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Dermatological RX

QuestionAnswer
Functions of the skin r/t internal organs? serves as a protective barrier to internal organs;
Functions of the skin r/t growth of microoganisms? maintains a protective pH of 4.5-5.5; the wealy acidic environment discourages growth of microorganisms because the prefer a pH of 6.6-7.5;
Functions of the skin r/t temperature, pain, and pressure? serves as a sensor
Functions of the skin r/t temerpature? plays a major role in temp. regulation; heat loss and heat conservation regulated through perspiration & adjustments in capillary caliber;
Functions of the skin r/t electolytes? excretes fluids and electrolytes through sewat glands;
Functions of the skin r/t fats & vitamins? stores fat and synthesizes vitamin D
Functions of the skin r/t drugs? provides a site for drug absorption
What is the most penetrating type of dermatological preperation? ointments
When is Bacitracin (Baciguent) normally used? used for tx of infection by susceptible aerobic and anaerobic gram positive organisms and in combination with other agents to expand it's spectrum;
Classification, MOA, and therapeutic use of Erythromycin (A/T/S)? antibiotic; bacteriostatic but my be bacteriocidal in high concentrations for susceptible organisms; used for topical tx of acne vulgaris, a common form of acne;
Advers rxn of Erythromycin (A/T/S)? erythema, desquamation, tenderness, dryness, pruritis, oiliness
Pt teaching for Erythromycin (A/T/S)? (2) 1. apply BID to cleansed skin; 2. avoid cleansing with abrasive agents prior to use;
Classification and therapeutic use of Miconazole (Monistat, Mica Tin)? antifungal ingredient found in OTC preperations used for tx of vulvovaginal candida, athletes foot, jock itch, ringworm;
Advers rxn of Miconazole (Monistat, Mica Tin)? vulvovaginal burning, pelvic cramps, rash, uticaria, stinging, buring, contact dermatitis;
Pt teaching for Miconazole (Monistat, Mica Tin)? apply BID to Cleansed skin
Classification and therapeutic use of Acyclovir? antiviral applied topically for tx of recurrent herpes simplex infections in immunocomprimised hosts; prevention and tx of these infections are more effectively treated systematically but topica acyclovir does decrease the healing time and associated pain
Adverse rxn of Acyclovir? stinging, burning, rash
Administration of Acyclovir? availiable in ointment that is applied 6x daily for 1 week; a finger cot or glove should be worn when applying the agent to prevent spread of infection;
Classification and Therapeutic use of Lindane (Kwell)? ecoparasiticidal agent used to treat lice and scabies;
Adverse rxn of Lindane (Kwell)? skin rash, rarely CNS toxicity in young children;
Administration of Lindane (Kwell)? for body of pubic lice, applied and left on 12 hours, then washed off; head lice are treated with a shampoo that is left in four minutes before rinsing; for scabies, lindane is applied all over the body, left on 8-12 hours, then rinsed off;
MOA and therapeutic use of Minoxidil (Rogaine)? vasodilating drug used systemically for hypertension, used locally to promote hair growth;
Adverse rxn of Minoxidil (Rogaine)? r/t systemica absorption of the drug: tachycardia, fluid retention, weight gain;
Administration of Minoxidil (Rogaine)? apply to the area BID, may take 4 months to see results;
Classification and therapeutic use of Flourouracil (Efudex)? antineplastic that treats solar or actinic keratosis and bassal cell carcinomas when surgical resection is not feasible;
Adverse rxn of Flourouracil (Efudex)? local inflammatory reactions, dermatitis, stomatitis, photosensitivity, swelling, pain scaling, suppuration, scaring and hyperpigmentation;
Administration of Flourouracil (Efudex)? should be applied with non metal applicator or with clean gloved fingertips, fingers should be washed thoroughly after touching'
Classification, MOA and therapeutic use of Silver Sulfadiazine (Silvadene)? topical burn drug that forms protective mildly anti-infective barrier on skin used in tx and prevention of infections in second and thrid degree burns;
Adverse rxn of Silver Sulfadiazine (Silvadene)? pain, burning, itching
Adminitration of Silver Sulfadiazine (Silvadene)? apply with sterile glove once or twice after the area has been cleansed and debrided;
Created by: 100000174040213
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