Hello :)
Have you heard of SCORTEN SCORE?
It is a score used to assess the
severity of illness in TEN.
Go to the link below:-
-We can assess the nutritional status by
the body weight.
-Body is in the condition of hyper
metabolism which will lead to excessive proteolysis.
-For the above thing, check albumin
levels.
-Due to excessive fluid loss body will
undergo dehydration and hypotension.
-Temperature should be noted. As each
degree increase in temperature over normal, increases metabolism by 5-8%.
-Ocular examination is important part.
-Check for LFT and RFT.
-Late ophthalmic complications are
mainly due to functional alteration of the conjunctival epithelium with dryness
and abnormal lacrimal film. This leads to chronic inflammation, fibrosis,
entropion, trichiasis, and symblepharon. Long-term irritation and deficiency of
stem cells in the limbus may result in metaplasia of corneal epithelium with
painful ulcerations, scarring, and altered vision.
- Esophageal, intestinal, urethral, and
anal strictures may also develop in rare cases.
Nutrition: -
Consist 2 parts
1) parentral
2) Entral
Parentral nutrition consist of
dextrose.
Entral is important for this patient.
-Protein powder.
-Dal.
-Fruits e.g. Banana
-We use various feeding devices like nasogastric
tube or ryles tube.
Treatment:-
-Stop all the drugs
-airway breathing circulation fluids
-Symptomatic treatment
MEDICATIONS
Antibiotic to treat and prevent infections.
Used to treat and prevent severe skin inflammation.
Ranitidine reduces the acidity.
BETADINE MOUTH GARGLE: Oral antiseptic
for relief of painful infections and inflammatory conditions of mouth and
pharynx
Anti-inflammatory, Anti-pruritic, and
Vaso-constructive properties. To cure mouth ulcers.
-Burns guideline (but lesser fluids)
That's all for today .
-Upasana Y. :)
x
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