What is the appropriate treatment for this patient Answer

a. Instruct the parent as to how to recognize local toxicodendron species.

b. Instruct the parent or victim to use an effective barrier product before anticipated exposure.

c. Instruct the parent or victim regarding prompt antigen removal when exposure does occur.

d. Give a broad-spectrum antibiotic such as a first-generation cephalosporin if there is significant secondary infection.

e. Give a group IV topical steroid BID and as needed for itching to the active lesions.

f. Give a sedating antihistamine at least at bedtime for sleep.

g. The degree of involvement described here does not warrant the use of systemic steroids.

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