Integumentary Medications

Front 1

emollients/ lotions

Back 1

oil/fatty substance
soften soothe irritated skin
allow skin to retain water
creams, ointment
used for dry, scaly, itchy, inflammatory conditions

Front 2

rubs and liniments

Back 2

temp relief of muscular aches, rheumatism, arthritis, sprains, neuralgia

Front 3

sodium hypochlorite (Dakin's solution)

Back 3

loosens, dissolves, deodorizes necrotic tissue and blood clots
Kills common bacteria like spores, amoebas, fungi, protozoa, viruses, yeast
solution looses potency during storage
no contact w healing or normal tissue(results in clotting delays)
rinsed off stat after irrigation to minimize irritation

Front 4

acetic acid preparations

Back 4

irrigating, packing, cleansing wounds infected by psuedomonas aeruginosa
surrounding healthy skin should be protected w petroleum barrier(acetic acid excoriates the skin)

Front 5

hydrogen peroxide

Back 5

release gas a breaks up tissue
irrigate clean necrotic tissue and pus from open wounds
not used to pack wounds, decomposes too rapidly
epithelial tissue begins to form , hp is dsc bc it inhibits tissue formation

Front 6

hexachlorophene (pHisoHex, Septisol)

Back 6

combo of hexachlrophene and alcohol
agent against staphylococci and gram positive bacteria
absorbs through broken skin can cause neurotoxicity, should not be used on wounds
rinsed well from skin after use to prevent systemic absorption

Front 7

antibacterials

Back 7

used for superficial skin infections
mupricon calcium(bactroban)
applied 3x daily, no results in 3-5 its dc

Front 8

antifungal agents

Back 8

may cause erythema, stinging, blistering, peeling, pruritis, urticaria
client re-evaluated if no results after 4 weeks

Front 9

antiviral

Back 9

acyclovir(Zovirax)
inhibits DNA replication in virus
used for; herpes simplex types 1,2, varicella zoster, Epstein Barr, cytomegalovirus
cause mild pain, stinging, transient burning
q 3 hrs, 6x daily for 1wk
rubber golves used to apply ointment prevent spread of infection

Front 10

antiparasitics

Back 10

used to tx scabies, pediculosis(lice)
mb harmful in pregnancy, young children
may irritate skin, eyes, mucous membrane
(elimite, nix, acticin) tx lice, removed w warm water 10 min after application
(ovide) tx lice, washed off w shampoo 8-12hours after app
(lindane) tx scabies, washed off 8-12 hrs after app

Front 11

kerolytics- salicylic acid

Back 11

used to tx dermatitis acne, psoriasis, thin remove calluses
can be absorbed systemically can cause salicylism(dizziness, tinnitus)not applied to large areas, open wounds

Front 12

keratolytics- podophyllum resin and imiquimod (aldara)

Back 12

tx various types of skin cancer
lesion slough off, leaving superficial ulcer and moderate dermatitis

Front 13

keratolytics- cantharidin, podofilox(condylox), imiquimod (aldara)

Back 13

tx warts
exfoliation effect only on epidermal cells
may cause itching, tingling, burning
site may be tender for 2-6 days

Front 14

keratolytics- masoprocol

Back 14

used to tx keratosis
occlusive dressing are not used
may exp. transient burning after adm.

Front 15

stimulants and irritants-description

Back 15

produce mild irritation of surface of skin, causing hyperemia and inflammatory, causing healing process

Front 16

stimulants and irritants- types and description

Back 16

coal tar- tx psoriasis, seborrheic dermatitis, atopic dermatitis
unpleasant odor, freq. stains skin & hair
can cause phototoxicity
benzoin compound-
protects skin (cracked nipples, fissures in orifice)
mild irritation that produces ^bld flow and healing

Front 17

protective

Back 17

provide a film on skin to protect it from irritations such as light, moisture, air, dust
natural healing w/o usual formation of dry crust over wound
allow exudate to collect beneath the dressing, forming artificial blister

Front 18

protectives- types description

Back 18

transparent/hydrocolloidal- left in place up to 7days or until leakage around dressing occurs (difficult to apply, nonabsorbent)
hydrocolloidal- wound prot.from bacterial contamin. can soften, lose shape, friction, pressure
alignates- absorb heavy drainage, wound visualization not possible
biological dressing- conform to uneven surfaces within wound

Front 19

Enzymes to debride and remove exudate- sutilains(Travase)

Back 19

used to remove nonviable, necrotic tissues and purulent enzymes from burns, ulcers, traumatic injury, peripheral vascular disease wounds
inactive on viable wounds

Front 20

enzymes to debride and remove exudates- collagenase (santyl)

Back 20

topical debriding agent
apply only on injured area(collagenase causes erythema in healthy tissues)
protect healthy tissue applying zinx oxidic paste

Front 21

enzymes to debride and remove exudates- Fibrinolysin and desoxyribonclease(Elase)

Back 21

debride wounds, burns, pressure ulcers, inflamed,infected lesions
clean area w sterile NS flush away necrotic debris, pat area dry, apply thin layer, cover w petrolatum gauze

Front 22

enzymes to debride and remove exudates- papain (Accuzyme)

Back 22

doesnt injure, affect healthy tissue
immediate contact w purulent wound material
dressing change 1x daily

Front 23

corticosteroids- description, contraindications

Back 23

have anti-inflammatory antipruritic, vasoconstrictive actions
CI; current systemic fungal, viral, bacterial infection

Front 24

corticosteroids- local adverse reactions

Back 24

local adverse reactions; hypopigmentation, acneiform eruptions, contact dermatitis, burning, dryness, irritation, itching, overgrowth of bacteria, fungi, viruses, skin atrophy

Front 25

corticosteroids- systemic adverse reactions, interventions

Back 25

systemic adverse affects; cushing syndrome, striae, glaucoma, cataracts

interventions-report burning, irritation, signs of infection to dr.

Front 26

tretinoin (Retin-A)

Back 26

skin peels within 48 hours
temporary hyperpigmentation or hypopigmentation can occur.
avoid sun exposure; photosensitivity can occur
results 2-3 weeks optimal 6 2weeks

Front 27

isotretinoin (Accutane)

Back 27

metabolite of vit. A
tx sever cystic acne
can cause xerosis, facial, palmoplantar desquamation, pruritus, brittle nails, hair loss
2x daily w meals 15-20 weeks
photosensitivity can occur, and depression
no alcohol consumption

Front 28

burn products- nitrofurazone (Furacin)

Back 28

applied topically, ointment, cream
used when problem w other agents
apply 1/16 inch directly to burn
s/e dermatitis, rash

Front 29

burn products- mafenide(Sulfamylon)

Back 29

water soluble cream -gram, +gram organisms
systemic effects; bone marrow depression, hemolytic anemia, metabolic acidosis

Front 30

burn products- silver sulfadiazine (Silvadene)

Back 30

activity against gram-, gram+ bacteria and yeast
prevent sepsis among clients w burns
does not cause acidosis
s/e; rash, itching
systemic effects; leukopenia, interstitial nephritis

Front 31

burn products- silver nitrate

Back 31

gram- bacteria
dressing applied to burn kept moist w silver nitrate
stains anything comes in contact w, not permanent
dont apply directly to wounds, cut, broken skin

Front 32

emollients- meds

Back 32

cold cream, glycerin, lanolin
lubriderm, petrolatum
vit A and D ointment and zinc ointment

Front 33

solutions and lotions- meds

Back 33

aluminum acetate(Burows solution)
calamine lotion (caladryl lotion)

Front 34

therapeutic baths- meds

Back 34

antipruritics(relieve itching)
aveeno colloidal oatmeal, starch and baking soda
antibacterial baths(reduce bacteria)
K+ permanganate
emollient baths(clean skin add moisture)
Alpha Keri therapeutic bath oil, bath oils, mineral oil
tar baths(loosen scaled skin support ultraviolet A, B light therapy)
coal tar(Balnetar, Zetar shampoo) coal tar solution (Polytar)

Front 35

rubs and liniments- meds

Back 35

menthyl salicylate, menthol (Ben-gay, icy hot)
trolamine salicylate (Aspercreme, Myoflex)

Front 36

Antibacterial- meds

Back 36

bacitracin perp, Chloramphenicol
Chlortetracycline, Erythomycin
Gentamicin sulfate, mupricon calcium(Bactroban) Neomycin prep.

Front 37

Antifungal- meds

Back 37

Amphotericin B (fungizone) IV prep
Betamethasone dipropionate, clotrimazole(lotrisone)
ciclopirox olamine(Loprox)
Clotrimazole(lotrimin AF, desenex, mycelex troches)
econazole nitrate (Spectazole) Haloprogin, Ketaconazole(ketoderm), Miconazole nitrate (micatin), Nystatin (Mycostatin), tolnaftate (tinactin), triacetin, undecylenic acid (desenex)

Front 38

antiviral- meds

Back 38

Acyclovir (zovirax)

Front 39

antiparasitics- meds

Back 39

crotamiton (eurax)
ivermectin, lindane, malathion (Ovide)
permethrin (elimite, Nix, acticin)

Front 40

keratolytics-meds

Back 40

cantharidin, imiquimod (Aldara)
masoprocol, podophyllum resin
podofilox (condylox) salicylic acid

Front 41

stimulants and irritants- meds

Back 41

benzoin compound
coal tar

Front 42

protectives- meds

Back 42

transparents- bio occulsive, opsite, tegaderm
hydrocolloids- duoDERM, tegasorb
alginates; alginate, algosteril, comfeel
biological; alloDERM, allograft, xenograft

Front 43

enzymes to debride and remove exudates- meds

Back 43

collagenase (santyl)
dextranomer (debrisan)
fibrinolysin and desoxyribonuclease (elase)
sutilains (travase)

Front 44

acne products- meds

Back 44

cleansers; alum. oxide(brasivol)
salicylate acid(clearasil)
drying agents; sulfar, resorcinol, alcohol(Acnomel), benzalkonium chloride(Ionax)
misc; adapalene (differin), antibiotics, azelaic acid (Azelex), benzoyl peroxide wash or gel, resorcinol(ingred) salicylic acid (ingred), tazarotene, tretinoin (retinin-A)

Front 45

poison ivy tx- meds

Back 45

bentoquatam(ivy block)
calamine lotion(caladryl)
hydrocortisone(ivy soothe, ivy stat)
isopropanol, cetyl alcohol(ivy cleanse), zinc acetate/ isopropanol (ivy dry)

Front 46

burn products- meds

Back 46

mafenide acetate (sulfamylon)
nitrofurazone (furacin)
silver nitrate
silver sulfadizine(silvadene)