Integumentary System Medications Flashcards
Bacitracin and mupirocin (Bactroban) are __________ antibiotics indicated for localized bacterial infections
Topical
Side effects of topical antibiotics
Stinging, pruritis (contact dermatitis)
Patient education for topical antibiotics
Apply small amount to clean and dry area; Bactricin is applied 1-3 times/day and mupirocin is applied 3 times/day
Clotrimazole (Lotrimin), miconazole (Movistar, Vagistat), and nystatin are examples of _________ indicated for fungal conditions such as tinea pedis (athlete’s foot), tinea cruris (jock itch), tinea corporis (ringworm) and cutaneous candidiasis
Topical antifungals
Side effects of topical antifungals
Minimal: stinging, redness
Topical antifungals can be applied ___ for ___-___ weeks
BID; 1-4
What is used for tinea cavities (fungal infection on scalp)?
Selenium sulfide shampoo
Silver sulfadiazine (Silvadene) and mafenide acetate are examples of topical medications indicated for
Burns (2nd, 3rd degree) and prevention of wound sepsis
Side effects of silver sulfadiazine (Silvadene)
Leukopenia, rash, burning/itching, skin necrosis
Silver sulfadiazine (Silvadene) nursing care
Monitor CBC levels
Which topical medication penetrates wound eschar?
Mafenide acetate
Mafenide acetate side effects
Pain, burning/itching, metabolic acidosis
Mafenide acetate nursing care
Monitor acid base balance
Coal tar, salicylic acid, and corticosteroids are topical medications for the treatment of
Psoriasis
Side effects of coal tar
Photosensitivity, staining of clothes, cancer (with high doses)
Side effects of salicylic acid
Mild burning, stinging
Side effects of topical corticosteroids
Burning, itching, irritation
Benzoyl peroxide, Clindamycin, and tretinoin (Retin-A) are examples of topical medications used to treat
Acne
Side effects of topical medications for acne
Skin dryness and irritation, photosensitivity
Benzoyl peroxide patient education
May bleach hair and fabric
Topical tretinoin patient education
Avoid sun exposure and wear sunscreen
Oral _________ can be used for severe acne
Isotretinoin
Isotretinoin patient education
DO NOT use during pregnancy (causes birth defects); 2 pregnancy tests before therapy and monthly tests required
Topical medication indicated for pediculosis (lice) and scabies
Permethrin (Elimite)
Permethrin (Elimite) side effects
Skin irritation
Patient education for lice
Shampoo with 1% permethrin and removed nits with nit comb
Patient education for scabies
Treat entire family; apply permethrin head to toe and wash after 8-14 hours
General patient education for lice/scabies
- wash clothing/linens in hot water to prevent reinfestation
- bag linens that cannot be washed in tightly seal bags for 2 weeks
