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32 Cards in this Set

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Topical Anti-Infective



1. Drugs/Medicatons?


2. Topical Anti-Fungals treat?


3. Topcial Anti-Biotics treat?


1. Bacatracin, Burenafine/Lotrimin, Acyclovir/Zoviarax


2. Athletes Foot, ring worm, jock itch


3. cuts, abrasions, zits, prevent/treat infecton

Topical Antiseptics & Germicides



1. Drugs/Medicatons?


2. Uses?


3. Action?


1. Chlorhexidine or hexachlorophene & Iodine


2. Decrease # of bacterian on skin


3. Slow/prevent growth of MO

Topical Corticosterods - Lotions or Sprays



1. Drugs/Medicatons?


2. Uses?


3. Action?

1. Desoximetaasone, Dexamethasone, Hydrocotsone


2. Psoriasis, bites, dermatitis, Eczema, rashes


3. Local anti-inflammatory

Topical Antipsoriatics



1. Drugs/Medicatons?


2. Use?


3. Action?

1. Anthralin / Miconal


2. Psoriasis


3. Removes scales/plaques on skin

Topical Enzymes



1. Drugs/Medicatons?


2. Uses?


3. Action?

1. Collagenase/Santyl


2. Burn Patients / Ulcers / Wounds


3. Wound debriedment

Keratolytics - Salacitic Acids



1. Drugs/Medicatons?


2. Uses?


3. Adverse Reaction?

1. Masoprocol/ Actinex


2. Remove excessive skin ie warts, callouses & corns


3.DONT put on moles/ birth marks/wart w/ hair, it can travel into tissues & harm patient

Topicla Local Anesthetics



1. Drugs/Medicatons?


2. Uses / Action?


3. Adverse Reaction?


4. Contraindicatons/Percautions?

1. Benzocaine , Lidocane


2. Numbs by blocking impulses - sensory nerves


3. Local skin irritation


4. Class 1 anti-arrythmic drugs interfiers with this medication


Opiod Analgesics (agonists)


1. Drugs/Medicatons?


2. Uses / Action?


1. Meperidine/Demerol, Morphine, Methadone/Dolophine, Oxycodone/Roxicodone, Ttamadol/Ultram


2. Moderate-Severe Pain . Working on receptor sites, medication binds in turn producing analgesic effects / EURPHORIC - * Addictive*

Opiod Analgesics (agonists)


1. Adverse Reaction?


2. Contraindicatons/Percautions?


3. Interactions ?

1. Multiple Systems - GI : Constipation , CNS - Euphoria, Resperatory: Resp. Rate & Resperations decrease Facial flushing & Myeosis: Pupil Restriction


2. Urinary retention


3. Alcohol, Anti Hystamines, depresants & Sedatives

Immunological Agents - Vaccines & Toxoids


1. Action


2. Adverse Reactions

1. Imunization / Giving us Immunity against certain diseases


ie : TB, MMR, Hept A&B, Polio, Flu, Shingles


2. Typically Minor

What is Cell-mediated Immunity?

When exposed to an antigen, the T cells become sensitized & subsuquent exposure stimulates reaction to destroy offending antigen

What is Antibody-Mediated Immunity?

AKA Humoral Immunity


When exposed to antigen, the B Cells produce antibodies as a defense agains the offending antigen

Eccymosis

Bruises


Petechiae

Small red dots, broken blood vessels

Inflammatory Skin Disorders(2) Dermatitis & Psoriasis


1. Dermatitis - List types


2.Dermatitis - Pathophysiology / Signs and Symptoms


1. 3 Types of Dermatitis


a. Contact - Allergen, irritants


b. Atopic - Heredity - Eczema


c. Seborrheic - Scalp


2. Response to allergic issue, itchy & red, Dry/Flakey, Postules/Vesicles

Inflammatory Skin Disorders(2) Dermatitis & Psoriasis


1. Psoriasis - Pathophysiology & Describe

1. Chronc, abnormally fast / multiplying


2. Skin typically grows 27 days, with this disease it grows every 4-5 days - Will be episodes of flair ups " Will come and go"


Keratolytics

Medicaton that helps remove skin cells

Infectious Skin Disorders


List types/kinds

Herpes Simplex, Herpes Zoster(Shingles), Fungal Infections, Cellulitis & Acne Vulgaris,

Describe : Herpes Simplex


Chicken Pox, Shingles, Cold sores, Herpes Type 1 & 2


Direct Contact, fluid exposure, contageous 2-4 days PRIOR to leasons,


Topical medications can help w/ primary lesions


Can transfer from mother to baby


Can end up w/ herpes encephalitis(brain)


Medications- Abreva & Denavair


Describe : Herpes Zoster (Shingles)

Acute inflammatory infectious disorder caused by dormant ckn. pocks


Follow nerve lines - extremly painful


Pain can remain along nerve lines


Lasts for weeks


Contagous until ALL dried and crusted

Describe: Fungal Infections

Grow in drark, warm places


Tinea- pedis(foot), Capitas(head), Corporis(body), Cruris(jock itch), Unguium(ring Worm)

Describe : Cellulitis

Inflammation of skin, sometimes can migrate to muscles


Usually Staph or Strep bacteria


Trauma can cause this


Localized area of redness, warm/hot & tender



Describe Acne Vulgaris

Sebacious glands / ducts become plugged


Comedones:Closed - White papules


Comedones:Open - Black "heads"

What are Parastitic Skin Disorders?

Pediculosis (Lice) & Scabies

Describe: Pediculosis

Lice - Invade 3 parts: Capitas(head) corpolis(body) & pubic(pubis)


Need to pick nits off


Can cause 2ndary infection (from scratching)

Describe: Scabies

AKA Sarcoptus Scabiei


Contageous for 4 weeks B4 symptoms!


List each & describe: Benign Lesions

Cyst - Sac like growth


Seborrheic Keratosis - Pigmented skin


Keloid - Scar tissue


Pigmented Nevi - Mole


Warts - Caused by virus


Hemangiomas - Vascular Tumor "cherry"

List : Malignant Skin Lesions

Basal Cell Carcinoma


Squamous Cell Carcinoma


Malignant Melanoma

Malignant Melanoma

"4 M's"


Malignant Melanoma Metastasis Mortality

Squamous Cell Carcinoma

Fragile Skin, bleeds easily

Basal Cell Carcinoma

Most Common!


Effects basal cell of epidermis


Small translucent papule


metastisis is rare

Nursing Care for patients with burns


Systemic Response - Multi Systems



What systems are involved?


Fluid Balance, Cardiac, Metabolic, Gastrointestinal, Renal, Pulmonary & Immune