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41 Cards in this Set
- Front
- Back
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What is Irritant contact dermatitis
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inflammatory reaction of the skin caused by exposure to irritatnt chemicals after a single exposure or multiple exposures
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Does Ittitant contact dermatitis result in tissue damage
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YES
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What is one factor that may affect the magnititude of skin response
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the quantity and concentrtion, and length of exposure
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How do you first treat ICD
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1. wash the with copious amoutn of water, and cleanse with a mild soap.
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What are the primary causes of ACD (allergic contact dermatitis)
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poison ivy, oak, summac, and nickel
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What is description of poison ivy
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scrambling shrub or climbing hairy vine (3 leaves)
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Poison oak is a non-climbing shrub (3 leaves), which looks similar to an oak tree, where does poison sumac grow
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swampy area
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Why doesn't ACD appear on first contact
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the antigen must 1st sensitize the immune system
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The next contact with the allergen indcues what, when does allrgic reaction occur
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Type IV DELAYED hypersensitivity reaction, and the allergic reaction can take 2 and 48 hours or longer to develop
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How do you first treat ACD
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cleasning the area within the first 10 minutes
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Treatment of ACD, is primarily aim at
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reliving itching
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What is recommened as non pharm treatment for ACD/ICD
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cold or tepid soapless showers to remporarily relive the pruitits
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What are some protective measure for preventing ACD
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wear additional proctetive clothing and removed clothing worn during exposure and wash separately,
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What is good drug treatment for prevention for poison ivy and oak/ summac
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IvyBlock, apply 15 minutes before exposure, and every 4 hours
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What is most effective topical treating symptoms of mild to moederate ICD or ACD
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hyrocortisone-- capalbe of reliveing itching and reducing inflammation
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What would you use to stop or recue the oozing inflammed tissue
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Domeboro
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How do you use Domeboro
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put in water, soak in gauze, and use as a wet-compress for 15-30 minstues for 5-7
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Can you use topical antihisitamines to treat poison ivy
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do not work well for IV immume response, and can cause rebound inflammtion
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Only what type of areas should be treated with a topical antihistamine
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small area
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What are main characterstic of ICD
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ithcing (later), STINGING BURNING (early) and ertyhema
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What are main symptoms of ACD
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ithcing (early), erthymena, delayed response
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Does ACD have more streaky vesicles
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YES
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What are benefits of oatmenal baths
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has a drying effect, relives itchiing and soothes skin
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What are exclusions for self-treatment of ACD or ICD
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ISMD
<2 YOA, >2wks of dtermatics >25% of body, swelling of body or eyes or eyeldis, discomfort in genitalis, invovlement of mucous membrane, and impairment of daily activity |
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What are signs of a diaper rash
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red to bright red, shiny wet looking patches of skin
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The best treatment for diaper rash is prevention, what is a good starting placeq
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increasing the frequency of diaper changes to a least 6 a day
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How should one cleans after each and every diaper change
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careful flushing of the skin with PLAIN water, flollwong by gentle nonfriction drying
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What are the only prdocts that are consider safe and effective for use in diaper rash
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Protectant
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Can skin protectants be used as treatment or prevention
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YES
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Should protectants be removed and reapplied with each diaper change
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YES
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What is best drug treatment for diaper dermatitis
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Zinc oxides or Destin
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Zinc oxides typically comes in 6% to 40%, what is used for prevention, and treatment
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6% prevention
40% is for treatment |
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What can take off the zinc oxide paste
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mineral oil
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What are exclusions to self treatment of Diaper Dermatits
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BBOLD CCCU
Lesions >7 days or not improved, lesions caused by another disease state, Diaper dermatis outside diaper region, or assocatiated with UTI, oozing, blood vesicles, choronic or frequeenc recurrent lesions, (fever, diarrhea nausea, behavioral changes |
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What causes prickly heat
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blocked or plugged sweat glands, and excessive clothing or tight clothing or occulives
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Prickly heat is most offten assoicated with what type of environements
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HOT, humid weather
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What are signs of prickly heat
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pinhead-size lesions that are red
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What is 1st step to treating prickly heat
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washing the skin with bland soap or soaking in collodial oatmeal
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What drug therapy is recommended for prickly heat
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Eucerin cream lotion after washing
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What is only preventive measure for prickly heat
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baby powder--long term may clogg pores
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Non-pharm for prickly heat
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weating loose, breathable clothing
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