Emergency Nurse Practitioner Core Curriculum – Renee Holleran (1)

Itching of the skin can be found in isolation from a number of causes.183 1. Blood disorders such as anemia (iron defi- ciency), leukemia, lymphoma (Hodgkin’s), myeloma, polycythemia 2. Cholestasis from jaundice changes 3. HIV patients in the initial stages 4. Senile itching in patients over the age of 70 thought to be related to dry skin 5. Tumors that are solid in nature associated with spe- cific cancers, that is, brain tumors and nasal itching, cervical tumors and vulval itching, prostate tumor, and scrotal itching 6.

Uremia associated with chronic renal patients on hemodialysis F. Nonemergent rashes184,185 1. Geriatric-specific rashes a. Asteatotic eczema i. Seen in the lower extremities with appear- ance in the skin of shallow cracks, like severe dry skin that has been untreated ii. Treatment consists of topical corticoste- roids and emollient therapy. iii. Consideration of other possible underlying causes: Drug hypersensitivity, prebullous pem- phigoid, or paraneoplastic disease b. Mycosis fungoides i. Most frequently seen form of cutaneous T-cell lymphoma ii. Average age of onset is 55 iii.

Seen as worsening of fine-scaled, erythem- atous patches with mild itching iv. Referral to specialist is needed for defini- tive diagnosis 2. Traveler’s rashes a. Swimmer’s rash (cercarial dermatitis) i. Diffuse rash, extremely itchy, to exposed skin ii. It is a reaction to parasite-infected snails in either freshwater or saltwater. The parasite bur- rows into human skin if it comes in contact with people.

iii. Prevalent areas include ponds, lakes, and marshy areas iv. Prevention is the key. (1) Swim in areas to avoid contact with snails (2) Avoid putting feet down in high-risk areas. (3) Rinse and wash well after swimming. b. Seabather’s eruption/sea lice i. From certain jellyfish larval stings ii. Skin covered by swimsuits is the area affected. iii. Seen more in summertime/warmer saltwater iv. Eruptions develop shortly after getting out of the ocean. v. Treatment involves applying rubbing alco- hol or diluted vinegar to the skin so the toxins on the skin are neutralized.

Hydrocortisone 1% topical lotion should then be applied BID-TID x 1 to 2 weeks. vi.

Reneé Semonin Holleran, FNP-BC, RN-BC, PhD, CEN, CFRN, CTRN (Retired), CCRN (Alumna), FAEN, has practiced for over 30 years in emergency care. Dr. Holleran currently practices in Salt Lake City, Utah, where she serves as APRN Anesthesia Chronic Pain at George E. Whalen Veterans Health Administration and volunteers at the Hope Free Clinic, where she provides family practice and urgent care to the uninsured and immigrant populations.

Dr. Holleran is the former editor of the Journal of Emergency Nursing and Air Medical Journal, and currently serves on the editorial board for the Advanced Emergency Nursing Journal. Dr. Holleran was inducted as a Fellow of the Academy of Emergency Nursing in 2005 and earned a Lifetime Achievement Award from the Emergency Nurses Association. She is a past recipient of two AJN Book Awards in prehospital nursing and in air and surface transport nursing.

Theresa M. Campo, DNP, FNP-C, ENP-C, FAANP, FAAN, is Vice President of Education and Accreditation at the American Association of Nurse Practitioners and was previously Chair of the Department of Emergency Medical Services (EMS) and Director of the Emergency Nurse Practitioner Track as well as Associate Clinical Professor at Drexel University. Clinically, she is board certified as a Family Nurse Practitioner and Emergency Nurse Practitioner and works part time as a nurse practitioner in southern New Jersey.

Dr. Campo received her Doctor of Nursing Practice from Case Western Reserve University in Cleveland, Ohio. She earned her Master of Science in Nursing, Family Nurse Practitioner, from Widener University in Chester, Pennsylvania. Dr. Campo has over 30 years of experience in emergency medicine, including pre-hospital, emergency department/ quick care, and trauma. Dr. Campo is a founding Board Member of the American Academy of Emergency Nurse Practitioners, a national organization. She is a national and international lecturer on emergency and urgent care topics. Dr. Campo is the author of Medical Imaging for the Health Care Provider: Practical Radiograph Interpretation; editor of Essential Procedures for Emergency, Urgent, and Primary Care Settings, now in its third edition; and has authored several book chapters and peer-reviewed articles.

Dr. Campo was inducted as a Fellow of the American Association of Nurse Practitioners (AANP) in 2015 and as a Fellow of the American Academy of Nursing in 2017. She has received the alumni award for excellence from Case Western Reserve University and the state award of excellence from AANP. Emergency Nurse Practitioner Core Curriculum Reneé Semonin Holleran, FNP-BC, RN-BC, PhD, CEN, CFRN, CTRN (Retired), CCRN (Alumna), FAEN Theresa M. Campo, DNP, FNP-C, ENP-C, FAANP, FAAN Editors Karen Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN Elda Ramirez, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN Consulting Editors Copyright © 2022 Springer Publishing Company, LLC All rights reserved.

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• Title: –
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• ISBN: 9780826141255, 9780826141477, 9786468600
• Pages: 783
• Language: English (en)

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