Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
IOS 9 Exam 2
Dermatitis
| Question | Answer |
|---|---|
| 2 Types of dermatitis | Atopic (5%) and Contact (95%) |
| Atoptic dermatitis definition | A chronic relaspsin inflammatory skin condition that is often associated with allergic disorders that affect respiratory system (asthma, hay fever) |
| Atopic dermatitis affects | Primarily infants, children and youn adults |
| Atoptic dermititis areas affected | face, skin folds on the side of the knees/elbows |
| Diagnosis of Atoptic dermitis Itchy skin plus 3 or more | Onset at age <2, Hx of skin crease involvement, generalized dry skin, prior or HHX, Visible flexural dermatitis (forehead other limbs) |
| Presentation of atoptic dermititis | symetrical, redness and chapping of the cheeks, progression to crusting leading to itching, and papules that weep and potential infection |
| Treatment of atoptic dermititis Non-Pharm | Stop itching (gloves, shorten nails), maintain hydration (bath every other day), |
| Atoptic dermititis Skin hydration | Bath oils, Emollients/moisturizers, Hydrating agents, Keratin-softening agents |
| Bath products | Used to hydrate the skin- Bath oil, oatmeal products, or cleansers |
| Emollients/Moisterizers | Used to retain moisture-lotions, petrolatum, mineral oil |
| Emollients/moisturizers application | May apply when skin is damp to better maintain moisture, ointments are not appropiate for an oozing dermatitis or open wound |
| Hydrating agents are used to | Increase the effectiveness of emollients. They draw water into the stratuem corneum to hydrate the skin and emollients keep water in |
| Hydrating agent examples | Glycerin, Propylene glycol, phospholipids |
| Ketatin softening agents are used to | Provide keratolytic action and increase water uptake in stratum cirneum they are safe for crusted necrotic tissue |
| For weeping and itching on atopic dermitis | Astringints-water, aluminum acetate-Burrow's solution, witch hazel |
| Astringinsts MOA | Retard oozing, and bleeding by coagulation and then cool and dries skin via evaporation |
| Atoptic dermitits Itching | Used a topical hydrocortisone cream if not infected!!! BEST FOR NON-OOZING CAN ALSO USE lidocaine, benzocaine, diphenhydramine, loratadine (NTE 7 days) , prednisone |
| Atoptic dermatitis re-evaluation | 2-3 days to verify progress |
| Contact dermatitis | 80-90% are irritant contact dermatitis, response is dependant on concentration |
| Allergic contact dermititis | Requires 2 exposures TYPE IV reaction |
| Examples of contact allergens | Chrmium salts, cement, leather, anti-rust products, hair dyes, nickle, rubber, skin care products, perfumes, Plants of Toxicodendron family |
| Poison Ivy | Urshiol penetrated in minutes and can be active for 100years |
| Clinical presentation of poison ivy | Limbs, neck , face, initially intence itching, erythemia, swelling, raised lesions, fluid accumulation, oozing, vesicles and heal in 21 days |
| Treatment goals of poison ivy | Protect affected area, prevent itching, prevent accumulation of debris, treat according to severity |
| Mild poison ivy treatment | Hydrocortisone, calamine |
| Moderate poison ivy treatment | Refer to provider suggest cool water compress or colloidal oatmeal baths, and astringints if oozing |
| Severe poison ivy treatment | Colloidal oatmeal baths and prednisone 40-100mg 2-3 weeks |
| Tinea pedia | Athletes foot caused by trauma or moisture |
| Tinea unguium | Nail fungi, refer to PCP, appear thick, rough, yello, friable nail |
| Tinea Captis | Inflammed or non-inflammatory scalp, refer to PCP |
| Tinea Corporis | Ring worm begins as small circular, erythematous, scaly, pruritic area on smooth skin |
| Tinea cruris | Medial-upper thigh and pubic area with scaling, erythematous eruption with significant pruitis bilaterally |
| Terbinafine HCL or Lamisil AT indications | Indicated for pedius, crudis, corpus or pedia 1 wee BID for cure |
| Tolnaftate (Tinactin, Aftate) indications | ONly OTC indicated for prevention and cure- SPRAY BID 2-4 or 4-6 weeks |
| Efficacy of antifungal application | creams= solutions> spray=powder |
| SPF 15 | Person can stay in the sun 15 times longer before receiving the same sunburn as a person without sunscreen |
| SPF 30 | 96.7% blocked out |
| Efficacy of sunscreen depends on substantivity | water resistant (40minutes) , waterproof (80minutes) |
| Chemical sunscreens absorb and block transmission of UVR | to epidermis 85% UVB |
| Since oxide and titanium dioxide | Reflect and scatter UVR (UVA UVB) used with small exposed areas, discolor clothing |
| Average bather should apply teaspoons to body | 4.5 for total body, and 1/2 teaspoon each for face,neck, arms, shoulders |
| Often missed areas of sunscreen protection | lips, ears, feet |
| Sunscreen recommeded for | All over 6 months |
Created by:
liza001
Popular Pharmacology sets