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17 Cards in this Set
- Front
- Back
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Signs and Symptoms
Irritant Contact Dermatitis |
Itching
Early stinging erythema minimal vesicles pustules dermal edema onset of reaction: minutes to hours causative substance: alkalis, acids, solvents, salts, surfactants, oxides substance concentration very important Mech. of Rxn: direct tissue damage |
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Signs and Symptoms
Allergic Contact Dermatitis |
Early Itching
Late stinging erythema minimal vesicles pustules dermal edema onset of reaction: Days causative substance: decreased molecular weight and lipid solutes, fragrances, metal, poison ivy/oak/sumac substance concentration less important Mech. of Rxn: immunologic rxn |
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Mild vs. Moderate vs. Severe Dermatitis
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Mild:
Patches of pruritis and redness, vesicles and papules in linear appearance, red eyes from rubbing. Treat w/ OTCs. Moderate: Bullae, edematous swelling, various body parts in addition to characteristics of mild dermatitis. Treat w/ OTCs. Severe: Extensive edema of extremities and face, extreme itch, severe blisters, handicapped daily activities. REFER. |
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Signs and Symptoms
Diaper Dermatitis |
NO itch
stinging and vesicles (if severe) redness mild/moderate rxn localized to areas that diaper covers; severe progresses up abdomen or lower buttocks and lower back causative substance: urine/feces contact w/ skin lesion desc: wet, shiny, bright red or dusky maroon on dark skin duration: 7-10 days secondary infections if left untreated |
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Signs and Symptoms
Prickly Heat |
mild itch
prickly sensation in affected area redness very fine vesicles located on trunk, upper back, neck, groin, axilla, face-anywhere sweat glands present causative substance: hot humid environment and sweating lesion desc: pinpoint size, raised, red or maroon. usually traces pattern of occlusion duration: 3-10 days secondary complications very rare |
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100% Colloidal Oatmeal
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anti-pruritic (anti itch)
good for all types dermatitis good for all populations(pregnant, peds, elderly) make bathtub slippery |
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Hydrocortizone 1%
(Cortaid) |
anti-pruritic
*1st line for pruritis not for <2 yo don't use >7 days small areas only |
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Camphor/Menthol/Phenol
(Sarna AntiItch lotion-steroid free) |
Counter irritants
sensation of coolness, reduce iritation |
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Benzocaine
(lanacane) |
topical anesthetic
small area only may cause secondary dermatitis Allergic Dermatitis |
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Benzyl Alcohol
(Ivy Dry Super Liquid) |
Antiseptic
prophylaxis vs. secondary infection irritation if applied to damaged skin Allergic Dermatitis |
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Zinc Oxide
(Desitin) |
Protectant
40% ointment for treatment 10-25% cream for prevention reapply with every change Diaper Dermatitis |
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Topical Diphenhydramine
(Benadryl Itch Stopping Cream) |
topical antihistamine
some topical anesthetic effect may cause hypersensitivity small areas only don't use if taking oral antihistamine |
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Pramoxine HCl 1%
(Sarna Anti Itch Lotion) |
Local/external anesthetic used for relief of pain and pruritis
non steroid may cause hypersensitivity Allergic and Irritant Dermatitis |
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aluminum acetate
(Domeboro) |
astringent
stops oozing, reduce inflammation, promotes healing mild antiseptic properties may overdry skin-> use water based lotion like Eucerin |
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Calamine Lotion
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promotes drying, skin protectant
can't use on broken skin |
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petroleum jelly
(vaseline) |
skin protectant
hard to remove prevent diaper dermatitis |
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Ivy Block Lotion
(bentoquantum) |
prevention of allergic dermatitis
15 mins before exposure must reapply every 4 hrs not for <6 yo |
