Page 73 - LECTURE NOTES

• It is frequently associated with fever; pain and malaises & white blood

count sometimes reveals leukocytosis.

Treatment: systemic antibiotic, drainage of abscess, local skin care and dressing.

Predisposing factors:
• Diabetes mellitus

• Immune suppress (HIV long term steroid treatment)

• Poor hygiene and worm climate

Treatment

Systemic antibiotic, drainage of abscess, local skin care and dressing

Complication

¾ Manipulation of furuncles on the face may cause sinus thrombosis and total pyemia.
¾ Other possible complications of manipulated furuncles are

- Perinephric abscess
- Osteomyelitis

- Endocarditis

• Bacteremia and other secondary infections can occur.

Nursing management of furuncle & carbuncle (treatment)

• Control fever and pain
• Teach patient to take adequate fluid, food and rest to enhance the healing

process

• Monitor the affected local area & the development of systemic progression
• Apply warm and moist packs

• Teach patient to avoid any manipulation to the infected area

• Teach patient about prescribed medications
• Treat with systemic antibiotics

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