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NORMAL SKINICHTHYOSISMANAGEMENT STRATEGIES
Important role in innate immunity; barrier against infectionHigh risk for bacterial infection and sepsisClose monitoring of vital signs
Blood cultures if temperature/hemodynamic instability, lethargy
Aggressive treatment of infections
Topical antibiotics to fissures
Reverse isolation
Maintenance of fluid-electrolyte balance; barrier against excessive lossesIncreased water loss; risk of dehydration and electrolyte imbalanceMonitor fluid balance by intake, urinary output, daily weights
Regular serum electrolytes with repletion
Humidified incubator
Nutrition Consult
Intravenous hydration
Barrier against chemical and mechanical assaultsRisk of systemic absorption of topicals; skin fragilityBland emollients only
Avoid silver sulfadiazine, lactic acid and salicylic acid preparations, antibacterial soaps
Minimal handling
Avoid conventional adhesives; use self-adherent wraps or gauze
Flexible and pliable to allow full range of motion of body partsRisk of restriction of lung movement; difficulty sucking/feeding; contractures; compartment syndromeRespiratory support
Nasogastric feeding
Liberal emollients, daily bathing and/or retinoids to thin scale
Monitor perfusion and compartment pressure
Orthopedic or plastic surgery consult in cases of contractures or constriction
Ophthalmology consult in cases of ectropion
0
NORMAL SKINICHTHYOSISMANAGEMENT STRATEGIES
Important role in innate immunity; barrier against infectionHigh risk for bacterial infection and sepsisClose monitoring of vital signs
Blood cultures if temperature/hemodynamic instability, lethargy
Aggressive treatment of infections
Topical antibiotics to fissures
Reverse isolation
Maintenance of fluid-electrolyte balance; barrier against excessive lossesIncreased water loss; risk of dehydration and electrolyte imbalanceMonitor fluid balance by intake, urinary output, daily weights
Regular serum electrolytes with repletion
Humidified incubator
Nutrition Consult
Intravenous hydration
Barrier against chemical and mechanical assaultsRisk of systemic absorption of topicals; skin fragilityBland emollients only
Avoid silver sulfadiazine, lactic acid and salicylic acid preparations, antibacterial soaps
Minimal handling
Avoid conventional adhesives; use self-adherent wraps or gauze
Flexible and pliable to allow full range of motion of body partsRisk of restriction of lung movement; difficulty sucking/feeding; contractures; compartment syndromeRespiratory support
Nasogastric feeding
Liberal emollients, daily bathing and/or retinoids to thin scale
Monitor perfusion and compartment pressure
Orthopedic or plastic surgery consult in cases of contractures or constriction
Ophthalmology consult in cases of ectropion
2
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