Stevens-Johnson

syndrome
Reporter: Logan, Patrizcia Joyce B.
OBJECTIVES
Explain the
Define Stevens- Identify the Pathophysiology
Johnson Signs and of Stevens-
Syndrome (SJS) Symptoms of the Johnson
Disease Syndrome

Enumerate Ideal Identify possible Enumerate Ideal

Medical Nursing Nursing
Management for Diagnosis management for
SJS pt with SJS
 What is Stevens - Johnson syndrome?
• Stevens-Johnson syndrome is a rare but serious
disorder that affects the skin, mucous membrane,
genitals and eyes.
• Usually caused by an unpredictable adverse
reaction to certain medications.
• The syndrome often begins with, flu-like
symptoms followed by a red or purple rash that
spreads and forms blisters. The affected skin
eventually dies and peels off.
Causes of
Stevens-
Johnson
Syndrome In adults, Stevens-Johnson
syndrome is often caused by an
In children, it is usually triggered by a adverse reaction to medicine.
viral infection, such as: • nonsteroidal anti-inflammatory drugs
• anticonvulsant agents
Herpes-simplex virus which causes • Corticosteriods
cold sores, mumps, flu • Some ‘over-the-counter’ medications,
such as acetaminophen, metamizole
and ibuprofen
 Signs and Symptoms:
After a few days a rash appears- • Facial swelling and swollen
• Flu-like symptoms
• high temperature (fever) of • individual blemishes lips covered in crusty sores
38C (100.4F) or above • blistered and ulcerated
• Headache • Large blisters then develop on
• joint pain/ skin pain the skin, which leave painful mucous membrane
• Cough
sores after bursting.
Pathophysiology
Pathophysiology
Management

Treatments for Stevens-Johnson syndrome include:

• Stopping the medication that has caused the

problem.
• Replacing electrolytes with intravenous (IV) fluids.
• Using non-adhesive dressings on the affected skin.
• Using specialist teams from dermatology and
ophthalmology (if your eyes are affected).
Medications
• Oral corticosteroids (Prednisolone)
• Nonsteroidal anti-inflammatory drug
(Etanercept)
• Corticosteroid Kenacort (triamcinolone)
ointment
 Nursing
Diagnosis 1. Impaired skin integrity
related to inflammatory dermal and epidermal
amb painful blistering skin rash

2. Imbalanced nutrition less than body

requirements
related to difficulty swallowing amb presence
of blisters and ulcers on mouth,
swollen/crusting of lips

3. Acute Pain
related to inflammation of the skin amb painful
blisters on the skin
 NURSING MANAGEMENT

1. Give portions to eat little but

often.
Rational: helps prevent gastric
distension / discomfort
2. Observation of skin turgor
circulation daily notes and sensory 3. Use a thin clothing

as well as other changes that occur.
4. Wound care (1) assessment and
exclusion of disease processes; (2)
wound cleansing; (3) timely dressing
change; (4) appropriate (dressing
choic
 NURSING MANAGEMENT

6. Weigh daily with same scale, and

preferably at the same time of day.
7. Administer parenteral fluids as
prescribed.
8. Clean, dry, and moisturize skin,
particularly bony prominences, twice
daily or as indicated by incontinence or
sweating..
Thank you!
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