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VN140 Integ Pharm

QuestionAnswer
ACNE PREPARATIONS treat inflammatory diseases of the sebaceous glands and hair follicles of the skin
ACNE PREPARATIONS - drugs - benzoyl peroxide Clearasil, Oxy 10
ACNE PREPARATIONS - use adjunctive treatment of mild to moderate acne vulgaris
ACNE PREPARATIONS - action suppresses sebum. Also, slow release of oxygen exerts bacterialcidal action on the road shaped gram + Corynebacterium acne by oxidizing bacterial problem.
ACNE PREPARATIONS - side effect - minor warmth, stinging, erythema
ACNE PREPARATIONS - side effect - major allergic contact dermititis, edema
ACNE PREPARATIONS - nursing implication wash thoroughly before applying. AVOID eyes in the mucus membrane.
ACNE PREPARATIONS - drugs - oral antibiotic Tetracyclin
ACNE PREPARATIONS - drugs - Accutane for acne not responding to oral antibiotic.
ANTI-PSORIATICS prevents or relieves psoriasis
psoriasis chronic skin disorder. Etiology is unknown. Red, scaly patches with silvery scales
ANTI-PSORIATICS - drug - methotrexate Amethopterin (for severe psoriasis!)
ANTI-PSORIATICS - use interferes with folic acid metabolism, inhibits DNA synthesis & cell reproduction
ANTI-PSORIATICS - side effect - minor dizziness, drowsiness, h/a blurred vision
ANTI-PSORIATICS - side effect - major pulmonary fibrosis, hepatotoxicity, N&V bone marrow suppression, nephropathy
ANTI-PSORIATICS - drug - other Donovox (calcipotriene), baths (colloidal baths)
ANTISEBORRHEICS counteracts or effectively treats seborrhea
seborrhea disease of sebaceous glands with increased amt of fat, secretes red, yellow, white scaly crusted patches. Usually moist, greasy and itchy. SYMPTOMS: worse on cold months!
ANTISEBORRHEICS - drug - sulfacetamide sodium (Rx lotion) sebicon (use on scalp!)
ANTISEBORRHEICS - action bacteriostatic effect by interfering with bacterial use of PABA & inhibits folic acid biosynthesis needed for bacterial growth
ANTISEBORRHEICS - side effect - minor temp burning/stinging sensation
ANTISEBORRHEICS - side effect - major hypersensitivity (erythema, rash, pruritis)
ANTI-INFLAMMATORY (Topical corticosteroids) hormones from cortex of the adrenal gland or they are prepared synthetically & they are used to relieve inflammation of skin
ANTI-INFLAMMATORY (Topical corticosteroids) FYI never use topical steroid on skin when there is a known infection on the body (skin)!
ANTI-INFLAMMATORY (Topical corticosteroids) medications come in: "low-mid-high potency" based on the particular steroid, conc, vehicle. Lotions, creams, gels & ointments are more potent due to increased absorption from these vehicle
ANTI-INFLAMMATORY (Topical corticosteroids) -drug - triamcinolone acetate 0.025% Kenalog (low potency - good for long term treatments)
ANTI-INFLAMMATORY (Topical corticosteroids) -drug - fluocinolone acetonide 0.025% Synalar (mid potency)
ANTI-INFLAMMATORY (Topical corticosteroids) -drug - betamethasone dipropionate 0.05% Diprolene (high potency)
ANTI-INFLAMMATORY (Topical corticosteroids) - FYI never use Fluorinated steroid on the face!
ANTI-INFLAMMATORY (Topical corticosteroids) - use to relieve inflammatory manifestations of corticosteroid-responsive dematoses (psoriasis-dermatitis-eczema-insect bite reactions, 1st & 2nd degree sunburn)
ANTI-INFLAMMATORY (Topical corticosteroids) - action exert localized anti-inflam. Reduce itching, redness, swelling
ANTI-INFLAMMATORY (Topical corticosteroids) - side effect - minor skin irritation, burning, redness, swelling, itching
ANTI-INFLAMMATORY (Topical corticosteroids) - nursing implications avoid cosmetics or bandages over site depending on the order - skin is washed w soap & water & applied to moist skin
BURN PREPARATIONS reduce bacterial growth
BURN PREPARATIONS - drug - mafenide acetate Sulfamylon (goes through eschar)
BURN PREPARATIONS - drug - silver sulfadiazene silvadene (cream used to treat 2nd & 3rd degree burn to prevent infection
BURN PREPARATIONS - use adjunctive therapy in 2nd & 3rd degree burtns for Tx & prevention of infection and possible sepsis
BURN PREPARATIONS - action bacteriostatic against many organisms (ie Pseudomonas aeruginosa)
BURN PREPARATIONS - side effect - minor Ay rxn is Important
BURN PREPARATIONS - side effect - major intense pain, burning, rash, blisters, bleeding facial edema, etc
SCABICIDES used to treat scabies
scabies little mite that burrow under skin
SCABICIDES - drug - permethrin 5% (cream) Elimite (Rx only)
SCABICIDES - action scabicidal & anti pruretic
SCABICIDES - side effect - minor feeling of warmth, slight skin irritation
SCABICIDES - side effect - major tingling, numbness
SCABICIDES - nursing implication pt should shower 1st, then w gloved hands massage into dry skin from head to soles of feet. Remove in 8-14 hrs by showering. If living mites after 14 d repeat process. Clothing & bed linen: wash separately in hot water twice.
PEDICULICIDES used to kill lice
PEDICULICIDES - drug - permethrin 1% NIX (OTC cream rinse)
PEDICULICIDES - action causes paralysis of pest & inability to obtain burro into skin to obtain blood supply
PEDICULICIDES - side effect - minor transient tingling & pruritis
PEDICULICIDES - side effect - major burning, stinging, numbness, rash, edema
PEDICULICIDES - nursing implication scalp as well as hair should be saturated w lotion. Leave in place for 10 mins. When hair is dry use fine tooth comb to remove dead lice.
CAUTERIZING AGENTS used to destroy tissue. Do it with caustic cauterizing effect
CAUTERIZING AGENTS - drug - dichloroacetic acid Bichloracetic Acid
CAUTERIZING AGENTS - uses removal of warts
CAUTERIZING AGENTS - action acids exert a keratolytic action which removes epidermal cells infected by viruses.
CAUTERIZING AGENTS - side effect highly flammable, local irritation of normal skin
CAUTERIZING AGENTS - FYI feet calluses, use SALICYLIC acid
CAUTERIZING AGENTS - nursing implication avoid contact with eyes and mucous member. Do not apply to moles, birthmarks, warts on face or genital warts.
DEBRIDING AGENTS liquefy necrotic tissue without effecting new or healthy tissue
DEBRIDING AGENTS - drugs- collagenase Santyl
DEBRIDING AGENTS - use debridement of necrotic (dead) tissue of severe burns or dermal ulcers
DEBRIDING AGENTS - action enzymatic action digests peptide bonds of denatured & undenatured collagen, cellular & bacterial debris
DEBRIDING AGENTS - side effect pain, redness, irritation, bacteremia
DEBRIDING AGENTS - nursing implications avoid eyes, flush w copious amt of water before applic cleanse or flush with solution as ordered
TOPICAL ANTISEPTICS inhibit the growth of microorganism
TOPICAL ANTISEPTICS - drug - hydrogen peroxide
TOPICAL ANTISEPTICS - use cleans wounds of dead tissue & pus
TOPICAL ANTISEPTICS - action liberates oxygen to destroy anaerobic bacteria and effervescence loosens wound debris & pockets of bacteria
TOPICAL ANTISEPTICS - side effect irritation of skin & mucous membrane
TOPICAL ANTISEPTICS - nursing implication never instill h2O2 into a closed cavity or abscess where free 02 cannot escape. Notify physician if affected area is now pink granulation tissue w/o purulent d/c
TOPICAL ANTI-INFECTIVES inhibit or DESTROY microorganism
TOPICAL ANTI-INFECTIVES - 3 types topical antibiotics, antifungals, antivirals
TOPICAL ANTI-INFECTIVES - TOPICAL ANTIBIOTICS - drugs bacitracin (baciquent), gentamicin (g-myticin) neomycin (myciguent) povidine (betadine)
TOPICAL ANTI-INFECTIVES - TOPICAL ANTIBIOTICS - use to prevent superficial infections in minor cuts, wounds, abrasions, minor burns
TOPICAL ANTI-INFECTIVES - TOPICAL ANTIBIOTICS - action either bactericidal or bacteriostatic: directly.ocally
TOPICAL ANTI-INFECTIVES - TOPICAL ANTIBIOTICS - side effect contraindicated in pt's w known hypersensitivity. Use neomycin cautiously - can be toxic
TOPICAL ANTI-INFECTIVES - TOPICAL ANTIBIOTICS - nursing implications assess wounds prior to admin. Note size, color & appearance.
TOPICAL ANTI-INFECTIVES - ANTIFUNGALS - drugs miconazole (Micatin), econazole (Specetazole
TOPICAL ANTI-INFECTIVES - ANTIFUNGALS - drugs - Nystatin treatment of antifungal in mouth especially w AIDS pts
TOPICAL ANTI-INFECTIVES - ANTIFUNGALS - use tineacrutis, tineapedis, tinea corpus
TOPICAL ANTI-INFECTIVES - ANTIFUNGALS - action kill (fungicidal) or stops growth of susceptible fungi by affecting the permeability of cell membr or protein synthesis w/in the fungi
TOPICAL ANTI-INFECTIVES - ANTIVIRALS - drug acyclovir (Zovirax) & penciclovir (Denavir)
TOPICAL ANTI-INFECTIVES - ANTIVIRALS - use to treat Herbes
TOPICAL ANTI-INFECTIVES - ANTIVIRALS - action inhibits viral replication
ANTI-PRURITICS prevents or relieves itching
ANTI-PRURITICS - drug - aluminum acetate soln. Burrows solution
ANTI-PRURITICS - FYI treament for poison ivy, mildly irritated skin, wet/open dressing
ANTI-PRURITICS - use stop itching of mildly irritated inflamed skin
ANTI-PRURITICS - action has anti-inflammatory, antipruritic, mild astringent, & antiseptic properies
SUNSCREENS block skin absorption of various types of rays of the sun, depending on product used.
SUNSCREENS - UVA (bad) penetrate deep into skin, they destroy the elasticity, they cause premature aging and contribute to skin cancer
SUNSCREENS - UVB can cause unprotected skin to burn & thought to be the primary cause of skin cancer
SUNSCREENS - FYI choose a sunscreen w at least SPF of 15. apply 15 mins prior to exposure. Re-apply after swimming, excercising or perspiring
THERAPEUTIC BATHS emolient (softens and soothes) some are antipruritic
THERAPEUTIC BATHS - drug - colloidal oatmeal bath Aveeno
THERAPEUTIC BATHS - use to treat irritated skin, pruritis (chicken pox, poison ivy, etc)
THERAPEUTIC BATHS - action soothes & reduces itching and irritation
oral troche med to dissolve slowly in mouth
Created by: jekjes
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