Rash

Rash 

Symptoms That Cause Immediate Concerns with Rash  

  • Difficulty breathing or swallowing 

  • Fever 

  • Purple or blood colored spots or dots 

  • Puffy hands/feet 

  • Swollen joints 

  • Blisters, bright red like sunburn skin, or peeling skin 

  • Severe headache with fever 

  • Pain 

 

SYMPTOMS of hives include: 

  • Raised pink bumps with pale centers (welts) 

  • Hives look like mosquito bites 

  • Sizes of hives vary from 1/2 inch to several inches across 

  • Shapes of hives are also quite variable 

  • Location, size, and shape change rapidly and repeatedly 

  • In young children, the hands and feet are sometimes puffy 

  • Itchy rash 

  • Also called urticaria 

  • Giant hives are called angioedema 

 

Ensure you are using the correct rash protocol 

  • Rash began while taking amoxicillin OR augmentin AND NO hives or severe itch 
    Use Rash - Amoxicillin or Augmentin 

  • Rash began while taking amoxicillin OR augmentin AND hives suspected or widespread itching 
    Use Rash - Widespread On Drugs 

  • Received MMR vaccine 6 - 12 days ago and mild pink rash mainly on the trunk 
    Use Immunization Reactions 

  • Roseola suspected (fine pink rash following 3 to 5 days of fever) Usually 6 months to 3 years Use Roseola 

  • There are also protocols for Widespread, Localized, Purple Spots or Dots, Hives, Newborn, and Diaper Rash. 

  • There are protocols specific to Food Reaction and Food Allergy 

  • Use Anaphylaxis if a severe life-threatening allergic reaction following contact with an allergic substance (e.g., high-risk food, drug or bee sting) 

 

Care Advice for Rash Without Symptoms of Concern 

Reassurance and Education 

    - Most widespread pink rashes are part of a viral illness (non-specific viral exanthems). 

    - This is especially likely if the child also has a cold, cough, or diarrhea. 

    - These viral rashes are harmless. 

    - No treatment is necessary unless the rash is itchy.  

 

Cool Baths for Itching 

    - For flare-ups of itching, give your child a cool bath without soap for 10 minutes. (Caution: avoid any chill.) 

    - Optional: can add baking soda, 2 ounces (60 ml) per tub. 

 

Hydrocortisone Cream for Itching 

    - For relief of itching, apply 1% hydrocortisone cream OTC  3 times per day. 

    - Do not apply to the face of infants 

 

Benadryl for Itching in Children 12 Months and Older 

    - For severe itching, give Benadryl (OTC) 4 times per day as needed until seen (See Dosage table). 

 

* Reasons To Call Back 

    - Your child becomes worse 

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