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I’m working on a nursing discussion question and need an explanation to help me understand better. You should respond to ayour peers by extending, refuting/correcting, or adding additional nuance to their posts. All replies must be constructive and use literature where possible. Khatriena Johnson. Week 2 DQ: Clotrimazole (Lotrimin) topical vs Candida Candida is a fungus, and an overgrowth of this fungus can lead to a yeast infection. There are several types of candida and it can affect the skin, mouth, gastrointestinal tract, and genitals (R & Rafiq, 2020) Yeast is an opportunistic infection that usually affects the elderly, babies, and patients with compromised immune systems such as patients with HIV, TB, AIDS, and cancer just to name a few. Clotrimazole (Lotrimin) is an antifungal agent used to treat infections such as ringworm, jock itch, thrush, vaginal yeast infections, and diaper rash. Clotrimazole damages the permeable membrane of the yeast and inhibits its function. It is prescribed in several forms such as creams, ointments, suppositories, lozenges, and powders (Khatter & Khan, 2021). Conditions that predispose infants to diaper rash include the use of broad-spectrum antibiotics, exposure to excess moister while wearing disposable diapers, friction, exposure to microorganisms, and ammonia associated with feces and urine exposure to the skin. Candida Diaper Dermatitis (CDD)/diaper rash is characterized by edema, scaly plaques, maceration, burning, itching, and redness to the affected area. Some of these symptoms may be hard to assess depending on the age of the child and their inability to effectively communicate (Khatter & Khan, 2021). Developing a teaching plan entails having a clear understating of Clotrimazole uses and possible adverse effects associated with its use, preventing, and managing diaper rash, and proper hygiene techniques that will aid in the healing process and prevent the development of candida, and other skin irritations in the future. Parents should be aware that Clotrimazole can be irritating to the skin, cause itching, hives blisters, and redness. Parents can also use the acronym ABCDE to remember the steps to take in preventing diaper rash. ABCDE stands for: Air-Air time/diaper-free. Barrier-Applying a protective barrier such a Vaseline, creams, and or ointments that contain zinc oxide after each diaper change after cleaning the skin. Cleaning-using mild soap & water or any mild cleaning agent that is non-irritating to the ski to remove any residue from feces and or urine after each diaper change. Dry Diaper-Frequent diaper changes to maintain skin integrity. Diapers should be changed every 2-3 hours for younger babies and every 3-4 hours for older kids due to differences in frequency but can be changed sooner if soiled to prevent exposure to moisture, acid, and enzymes in feces and urine. Educate-Instruct parents on proper inspection of the skin for breakdown, and irritation, proper handwashing, cleansing, and barrier protection after each diaper change and to contact a health provider if the condition worsens or is not resolving (Wesner et al., 2019). References Khatter, N. J., & Khan, M. A. (2021, January 14). Clotrimazole – statpearls – ncbi bookshelf. NCBI. Retrieved May 25, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK560643/ (Links to an external site.) R, A. N., & Rafiq, N. B. (2020, November 20). Candidiasis – statpearls – ncbi bookshelf. NCBI. Retrieved May 25, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK560624/ (Links to an external site.) Wesner, E., Vassantachart, J. M., & Jacob, S. E. (2019). Art of prevention: The importance of proper diapering practices. International Journal of Women’s Dermatology, 5(4), 233–234. Retrieved May 25, 2021, from https://doi.org/10.1016/j.ijwd.2019.02.00


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