Caring for clients with skin ,hair and nail disorders

11745Amy Long, a 24-year-old female client, presents to the clinic with a complaint of intense itching during the night, slight edema, and presence of erythema, with areas of excoriation from scratching located in the webs and sides of her fingers, around her wrists and elbows, axillae, and thighs. She stated she recently volunteered as a camp leader for a girls’ camp for the past week. The physician examined the areas and, using a small amount of sterile mineral oil on a lesion, scrapped the skin, placed it onto a slide, and examined it under a microscope, diagnosing the client with scabies. The physician ordered permethrin (Elimite) 5% cream to be applied topically from head to toe and leave it on for 12 hours before washing it off. The client stated she is married and has a daughter, aged 6 years, and wonders if they could have it, too, because they have been itching and have the same symptoms as well. The physician prescribes the treatment for all of the family. The client asks the LPN/LVN how to eradicate the skin mite infection.
a. Use a drug handbook and explain how to properly use permethrin, or visit the following website for the package insert: http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=4de55a80-67d6-42c0-a6fc-57b89400c5b3
b. Based on the described findings, what microbe is present in Amy Long and her family?
c. What will the client and family have to do to properly eradicate the scabies?