Chapter 48 : Dermatologic Disorders Flashcards
What is nonpharamacolgic approach for acne?
Cleansing agents
Hair shampooing
Keep hair away from face
Avoid abrasive cleaners
What is acne vulgaris?
Keratin plugs at the base of the oil gland
What is the treatment for acne? Mainly the drug therapy?
Bezoyl peroxide
What important about benzoyl peroxide?
It should be dry before putting like a pillow to the face because it causes bleaching
What are your two prescribed medication, retinoids?
Retin A - tretinoin
Isotretinoin - acutane
Tretinoin (Retin A) - topical
Be careful with what other medications?
Increase risk for ?
Hazardous drug why?
Keratolytics
Sunburn
Don’t over use because it causes blistering
Isotretinoin (Acutane) - oral
Last resort medication!
can we give to pregnancy?
And they should use what method?
Tetragenic
Back up birth control!!
Tretinoin avoid what 2 things?
Fish allergy
Sun exposure while using
Actuatane side effects?
Nosebleed
Inflammation of lips and eyes
Dry skin
Pain of muscles and bones
Depression
Toxicity to literally everything
What is Ipledge?’!!!
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 !
What other things can we use for acne? (2)
Birth control pill
Spironolactone ( aldactone)
What is topical glucocorticoids?
Literally steroids for topical applications
Relive inflammation and itching
What are your side effects of topical glucocorticoids? (5)
Stretch marks
Purpura
Telangiectasia
Hypertrochosis
Possible systemic toxicity
How do you administer topical glucocorticoids?
Apply in a thin film and gently rub into the skin
So not use bandages
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
What is psoriasis?
Scaly, erythematous plaques or scales
What is the topical drug treatment with psoriasis?
Steroids
Vitamin D
Tazarotene
Salicylic acid
What are your side effects of psoriasis medications?
Drying of the skin
Cushing syndrome
Suppression of growth
Really all steroid use
What is your methotrexate side effects of psoriasis ? (5)
Teratogenic
myelosuppresion
Hepatotoxitiy
Pulmonary fibrosis
Multiple drug / drug interactions
What is cyclosporine side effects for psoriasis ?
Fatigue
Hypertension
Nephrotoxity
If you’re a nurse administering methotrexate for psoriasis, you should watch?
Watch drug interactions
What is verruca vulgaris?
Warts!
Hard horny nodule
Are warts contagious?
Yes!!
How are warts removed?
Cryotherapy
Chemical peels
Surgical excision
What is drug induced dermatitis example?
Steven’s Johnson syndrome !!
What are signs and symptoms of drug induced dermatitis?
Rash
Urticaria
Papules
What is contact dermatitis?
Form of eczema when skin is exposed to irritants
Poison ivy
Symptoms of contact dermatitis?
Dry and cracked skin
Bleeding
Rash
What’s the treatment of contact dermatitis? Nonpharmacologic
Avoid heavy use of water
Keep it moist
What is the famous pharmacological treatment for contact dermatitis?
Burrow solution
- help dry up the rash so that they are not leaking on the clothing
Antihistamine - itching
What is impetigo?
Described as?
Strep infection
Honey colored rash on the lips
What is the treatment for impetigo?
Topical therapies
Soak lesions
Topical & oral antibiotics
What is the 2 medications for hair loss?
Minoxidil
Finasteride
How long does it take for minoxidil and finasteride and what should they inform patients?
Takes months
And if you stop using it, the hair will fall out
Finasteride is only ??
And why can’t pregnant women touch it? Or even women?
Men!!
Even touching the pill causes birth defects
Sunscreen
- protect from the Sun!
Side effects
Erythema
Pruritis
Acne vulgaris
SPF < 15 - protect from sunburn
SPF > 15 protect from skin cancer
Make sure to apply sunscreen ever?
2 hours!!
What’s peak sun time?
10am - 4pm
For patients with extensive burns
What do we do?
Usually put them on burn precautions
Treat with topical burn cream
What is the medication for severe burns?
Sliver sulfadiazine
How do you administer silver sulfadizine?
Clean hands
Wrap around
Tongue blade
Side effect of silver sulfadizaine ?
Photophobia
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
A. Benign prostatic hypertrophy
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
C. Contraception or abstinence from sexual intercourse