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Article ; Online: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Guide for Nurses.

Hanson, Leah M / Bettencourt, Amanda P

AACN advanced critical care

2020  Volume 31, Issue 3, Page(s) 281–295

Abstract: Nurses are central to the care of patients with Stevens-Johnson syndrome and toxic epidermal necrolysis. Patients with these conditions present with nuanced symptoms and have complex nursing care needs. Although much of the exact pathophysiology of these ...

Abstract Nurses are central to the care of patients with Stevens-Johnson syndrome and toxic epidermal necrolysis. Patients with these conditions present with nuanced symptoms and have complex nursing care needs. Although much of the exact pathophysiology of these diseases is not known, all nurses benefit from a fundamental understanding of the genesis of skin manifestations, associated pharmacology, and prognosis. The care of patients hospitalized with Stevens-Johnson syndrome and toxic epidermal necrolysis consists of wound care, infection prevention, comfort management, hydration and nutrition, psychosocial support, and the prevention of long-term complications. This article provides an overview of these diseases, including clinical diagnosis, history and physical assessment, related pharmacology, and nursing care priorities. A description of the current state of the science in clinical management for nurses at all levels is provided, with an emphasis on nursing's contribution to the best possible patient outcomes.
MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Critical Care Nursing/standards ; Drug-Related Side Effects and Adverse Reactions/nursing ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Practice Guidelines as Topic ; Stevens-Johnson Syndrome/diagnosis ; Stevens-Johnson Syndrome/drug therapy ; Stevens-Johnson Syndrome/nursing ; Stevens-Johnson Syndrome/physiopathology ; United States ; Wounds and Injuries/nursing ; Young Adult
Language English
Publishing date 2020-08-31
Publishing country United States
Document type Journal Article
ZDB-ID 2239949-5
ISSN 1559-7776 ; 1559-7768
ISSN (online) 1559-7776
ISSN 1559-7768
DOI 10.4037/aacnacc2020634
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