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22 Cards in this Set
- Front
- Back
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allergic dermatitis
Non-Rx tx for oozing and crusting |
Wet dressings
May soak gauze in astringent (Burrow’s solution, witch hazel, or aluminum acetate)NTE 7 days |
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AD—diagnosis
Pruritis plus three of the following... |
dermatitis on face
asthma or allergic rhinitis generalized xerosis (dry skin) eczema rash |
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Ad—triggers
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Aeroallergens
Food allergens Irritants Stress Sunlight |
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AD patients have a predisposition to ____infections via microfissures in ____
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skin, skin
esp staph, herp, males |
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Ad—otc treatment options
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There is no 100% cure
Identification and avoidance of triggers Nonchemical sunscreens Zinc oxide or titanium dioxide Skin hydration - USE THICK CREAMS OR OINT, NO LOTIONS |
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Ad—topical corticosteroids
when used? potency? |
flare ups
high |
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Ad
what formulation type for scalp? |
soln or gel
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Ad
Classify the following by potency from highest to lowest: 2-Diprosone 0.05% cream - High, Class III Hydrocortisone 1% cream – Class VII Kenalog 0.1% lotion - Class V Synalar 0.025% ointment - Class IV 1-Temovate (clobetalol) 0.05% cream, ointment, solution - Very high, Class I |
clobetasol
diprosone synalar kenalog hydrocortisone |
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Ad
Topical Corticosteroid Counseling |
Usually applied once to twice daily
How much is enough to dispense? Rule of thumb: 30 gm covers average adult 1x For many patients, an inadequate amount is used Relieve any concerns the patient may have Apply corticosteroid first before moisturizer Helps decrease amount of steroid needed Rub in well then follow with other product Do not apply to face (some exceptions), mucous membranes, etc. Discuss SE: acne, atrophy, hypopigmentation |
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Ad algorithm
Acute + maint |
emollients
ACUTE topical cortico or CI -clobetasol -pimecrolimus -tacrolimus MAINT topical CI esp Pimecrolimus |
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Ad—antihistamines?
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Not very efficacious
Pruritis is not likely histamine induced |
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AD
SECOND line therapy for short-term and noncontinuous use for moderate-to-severe AD who failed other therapies |
Tacrolimus
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AD
Indication: FIRST line therapy for long-term treatment of mild-to-moderate AD in children (≥2 yo) and adults |
Indication: FIRST line therapy for long-term treatment of mild-to-moderate AD in children (≥2 yo) and adults
Well tolerated locally without any systemic effects |
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burns
superficial - super part thick - |
sup - only epidermis, no blisters
sup part thick - painful, moist & weeping - sensitive to air deep part thick - blanched less moist full-thick - painless, scarring, sugery etc |
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burn - Topical Anesthetics
Use .... when burn is deep |
lower concentrations = systemic toxicity
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burns
Hydrocortisone |
Not typically used
Especially avoid if skin is broken (increased absorption) Can reduce inflammation/erythema Low-potency recommended High-potency can delay reepithelialization |
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creams are best, allow for moisture to pass through
oints - lotions - |
can promote bact growth
dries area, diff to remove, bact grow beneath |
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Discuss with the person sitting next to you the drugs that you are familiar with causing photosensitivity
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Hctzz
Smx/tmp Tetracycline Accutante Benzoyl peroxid Glyburide antipsychotics |
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types of wounds that can be treated w/self care?
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Abrasion
Puncture |
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First-Aid Antiseptics
Hydrogen peroxide Isopropyl alcohol Iodine Camphorated phenol |
H2O2-Has little benefit over soapy water, can damage skin
ISOP alcohol - 70% recommended concentration Stronger antibacterial activity over EtOH Higher cytotoxic and infection rates when applied directly to wound Greater potential to dry the skin (astringent) Iodine-, can cause allergic hypersensitivity reactions, hyperthyroidism could occur Camphorated phenol Use with caution Phenol is liberated on wet skin resulting in caustic concentrations Should only be applied to DRY skin Camphorated phenol Use with caution Phenol is liberated on wet skin resulting in caustic concentrations Should only be applied to dry skin |
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First-Aid Antibiotics
Bacitracin Polymixin B sulfate Neomycin |
Bacitracin
Gram-positive activity Allergic contact dermatitis = 2% Neomycin Gram-negative activity Allergic contact dermatitis = 3.5-6% Systemic toxicity = ototoxicity, nephrotoxicity Polymixin B sulfate Gram-negative activity Low incidence of sensitization |
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WOUND-When to Refer
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Wound containing foreign matter after irrigation
Chronic wound Wound secondary to an animal bite or human bite Signs of infection Erythema, edema, malodorous, induration, pain, purulent discharge Involvement of face, mucous membrane, or genitalia Deep, acute wound |
