Insect bite or sting

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Counseling

Most bites and stings improve over a few days. Recommended supportive care with an emphasis on cool compresses, an anti-itch cream, and keeping nails short to limit scratching. Call 911 for trouble breathing, throat tightness, trouble swallowing, or confusion. Return precautions given including redness spreading beyond the bite, red streaks, pus, fever, hives over the whole body, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Insect bite or sting
• Local reaction without signs of anaphylaxis or infection
• Recommended cool compresses, an oral antihistamine as needed, and Hydrocortisone cream for itching
• Follow up as needed

Most bites and stings improve over a few days. Recommended supportive care with an emphasis on cool compresses, an anti-itch cream, and keeping nails short to limit scratching. Call 911 for trouble breathing, throat tightness, trouble swallowing, or confusion. Return precautions given including redness spreading beyond the bite, red streaks, pus, fever, hives over the whole body, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Local reaction without anaphylaxis or infection
Antihistamine, topical steroid, cold
Systemic reaction: epinephrine, allergy

Return precautions in the template

redness spreading beyond the bitered streakspusfeverhives over the whole body

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.