Primary Nursing Diagnosis

Impaired skin integrity related to damage and inflammation of vessels

OUTCOMES. Tissue integrity: Skin and mucous membranes; Wound healing; Body image

INTERVENTIONS. Skin surveillance; Wound care; Body image enhancement

^ PLANNING AND IMPLEMENTATION Collaborative

The treatment prescribed is based on the acuity and severity of the symptoms. Some patients are treated pharmacologically with corticosteroids to relieve edema and analgesics to manage joint and GI discomfort. Allergy testing to identify the provocative allergen is usually performed. If the allergen is a food or medication, the patient needs to avoid ingesting the allergen for the rest of his or her life. Patients who are placed on corticosteroids or immunosuppressive therapy need an environment that protects them as much as possible from secondary infection. If the patient is on corticosteroids, monitor her or him for signs of Cushing's syndrome and the complications of corticosteroids, such as labile emotions, fluid retention, hyperglycemia, and osteoporosis.

Pharmacologic Highlights

Medication or Drug Class

Dosage

Description

Rationale

Glucocorticoids

Varies by drug

Corticosteroid

Relieves edema and analgesics to

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