Nursing Care for Toxic Epidermal Necrolysis
Disease description:
Because the child required surgery, toxic epidermal necrolysis (TEN) developed following local anesthesia. The child developed extensive bullae over the body. Currently, the child is showing some improvement, and the affected skin is beginning to slough off. What nursing care is required?
Doctor's answer (1)
Dr. Gan Liqiang
Toxic epidermal necrolysis (TEN) requires meticulous nursing care and close monitoring. Exposed skin surfaces must be protected from further injury and infection. Under a physician’s guidance, wound secretions should be cleaned regularly with normal saline daily, and the wound must be kept dry—avoiding contact with water—and well-ventilated. Before initiating any new medication, a drug allergy test must be performed or the physician consulted to assess whether the drug may act as a trigger, thereby preventing disease recurrence.
