Dermatologic Drugs Flashcards
Isotretinoin
Uses
Severe recalcitrant nodulocystic acne
Isotretinoin
Contraindications
Hypersensitivity, inflamed skin
Pregnancy (X)
Lindane
Functional Classification
Scabicide, pediculicide
Lindane
Chemical Classification
Chlorinated hydrocarbon (synthetic)
Lindane
Mechanism of Action
Stimulates nervous system of arthropods, resulting in seizures, death
Lindane
Uses
Scabies, lice (head/pubic/body), nits in those intolerant to or who do not respond to other agents
Lindane
Contraindications
Hypersensitivity, patients with known seizure disorders, Norwegian (crusted) scabies
Premature neonate; inflammation of skin, abrasions, skin breaks; seizure disorder
Lindane
Side Effects
CNS: tremors, SEIZURES, CNS TOXICITY, stimulation, dizziness (Chronic inhalation of vapors), anxiety, insomnia
CV: VENTRICULAR FIBRILLATION (chronic inhalation of vapors)
GI: Nausea, Vomiting, Diarrhea, liver damage (inhalation of vapors)
GU: KIDNEY DAMAGE (chronic inhalation of vapors)
HEMA: APLASTIC ANEMIA (chronic inhalation of vapors), MYELOSUPPRESSION
INTEG: Pruritus, Rash, Irritation, Contact Dermatitis
Lindane
Nursing Considerations
ASSESS:
- Skin for abrasions, breaks, inflammation; don not use on these areas
- INFESTATION: head, hair for lice, nits before and after treatment; if scabies present, check all skin surfaces; identify source of infection: school, family, sexual contacts
PERFORM/PROVIDE:
- Isolation until areas on skin, scalp have cleared, treatment completed
- Removal of nits with fine-toothed comb rinsed in vinegar after treatment; use gloves
Isotretinoin
Functional Classification
Antiacne agent, retinoid