A boy has arrived home after experiencing his first outdoor camping trip with his Boy Scout troupe. Upon arrival at home, he is very uncomfortable and scratching at a rash
It appears that he contacted poison ivy and that it has spread to many areas on his body. The nurse in the clinic will likely prescribe which of the following treatment measures for this child? Select all that apply.
A)
Prescription for corticosteroids.
B)
Cool showers especially right before bedtime.
C)
Over-the-counter antihistamines.
D)
Occlusive ointments with high petroleum content.
Ans:
A, B, C
Feedback:
Most treatment measures for pruritus are nonspecific. Rubbing using the entire hand helps prevent scratching. Because vasodilation tends to increase itching, cold applications may provide relief. Cool showers before bed may be helpful. Topical corticosteroids may be helpful in some cases. However, systemic antihistamines and corticosteroids may be indicated for people with severe pruritus. Occlusive dressings are thick creams that contain petroleum and can act as a barrier to prevent water loss from the skin. They usually are prescribed for dry skin.
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