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Ch 3 Skin Diseases MEL

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Question
Action
Side Effect
Silver Sulfadiazine / Silvadene   Broad antimicrobial gram neg & pos Candida organism   skin may develop slimy, grayish apperance, simulating infection despite neg cultures prolonged use causes skin rash & depress granuloctye formation  
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Pyrethrin / RID   Pediculicide   local irritation(do not use on eyebrows or eye lashes)  
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Acyclovir / Zovirax Herpes   Antiviral   topical: burning, rash, pruritus,stinging(use gloves,cover lesion completely) Systemic: headache, seizures, renal toxicity, phlebitis at IV site(ensure adequate hydration to prevent crystallization in the kidneys,admin IV dose for @least a hour)  
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Coal Tar / Ester-Gel / Psori-Gel / other   treatment of pruritic dermatoses, including eczema and psoriasis   Photosensitivity, dermatitis,allergic reactions (avoid exposure sunlight for 72 hrs after use, stains everything it touches,external use only)  
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Isotretinoin / Accutane   Antiacne agent   severe dryness of skin, mouth, eyes,mucous membranes,nose, & nails, skin fragility,epistaxis, joint,muscle,abdom pain,nausea(give drug during meals, don't give vit A, avoid exposure to sunlight; contraception is a must during therapy 1 mo b4 & after)  
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Bactroban / Mupirocin Impetigo   Topical antibiotics    
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Aluminum Acetate solution / Burow's Solution   Astringent   local irritation, allergic reactions (do not use with occlusive dressings, external use only)  
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Silver Nitrate   Bacteriostatic effect lessens pain & eliminates odor, reduces evaporative water loss from burns   Electrolyte imbalance, stains everything, doesn't penetrate eschar, pain on application  
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Ativan / Lorazepam Herpes Zoster   Tranquilizer, decrease anxiety    
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Lotrimin AF / Miconazole   Antifungal    
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Griseofulvin / Fulvicin / Grisactin / Grifulvin   Antifungal   hypersensitivity reactions, photosensitivity, nausea, fatigue, mental confusion(Avoid sunlight, drug absorption increased when given with meals, clinical response may appear after full course of therapy  
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Mafenide / Sulfamylon   Bacteriostatic against gram-neg & positive Penetrates thick eschar   Metabolic Acidosis, Pain on application, Allergic rash  
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