Middle Childhood

Impetigo
1. reddish macule that becomes vesicular, honey colored crusts
2. Treatment: topical bactericidal or oral abx
  1. Nursing interventions: removal of crusts and comfort care
Scabies
1. intense itching maculopapular lesions interdigitally axillary popliteal and inguinal areas
2. Treatment: Elimite
3. Education: medication use, treat all contacts
Head Lice
1. Scalp itching and irritation. Louse can survive 48 hr away from host and nites are shed into environment and can hatch in 7-10 d
2. Nursing intervention: educate families, lice do not jump fly or travel on pets
Lyme Disease
1. Stage 1: rasied doughnut like border burning warm to touch occasionally pruritic fever HA malaise splenomegaly lymphandenopathy
2. Stage 2: neurological cardiac and musckolskeltal involvement 2 -11 wks after bite
3. Stage 3: musculoskeletal pains arthritis late neurological problesm
4. Treatment: Amox less than 8 yo doxy greater than 8yo

Resource summary

	Created by Christina altobello over 7 years ago