Term
| Topical Dermatologic Drugs |
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Definition
1. Antimicrobial drugs (antibacterial, antifungal, antiviral)
2. antiinflammatory drugs
3. antineoplastic drugs
4. antipruritic drugs (for itching)
5. burn drugs
6. emollients (soften skin)
7. keratolytics (cause softening and peeling of the stratum corneum
8. local anesthetics
9. topical vasodilators
10. debriding drugs (promote wound healing
11. sunscreens |
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Term
| silver sulfadiazine (Silvadene) |
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Definition
1. antibacterial drug
2. topical antiinfective
3. used to prevent or treat infection at the site of 2nd and 3rd degree burns
4. adverse effects: pain , burning, itching
5. do NOT use in pts who are allergic to sulfonamide drugs |
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Term
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Definition
1. antibacterial drug
2. used topically for staph and strep impetigo
3. intranasal form for methicillin-resistant S. aureus (MRSA)
4. available by prescription |
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Term
| The nurse is assessing a pt who has been diagnosed with MRSA on the right arm. The nurse anticipates use of which medication to treat MRSA? |
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Definition
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Term
| Dematologic antibiotics that treat the infection caused by acne |
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Definition
| erythromycin; tetracycline; clindamycin |
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Term
| Normal reactions to benzoyl peroxide |
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Definition
| may cause peeling skin, redness, or sensation of warmth; produces improvement in 4-6 weeks |
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Term
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Definition
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Term
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Definition
1. causes death of anaerobic P. acnes bacteria by slowly releasing oxygen
2. antibacterial, antiseptic, drying, and keratolytic actions
3. keratolytic: softens scales and loosens the outer layer of the skin |
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Term
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Definition
1. antibiotic
2. used to topically treat acne
3. adverse reactions are usually limited to minor skin reactions, including burning, itching, dryness, oiliness, and peeling |
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Term
| isotretinoin (Amnesteem, Claravis, Sotret) |
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Definition
1. taken by mouth (oral medication)
2. treatment of SEVERE recalcitrant cystic acne
3. inhibits sebaceous gland activity and has antikeratinizing (anti-skin hardening) and antiinflammatory effects |
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Term
| Cautions about isotretinoin |
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Definition
1. women taking isotretinoin must NOT get pregnant during and for 1 month after therapy
2. sexual abstinence or effective contraception is mandatory during this period. Women are usually counseled to terminate if they get pregnant during this time. Has no effect on males.
4. there is a report for 154 isotretinoin - exposed pregnancies. Of these, 12 were spontaneously aborted, 95 voluntarily aborted, 21 born with major malformations (3 stillborn and 9 died shortly after birth) and 26 infants were born without any major birth defects. |
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Term
| More cautions about isotretinoin |
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Definition
1. stringent guidelines for prescribing and use
2. required patient counseling regarding use of two forms of contraception and not becoming pregnant during use
3. required iPledge program for safety
4. monitor for signs of depression, suicidal ideations |
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Term
| tretinoin (retinoic acid, vitamin A acid) (Renova, Retin A) |
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Definition
1. used to treat acne
2. also used to reduce dermatologic changes associated with sun damage
3. stimulates the turnover of epithelial cells, resulting in skin peeling |
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Term
| antiacne drugs adverse effects |
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Definition
1. main adverse effects are local inflammatory reactions, which are reversible when therapy is discontinued
2. common adverse effects are excessively red and edematous blisters, crusted skin, and temporary alterations in skin pigmentation |
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Term
| Topical Fungal Infections |
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Definition
1. difficult to eradicate
2. therapy may be prolonged - several weeks to 1 year
3. caused by candida albicans and dermatophytes |
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Term
| At 1300 the nurse assesses a patient who has just returned to the oncology unit after receiving radiation therapy. The patient tells the nurse that his skin "burns a little" in the area that was radiated. The nurse notes an order for biafine topical emulsion. When will the nurse apply the biafine? |
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Definition
1700
Biafine topical emulsion should not be applied within 4 hours of radiation therapy |
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Term
| A pt has an infected stage II pressure ulcer that contains some necrotic tissue and some normal, healing granulation tissue. The pt is taking warfarin. Which product would be most appropriate for wound care? |
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Definition
Collagenase (Santyl)
good for pts taking anticoagulants or in whom surgery is contraindicated. Collangenase selectively removes necrotic tissue , does not harm normal tissue and is approved for use with infected wounds. |
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Term
| Dakin's solution can aid in ____________; however it is partly toxic and ____________ to healing tissue. |
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Definition
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Term
| Betadine has iodine component and is a contraindication for |
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Definition
| pts with iodine allergy which may have cross-reactivity with seafood allergies. |
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Term
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Definition
1. assess for presence of contraindications
2. do not apply antiinfective drugs until culture and sensitivity testing (if ordered) are completed |
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Term
| Nursing Implications - for isotretinoin |
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Definition
1. ensure that strict guidelines are in place for monthly pregnancy testing and prescription renewal
2. monitor liver function before and during therapy |
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Term
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Definition
1. assess area thoroughly before applying medication
2. keep in mind that systemic absorpiton is higher in the very young and the very old because skin may be more permeable |
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Term
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Definition
1. Follow specific manufaturers guidelines for administration techniques
2. clease the area thoroughly to remove debris and residual medication; follow specific recommendations |
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Term
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Definition
1. wear gloves when applying topical drugs
2. apply dressings (e.g. wet, wet-to-dry, occlusive) as prescribed |
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Term
| Nursing Implications - Document |
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Definition
1. site application
2. drainage (color, amount)
3. swelling, temperature
4. odor, pain, color, other sensations
5. type of treatment given
6. pts response |
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Term
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Definition
1. protect affected area from sunlight
2. do not double up on dose if a dose is missed
3. ensure proper disposal of contaminated dressings |
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Term
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Definition
1. protect affected area from sunlight
2. do not double up on dose if a dose is missed
3. ensure proper disposal of contaminated dressings |
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Term
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Definition
1. provide pt/family teaching as necessary for self=care
2, monitor for therapeutic responses
3. monitor for adverse effects |
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Term
| Jane is a 17 year old pt who is being seen in the dermatology clinic for treatment of acne vulgaris. The nurse practitioner prescribes benzol peroxide topically four times a day. Jane tells the nurse that she wants take the drug more frequently so the acne will go away quickly. What information will the nurse provide to Jane? |
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Definition
| Overuse of this drug can result in painful reddened skin. |
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Term
| During a regular follow up visit, Jane points out a sore that she has developed on her mouth. She is diagnosed with herpes simplex. Which medication does the nurse anticpate Jane will receive? |
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Definition
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Term
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Definition
1. polypeptide antibiotic used for skin infections caused by aerobic and anaerobic gram postitive organisms such as strept, staph, clostridia
2. topical
3. works by inhibiting bacterial cell wall synthesis, which leads to cell death
4. adverse reactions (minimal) - skin rash to anaphylactoid reactions.
5. discontinue if itching, burning, inflammation |
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Term
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Definition
1. antifungal
2. available OTC and prescription
3. available as lozenge for thrush, also available as cream lotion or solution for athelete's foot, superficial mycoses, and cutaneous candidiasis
4. several forms for intravaginal administration for yeast infection
5. can be a powder |
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Term
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Definition
1. developed as an agricultural insecticide
2. scabicide and pediculicide
3. resistance to it and malathion
4. treatment of body lice
5. cream or lotion |
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Term
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Definition
1. available as cream for treating atopic dermatitis often assoc. with allergies
2. works similarily to anti transplant rejection drugs
3. adverse reactions - skin irritant |
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