73: Skin OTC Flashcards
Common skin conditions
-minor wounds
-suburns
-footcare
-lice
Refer wounds when
-bleeding >5 min
-wound from animal/human bite
-deep acute wounds
-chronic wounds
-immunocompromised
-diabetes (foot wounds)
-signs of infection
-contain foreign matter
minor wound tx
-irrigants (soap, chlorhexidine, h peroxide, saline)
-topical antibiotics
-bandage
-monitor
Sunburn
-exposure to UV
-heals in a weeks
-pain, redness, blisteing, peeling, itching
sunburn prevention
-sunscreen lotion
-sunblock clothing, hats
-limited sun exposure
When to refer sunburn
->20% body
-infants
-severe blistering
-intense pain
sunburn tx
- clean w soap
- cool compress
- aloe, calamine, silver gel
- may bandage
- analgesics
Warts
-HPV thru skin
-months to year w/o tx
Refer warts when
-growth is not a wart
-wart on face or genitals
-MANY warts
-warts itch, burn, bledd, hurt
-weak immune system
-diabetes
Wart tx
-salicylic acid (liq or patch)
-tape
-OTC cryotherapy
Corns/calluses
-dead skin hardened by friction, often ill-fitting shoes
-callus: anywhere and large
-corn: small, tops and side of toes or balls of feet
Corns and Calluses tx
-soak in warm water 5-10 mintues
-file/scrape
-moisturize
-change shoes
-clip toenails
Athlete’s Foot
-fungal infection
-lead to erosions, ulcers, malodor, secondary infections
When to refer athlete’s foot
-recurrent
-failed tx
-expansive infection
-genitalia
Athlete’s foot tx
-Zeasorb (miconazole)
-Lotrimin (clotrimazole)
-Lamisil (terbinafine)
-Tinactin (tolnafate)
Lice
-direct contact transmission
-itching, scratching, redness, small wounds
-often overtx bc inactive forms
-low threshold for referral
when to refer lice
-recurrent
-refractory
-age < 2months
-hair outside of scalp region
Lice tx
-Rid
-Nix
-wet combing
-other considerations
Rid lice tx
-pyrethrin + piperonyl butoxide
-does not kill unhatched eggs
-MUST repeat in 7-10 days
-older than 2 years old
Nix lice tx
-permethrin
-will likely need to be repeated in 7-10 days
-over 2 months old
Wet combing lice tx
-with a fine comb
-12-3days for up to 2-3 weeks, assess for dead lice
Other lice tx considerations
-machine wash bedding, clothes
-soak combs/brushes in hot water 5-10 min
-vacuum area where pt has been
-children do not have to be kept out of school after undergoing tx
