAY BE APPLIED

HERPES ZOSTER
CAN BE SPREAD BY NOT WASHING HANDS AFTER DRESSING CHANGE
IF ORAL ANTIVIRALS ARE GIVEN WITHIN THE FIRST 24 HOURS THE INFECTION IS ARRESTED

HERPES SIMPLEX
SUN EXPOSURE IS A COMMON TRIGGER
TOPICAL DRYING AGENTS HELP HEALING

TINEA PEDIS
KEEP FEET AS DRY AS POSSIBLE
SOCKS NEED TO BE CHANGED DAILY
SOCKS SHOULD BE MADE OF COTTON
USE TALCUM OR ANTIFUNGAL POWDER FOR THOSE WHO FEET TEND TO SWEAT

TINEA CORPORIS
USE CLEAN TOWEL AND WASHCLOTH DAILY
DRY ALL SKIN AND SKIN FOLDS THOROUGHLY

TINEA CRURIS
AVOID EXCESSIVE HEAT AND HUMIDITY AS MUCH AS POSSIBLE
AVOID WEARING NYLON UNDERWEAR, TIGHT FITTING CLOTHING, AND A WET BATHING SUIT

TINEA CAPITUS
SET UP HYGIENE REGIMEN IN HOME DUE TO COMMUNICABILITY
ALL FAMILY MEMBERS MUST BE CHECKED
ALL FAMILY PETS MUST BE CHECKED

BURN PREVENTION TIPS

- KEEP MATCHES AND LIGHTERS OUT OF THE REACH OF CHILDREN
- NEVER LEAVE CHILDREN UNATTENED AROUND FIRE OR IN BATHROOM/BATHTUB
- INSTALL AND MAINTAIN SMOKE DETECTORS IN THE HOME
- DEVELOP AND PRACTICE A HOME EXIT FIRE DRILL WITH ALL MEMBERS OF THE HOUSEHOLD
- SET THE WATER HEATER TEMPERATURE NO HIGHER THAN 120 DEGREE’S
- DO NOT SMOKE IN BED. DO NOT FALL ASLEEP WHILE SMOKING.
- DO NOT THROW FLAMMABLE LIQUIDS ONTO AN ALREADY BURNING FIRE.
- DO NOT USE FLAMMABLE LIQUIDS TO START FIRES.
- DO NOT REMOVE READIATOR CAP FROM A HOT ENGINE
- WATCH FOR OVERHEAD ELECTRICAL WIRES AND UNDERGROUND WIRES WHEN WORKING OUSIDE

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 BOOK NOTES

FIRST PRIORITIES WITH BURNS

- ON SITE
O FIRST AID
O PREVENTION OF SHOCK
O PREVENTION OF RESPIRATORY DISTRESS
O DETECTION AND TREATMENT OF CONCOMITANT INJURIES
O WOUND ASSESSMENT AND INITIAL CARE
- AT DIURESIS
O WOUND CARE AND CLOSURE
O PREVENTION OR TREATMENT OF COMPLICATIONS, INCLUDING INFECTION
O NUTRITIONAL SUPPORT
- REHABILITATION
O PREVENTION OF SCARS AND CONTRACTURES
O PHYSICAL, OCCUPATIONAL, AND VOCATIONAL REHABILITATION
O FUNCTIONAL AND COSMETIC RECONSTRUCTION
O PSYCHOSOCIAL COUNSELING

CONSENSUS FORMULA
- !!!!!!!! 2-4ML X KG BODY WEIGHT X % TOTAL BODY SURFACE AREA BURNED

FLUID AND ELCTROLYTE CHANGES

- DECREASED HEMATOCRIT
- INCREASED URINARY OUTPUT
- SODIUM DEFICIT
- POTASSIUM DEFICIT
- METABOLIC ACIDOSIS

MIXED IS MIDDLE EAR

PREGNANT WOMAN IN 2 ND
OR 3
RD
TRIMESTER CAN DEVELOP OTOSCLEROSIS
HARD NODULES FROM COLD WATER SURFERS GET IT INSIDE THE EAR
DETACHED RETINA PLACE WITH HEAD DOWN AND MAY REMAIN FOR A WEEK
PUNCTAL OCCLUSION
PHANTOM LIMB PAIN – USE DISTRACTIONS FIRST BEFORE PAIN MEDS
KEEP FROM HAVING CONTRACTURES WIL LAY PRONE
SULFAMYLON
SILVER NITRATE
SHINGLES ON NERVE TRACTS WHY THRY ARE PAINFUL
EYE SURGERY DO NOR LIE ON AFFECTED SIDE DON’T ALLOW ANYTHING TO TOUCH IT