Common Skin Conditions - Minor Cuts, Abrasions & Burns Flashcards
What’s the difference btw lacerations and cut?
Lacerations are defined as irregular wounds with ragged edges, with potential for deeper skin damages
Cut edges are more uniform or regular
What can be used topically to reduce infection risk and promote healing?
Silver sulfadiazene (Silvadene; SSD; Thermazene)
What’s the brand name of the triple antibiotic ointment used in cuts or abrasions? Components?
Neosporin
Contains Polymixin, bacitracin & neomycin
If a pt reacts to neomycin in Neosporin, whats the alternative used?
Polysporin (bacitracin + Polymixin)
OR
Mupirocin (Bacitracin alone)
Whats Mupirocin (Bacitracin alone) used for?
Rx antibiotic cream or ointment
Great for staph and strep coverage, including MRSA
List agents used for poison ivy
Aluminum acetate soln (Burrow’s)
Colloidal oatmeal (Aveeno)
Calamine lotion - Caladryl, IvaRest
Zanfel
What’s psoriasis?
Chronic autoimmune dx that appears on the skin
Types of psoriasis tx
Topical tx
Light therapy
Systemic meds
What’s the first line for psoriasis?
Topical steroids
What combo is used for psoriasis?
Calcipotriene + Betamethasone ointment (Taclonex, Taclonex scalp suspension)
What’s alopecia?
Hair loss
What deficiencies may contribute to alopecia?
Zinc
Vit D
List agents used for alopecia
Finasteride (Propecia) 1mg daily
Minoxidil topical OTC
Bimatoprost soln (Latisse)
What’s the brand name of Finasteride used in alopecia?
Propecia 1mg
Note: women should handle Finasteride
What’s the range of SPF recommended as sunscreen?
SPF 15 - SPF 30
What’s the key to using sunscreen?
Apply liberally and at least Q 2 hrs
What types of coverage is req in sunscreen?
UVA + UVB
What’s UVA in sunscreen?
Blocks aging (A for aging-wrinkles)
List the most common barrier agents in UVA?
Zinc
Titanium
What’s UVB in sunscreen?
Blocks burning (B for burning)
What’s SPF?
Sun exposure factor
Measures how long it takes to burn versus not using sunscreen
What does SPF 15 mean?
Takes 15 times longer for skin to redden than without sunscreen
How should sunscreen be applied?
Apply liberally at least every 2 hrs
All sunscreen wash off; reapply after going in the water
Effect of UVA and UVB exposures?
Increase risk of skin cancer, including most common type (squamous cell)
What does broad spectrum sunscreen mean?
Covers both UVA and UVB
What does water resistant sunscreen mean?
Resistant for 40-80 mins
List OTC agents used for cold sores (herpes simplex virus type 1 - HSV-1)
Docosanol cream (Abreva)
List rx agents used for cold sores (herpes simplex virus type 1 - HSV-1)
Acyclovir/Hydrocortisone (Xerese)
Acyclovir (Zovirax) cream
Penciclovir (Denavir)
How to use Abreva?
Apply 5x/ day…max 10 days
How to use Zovirax?
Apply 5x/day for 4 days
How to use Denavir?
Q 2 hrs during day x 4 days
List very high potency topical steroids pdt
Clobex lotion/spray/shampoo 0.95% (Clobetasol propionate)
Diprolene ointment 0.05% (Betamethasone dipropionate)
Temovate cream/ointment/soln 0.05% (Clobetasol propionate)
Fluocinonide
What’s the brand name of Clobetasol propionate (very high potency)?
Clobex 0.05% lotion/spray/shampoo
Temovate 0.05% cream/ointment/soln
What’s the brand name of Betamethasone dipropionate (very high potency)?
Diprolene ointment 0.05%
List high potency topical steroid pdts
Diprolene cream AF 0.05% (Betamethasone dipropionate)
Elocon ointment 0.1% (Mometasone furoate)
Lidex cream/gel/ointment 0.05% (Flucinonide)
What’s the brand name of Betamethasone dipropionate (High potency)?
Diprolene cream AF 0.05%
What’s the brand name of Mometasone furoate (High potency)?
Elocon ointment 0.1%
What’s the brand name of Fluocinonide (High potency)?
Lidex 0.05% cream/gel/ointment
List high-medium potency topical steroid
Lidex-E cream 0.05% (Fluocinonide)
Whats the brand of Fluocinonide (high-medium potency topical steroid)?
Lidex-E cream 0.05%
List medium potency topical steroid
Elocon cream 0.1% (Mometasone furoate)
Kenalog cream/spray 0.1% (Triamcinolone acetonide)
Westcort ointment 0.2% (Hydrocortisone valerate)
What’s the brand name of Mometasone furoate (medium potency topical steroid)?
Elocon cream 0.1%
What’s the brand name of Triamcinolone acetonide (medium potency topical steroid)?
Kenalog cream/spray 0.1%
What’s the brand name of Hydrocortisone valerate (medium potency topical steroid)?
Westcort ointment 0.2%
List lower potency topical steroid
DesOwen lotion, 0.05% (Desonide)
Westcort cream 0.2% (Hydrocortisone valerate)
Whats the brand name of Desonide (lower potency topical steroid)?
DesOwen lotion, 0.05%
Whats the brand name of Hydrocortisone valerate (lower potency topical steroid)?
Westcort cream, 0.2%
List mild potency topical steroid
Derma-Smoothe/FS Oil, 0.01% (Fluocinolone acetonide)
What’s the brand name of Fluocinolone acetonide (mild potency topical steroid)?
Derma-Smoothe/FS Oil, 0.1%
List lowest potency topical steroid
Cortaid cream/spray/ointment (hydrocortisone)
Note: all lowest potency topical steroids are hydrocortisone
What’s the brand name of hydrocortisone (lowest potency topical steroid pdts)?
Cortaid cream/spray/ointment
What’s req if pt has puncture wound?
Current tetanus vaccine (Q10yrs, after series has been completed)