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58 Cards in this Set
- Front
- Back
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Topical Atipruritics |
Ammonia/ammonium hydroxide Pramoxine |
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Ammonia/ammonium hydroxide use |
cooling effect avoid broken, irritated skin avoid inhaling vapors don't apply to mucous membranes |
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Ammonia/ammonium hydroxide products |
Afterbite
Kids: tea tree oil, aloe vera, Vitamin E, baking soda
Xtra: baking soda, tea tree oil, ammonia
"neutralizing" effect on bites and stings
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Pramoxine works as: |
anesthetic -less toxicity and less sensitivity than "caine" anesthetics |
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Pramoxine products |
Itch Relief Dermoplast Poison Ivy Lotion Aveeno Anti-Itch Lotion (pramoxine + calamine) |
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Topical Skin Protectant product |
Calamine |
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Calamine use |
includes Zn carbonate or Zn oxide coloured with ferric oxide
Astringent (dry out skin) and protectant
well tolerated, even on irritated skin
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Topical Anesthetic drugs |
Lidocaine, dibucaine, benzocaine |
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topical anesthetic risks |
benzocaine: cross-allergenicity to PABA deriviatives (avoid)
risk of systemic toxicity and sensitization
do not apply to broken skin
use for short periods of time |
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Topical Anesthetic products |
Solarcaine Medicated First Aid Lotion (lidocaine)
Nupercainal Anesthetic Ointment (dibucaine)
Solarcaine Medicated First Aid Spray |
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Polysporin recommendation |
recommend Polysporin Original Ointmet =polymyxin + bacitracin in ung base (ointment is thicker, forms barrier - allows to heal and doesn't come off (cream can come right off)) |
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Topical Antihistamine products |
diphenhydramine |
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diphenhydramine use |
-used sparingly -can cause allergic contact dermatitis -oral preferred over topical to control itchiness and to prevent hypersensitivity reactions -caution in children with chicken pox and poison ivy (increased absorption with open wounds - CNS effects) |
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topical counterirritant drugs |
camphor, menthol, phenol |
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topical couterirritant use |
-cooling effects -caution on broken skin -analgesic and antipruritic properties |
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topical counterirritant product |
Aveeno Anti-itch gel (camphor) |
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topical corticosteroid drug |
hydrocortisone 0.5% cream |
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hydrocortisone use |
-relieve itching, redness, swelling -sparingly up to qid until symptoms subside, max 7 days -caution around eye (thins skin)
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Sesame oil |
Neutrogena product line -keeps moisture in skin (so doesn't dry out and crack) -apply after shower to trap in moisture |
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bath soaks |
baking soda, epsom salts (irritating if broken skin) -soothe skin
-don't use perfumes (irritating) |
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1st generation oral antihistamine drugs |
diphenhydramine and chlorpheniramine |
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1st generation oral AH use |
consider qhs dosing to reduce itchiness and aid in sleeping -if no response during extensive local reaction, pt may be put on oral prednisone (see dr) |
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oral AH SEs |
CNS depression anti-cholinergic SEs (drowsiness, sedation, dry mouth, etc) |
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2nd generation oral AH drugs |
cetirizine |
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2nd generation oral AH use |
equally effective to 1st generation AH for pruritis and inflammation
longer DOA and less sedation
onset of action may be faster with 1st gen |
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analgesic drugs |
acetaminophen, naproxen, ibuprofen |
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acetaminophen dose |
adults: 325-650mg q4-6h prn (max 4000mg/d)
children: 10-15mg/kg q4-6h prn (max 65mg/kg/d) |
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ibuprofen dose |
adults: 200-400mg q4h prn (max 1200mg/d)
children: 5-10mg/kg q6-8h prn (max 40mg/kg/d) |
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naproxen dose |
adult: 220mg q8-12h (max 440mg/d) |
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products for treatment of anaphylactic reaction |
EpiPen EpiPen Junior Allerject Twinject |
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EpiPen, etc MOA |
-vasoconstrictor action quickly stops vasodilation -relaxes the bronchioles, relieving wheezing and dyspnea -its action also relieves angioedema or hives, inhibits histamine release |
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EpiPen, etc strengths |
Adult dose: epinephrine 0.3mg
Junior: epinephrine 0.15mg |
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EpiPen dosing |
child dose: 0.1mg/kg body weight
eg. 4 y/o weighs 16kg = 0.16mg (use junior)
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registered insect repellants |
P-menthane 3,8-diol (eucalyptus) Soybean oil DEET Icaridin (aka picaridin) citronella oil (being phased out) |
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DEET products |
Off! Deep Woods Muskol OFF Skintastic |
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Icaridin products |
Avon Skin-So-Soft Bug Guard Plus Icaridin Insect Repellent Spray
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P-menthane-3,8-diol products |
OFF! Botanicals |
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Soybean oil products |
Bite Blocker |
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DEET DOA |
5% = 2h 10% = 3h 15% = 5h 30% = 6h |
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citronella oil DOA |
30min to 2h |
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P-menthane-3,8-diol DOA |
2h |
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Icaridin DOA |
(mosquitoes and ticks) 10% = 5h 20% = 7h |
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DEET in children |
not for children < 6mth
10% or less for 6mth to 2 yrs -max of once daily (avoid face, head, hands) and not for prolonged use
10% or less for 2yrs - 12 yrs -max tid and avoid prolonged use |
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DEET ADRs |
common: contact dermatitis, irritation to mucous membranes and open wounds
rare: neurological effects (memory loss, headache, seizures)
pregnancy/lactation: <30%, ensure baby is not in contact with DEET |
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Icaridin use |
first choice for 6mth to 12 y/o
low toxicity
10% reapply qid (after 5h) 20% reapply bid (after 7h) |
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Afterbite contains: |
ammonium hydroxide |
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Itch Relief contains: |
pramoxine |
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Dermoplast poison ivy lotion cotains: |
pramoxine |
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aveeno anti-itch lotion contains: |
pramoxine + calamine |
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Solorcaine Medicated First Aid Lotion contains: |
lidocaine |
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Nupercainal Anesthetic ointment contains: |
dibucaine |
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Aveeno Anti-itch gel contains |
camphor
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Off! Deep Woods contains |
DEET |
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Muskol contains |
DEET |
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OFF Skintastic contains |
DEET |
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Avon Skin So Soft Bug Guard contains |
icaridin |
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OFF! Botanicals contains |
P-menthane-3,8-diol |
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Bite Blocker contains |
soybean oil |
