2. Outline the main steps in her management.
The management of jellyfish stings is as follows:
- Remove any remaining tentacles.
- Remove any nematocysts (small poisonous sacs)
- Analgesia – this can be simple, such as paracetamol and ibuprofen
- Topical hydrocortisone can be used for small areas (this patient needed oral prednisolone as the oedema was widespread)
3. What should the patient be careful of for the next couple of weeks?
The patient should try not to itch the affected areas. Any remaining nematocysts can release their toxins and cause further discomfort. The mainstay of treatment is therefore symptomatic in the form of analgesia and antihistamine.