What should be done if a patient's non-blanchable rash worsens?

When a patient's non-blanchable rash worsens, re-evaluating the treatment plan and escalating care if necessary is crucial. A non-blanchable rash may indicate significant underlying issues, such as infection, potential allergic reactions, or conditions like vasculitis. Observing the worsening condition calls for a comprehensive assessment to determine the cause and address any complications that may arise. This may involve reviewing current treatments and medications, considering additional diagnostic tests, or determining if a different level of care is warranted, such as referral to a specialist or initiating more aggressive treatment measures.

While monitoring and documenting changes is important, it should be done in conjunction with addressing the escalating severity of the rash. Immediate consultation with a dermatologist might not be necessary unless the clinical situation demands specialized intervention. Changing the room or bedding may help with comfort but does not directly address the underlying cause of the worsening rash. Thus, taking a proactive approach to re-evaluate and possibly escalate care is the most appropriate response in this scenario.