Chapter 48 : Dermatologic Disorders

Question 1

What is nonpharamacolgic approach for acne?

Answer 1

Cleansing agents
Hair shampooing
Keep hair away from face
Avoid abrasive cleaners

Question 2

What is acne vulgaris?

Answer 2

Keratin plugs at the base of the oil gland

Question 3

What is the treatment for acne? Mainly the drug therapy?

Answer 3

Bezoyl peroxide

Question 4

What important about benzoyl peroxide?

Answer 4

It should be dry before putting like a pillow to the face because it causes bleaching

Question 5

What are your two prescribed medication, retinoids?

Answer 5

Retin A - tretinoin
Isotretinoin - acutane

Question 6

Tretinoin (Retin A) - topical
Be careful with what other medications?

Increase risk for ?

Hazardous drug why?

Answer 6

Keratolytics

Sunburn

Don’t over use because it causes blistering

Question 7

Isotretinoin (Acutane) - oral
Last resort medication!

can we give to pregnancy?

And they should use what method?

Answer 7

Tetragenic

Back up birth control!!

Question 8

Tretinoin avoid what 2 things?

Answer 8

Fish allergy

Sun exposure while using

Question 9

Actuatane side effects?

Answer 9

Nosebleed
Inflammation of lips and eyes
Dry skin
Pain of muscles and bones
Depression
Toxicity to literally everything

Question 10

What is Ipledge?’!!!

Answer 10

It’s a document that females sign before they start acutance

Pregnancy test every single month!!

2 reliable forms of birth control

Every patient needs to sign it !

Question 11

What other things can we use for acne? (2)

Answer 11

Birth control pill

Spironolactone ( aldactone)

Question 12

What is topical glucocorticoids?

Answer 12

Literally steroids for topical applications

Relive inflammation and itching

Question 13

What are your side effects of topical glucocorticoids? (5)

Answer 13

Stretch marks
Purpura
Telangiectasia
Hypertrochosis
Possible systemic toxicity

Question 14

How do you administer topical glucocorticoids?

Answer 14

Apply in a thin film and gently rub into the skin

So not use bandages

Question 15

Topical glucocorticoids
Systemic toxicity

• more likely with higher doses
• growth retardation in children
• adrenal suppression
• do not use high potency steroids on face of genitals

Question 16

What is psoriasis?

Answer 16

Scaly, erythematous plaques or scales

Question 17

What is the topical drug treatment with psoriasis?

Answer 17

Steroids
Vitamin D
Tazarotene
Salicylic acid

Question 18

What are your side effects of psoriasis medications?

Answer 18

Drying of the skin
Cushing syndrome
Suppression of growth

Really all steroid use

Question 19

What is your methotrexate side effects of psoriasis ? (5)

Answer 19

Teratogenic
myelosuppresion
Hepatotoxitiy
Pulmonary fibrosis
Multiple drug / drug interactions

Question 20

What is cyclosporine side effects for psoriasis ?

Answer 20

Fatigue
Hypertension
Nephrotoxity

Question 21

If you’re a nurse administering methotrexate for psoriasis, you should watch?

Answer 21

Watch drug interactions

Question 22

What is verruca vulgaris?

Answer 22

Warts!

Hard horny nodule

Question 23

Are warts contagious?

Answer 23

Yes!!

Question 24

How are warts removed?

Answer 24

Cryotherapy
Chemical peels
Surgical excision

Question 25

What is drug induced dermatitis example?

Answer 25

Steven’s Johnson syndrome !!

Question 26

What are signs and symptoms of drug induced dermatitis?

Answer 26

Rash
Urticaria
Papules

Question 27

What is contact dermatitis?

Answer 27

Form of eczema when skin is exposed to irritants

Poison ivy

Question 28

Symptoms of contact dermatitis?

Answer 28

Dry and cracked skin
Bleeding
Rash

Question 29

What’s the treatment of contact dermatitis? Nonpharmacologic

Answer 29

Avoid heavy use of water
Keep it moist

Question 30

What is the famous pharmacological treatment for contact dermatitis?

Answer 30

Burrow solution
- help dry up the rash so that they are not leaking on the clothing

Antihistamine - itching

Question 31

What is impetigo?

Described as?

Answer 31

Strep infection

Honey colored rash on the lips

Question 32

What is the treatment for impetigo?

Answer 32

Topical therapies
Soak lesions
Topical & oral antibiotics

Question 33

What is the 2 medications for hair loss?

Answer 33

Minoxidil
Finasteride

Question 34

How long does it take for minoxidil and finasteride and what should they inform patients?

Answer 34

Takes months

And if you stop using it, the hair will fall out

Question 35

Finasteride is only ??

And why can’t pregnant women touch it? Or even women?

Answer 35

Men!!

Even touching the pill causes birth defects

Question 36

Sunscreen
- protect from the Sun!

Side effects
Erythema
Pruritis
Acne vulgaris

SPF < 15 - protect from sunburn
SPF > 15 protect from skin cancer

Question 37

Make sure to apply sunscreen ever?

Answer 37

2 hours!!

Question 38

What’s peak sun time?

Answer 38

10am - 4pm

Question 39

For patients with extensive burns
What do we do?

Answer 39

Usually put them on burn precautions

Treat with topical burn cream

Question 40

What is the medication for severe burns?

Answer 40

Sliver sulfadiazine

Question 41

How do you administer silver sulfadizine?

Answer 41

Clean hands
Wrap around
Tongue blade

Question 42

Side effect of silver sulfadizaine ?

Answer 42

Photophobia

Question 43

Practice question 1
Finasteride is used to treat male pattern baldness. The nurse knows that in higher doses, the drug is used to treat which condition?

A. Benign prostatic hypertrophy
B. GERD
C. Migraine headache
D. Impotence

Answer 43

A. Benign prostatic hypertrophy

Question 44

Practice question 2
A patient is ordered to receive Isotretinoin for acne vulgaris. What is considered priority information in teaching this patient?

A. Good skin hygiene
B. Optimal nutrition practices
C. Contraception or abstinence from sexual intercourse
D. Methods to avoid infection

Answer 44

C. Contraception or abstinence from sexual intercourse