management of steven johnson syndrome

This are outlines of management of steven johnson syndrome given by a dermatologist from Ipoh GH:

1) Vital Sign monitoring
2) Withhold Offending drug
3) Adequate hydration
4) Strict I/O chart
5) Assess disease severity daily
6) Oral lesion: NaHCO3 gurgle 4hrly
Syrup nystatin 6hrly
7) Crusted lip lesion: use liquid parafin soak with gauze apply to lips for 10min 4hrly to soften the crust, then slowly remove it
8) Body and lim lesions: KMno4 wash to raw area 2-3x per day, normal saline bath bd then apply gerila cream to raw area after KMno4, aqueous cream 2hrly