DERMATITIS MR. DINESH SINGH NURSING TUTOR ROHILKHAND COLLEGE OF NURSING 16-08-2022 ROHILKHAND COLLEGE OG NURSING 1
OBJECTIVES Introduction of the Dermatitis. Define the Dermatitis. Explain the etiological factors of Dermatitis. Enlist the pathophysiology of Dermatitis. State the clinical manifestations of Dermatitis. Discuss the management of Dermatitis. Describe the complications of Dermatitis. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 2
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INTRODUCTION Dermatitis is a general term for skin inflammation caused by immune system, genetic, environment, exposure. With symptoms, patients skin will typically look dry, swollen, and discolored. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 4
DEFINITION According to Brunner and Suddhart : Dermatitis is inflammation of the upper layers of the skin, causing itching, blisters, redness, swelling, and often oozing, scabbing, and scaling. According to Lewis:- Dermatitis is an inflammation of the skin and which are commonly swollen, reddened and irritatingly itchy. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 5
ETIOLOGY Chemical Acid Solvents Biological Urine Faeces Toxins 16-08-2022 ROHILKHAND COLLEGE OG NURSING 6
Chemical 16-08-2022 ROHILKHAND COLLEGE OG NURSING 7
2. Biological 16-08-2022 ROHILKHAND COLLEGE OG NURSING 8
Compounds Poison Synthetics Industrial chemicals Drugs Penicillin Metals 16-08-2022 ROHILKHAND COLLEGE OG NURSING 9
3. Compounds 16-08-2022 ROHILKHAND COLLEGE OG NURSING 10
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PATHOPHYSIOLOGY Etiology/Risk factors Inflammatory reaction in skin Eruption of skin 16-08-2022 ROHILKHAND COLLEGE OG NURSING 12
Erthema , vesicles, pruritis will occur Continuous irritation and scratching over the skin Long term irritation Thickening of the skin 16-08-2022 ROHILKHAND COLLEGE OG NURSING 13
CLINICAL MANIFESTATION Itchiness (pruritus) Dry Skin Blisters Flaking skin (Dandruff) Thickened skin Bumps in hair follicles 16-08-2022 ROHILKHAND COLLEGE OG NURSING 14
DIAGNOSTIC EVALUATION History collection Physical examination Skin biopsy Allergy skin test Complete blood count 16-08-2022 ROHILKHAND COLLEGE OG NURSING 15
MANAGEMENT Medical management Topical corticosteroids : Corticosteroids is a anti-inflammatory and also suppress the immune response. Example: Dexamethasone Topical Antibiotic Therapy : I nhibition of inflammation caused by bacteria rather than a direct bactericidal effect. Example: Ciprofloxacin Anti-Histamine: to inhibition of allergic reaction. Example: Avil . 16-08-2022 ROHILKHAND COLLEGE OG NURSING 16
Nursing management Assess the skin systematically, look for areas of irritant and allergic contact. Apply topical steroid creams or ointments. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 17
COMPLICATIONS Fever Chronic itchy Skin infections Irritant hand dermatitis Allergic contact dermatitis Sleep problems 16-08-2022 ROHILKHAND COLLEGE OG NURSING 18
SUMMARY So today session we have discussed about the dermatitis is a inflammation of the skin due to etiological factors (chemical, biological, compounds, drugs) and includes the clinical manifestation (Itchiness, dry skin, Blisters, Flaking skin and medical management of dermatitis is the Topical corticosteroids, Topical Antibiotic Therapy, Anti-Histamine and complications of dermatitis Fever, Chronic itchy, Irritant hand dermatitis, Sleep problems. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 19
RECAPTULATION What is dermatitis. What all are the etiological factors What are the clinical manifestation What is management of dermatitis. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 20
CONCLUSION 16-08-2022 ROHILKHAND COLLEGE OG NURSING 21
ASIGNMENT TOPIC Types of dermatitis, home remedies, nursing diagnosis and health education. Submit on 10/08/2022 16-08-2022 ROHILKHAND COLLEGE OG NURSING 22
REFERENCES Brunner and Suddarth’s “textbook of medical-surgical nursing” “10 th edition, published by “Suzanne C. Smeltzer Brenda Bare”. PR Ashalatha , G. Deepa “textbook of Anatomy and physiology” Fourth edition” published by “Jaypee Brothers”. Linda S. Williams, Paula D. Hopper “textbook of Medical Surgical Nursing” “Third edition” Published by F.A. Davis 2007. Priscilla LeMone , Karen Burke, Gerene Bauldoff “textbook of Medical Surgical Nursing” “Fifth edition” “published by Julie Levin Alexander”. Lewis Dirksen Heitkemper Bucher, textbook of medical surgical nursing second south Asia edition, volume 1. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 23