Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Nursing diagnosis for staphylococcal infections: • Risk for altered body temperature related to infection • Risk for skin breakdown related to abscesses, non-healing wounds, and boils • Risk for activity intolerance related to malaise, secondary to infection • Knowledge deficit related to infection control procedures, risk of transmission, and treatment Nursing interventions for staphylococcal infections: • Monitor for changes in vital signs, especially temperature • Follow infection control protocol: isolation and personal protective equipment (PPE) • Adhere to hand washing and practice aseptic technique • Thorough room sanitization procedures • Give antibiotics as ordered by MD: o Trimethoprim-sulfate (Bactrim): First line drug of choice until cultures are completed; lowest risk of resistance with Methicillin resistant staphylococcus aureaus (MRSA) o Amoxicillin clavulanate (Augmentin): This is a penicillin type antibiotic specially created with clavulanate potassium to help combat drug resistant organisms o Ceftriaxone (Rocephin): First line drug of choice for those allergic to penicillin antibiotics o Clindamycin (Cleocin): Not commonly used due to risk of pseudomembranous colitis and clostridium deficile (C. Diff), which are dangerous and life-threatening forms of diarrhea caused by antibiotic use • Teach good hand washing technique to patient and family Expected outcomes for staphylococcal infections: • Demonstrates normal body temperature • Demonstrates medication compliance • Demonstrates proper hand washing and aseptic techniques • Verbalizes understanding of disease, treatment, isolation, and transmission precautions Scabies Scabies are actually tiny mites, also known as sarcoptes scabiei. They infect the skin and are highly contagious. Scabies are prevalent in living areas that are not thoroughly cleaned. They can be transmitted in beds, clothing, and sexual contact. The tiny itch mites burrow into the stratum corneum, the outer layer of the skin. The female lays her eggs into the skin and incubation is up to four days. This causes severe itching. Patients with scabies will have papules that follow a pattern on the skin and cause severe excoriation.

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