Integumentary System Medications

Question 1

Bacitracin and mupirocin (Bactroban) are __________ antibiotics indicated for localized bacterial infections

Answer 1

Topical

Question 2

Side effects of topical antibiotics

Answer 2

Stinging, pruritis (contact dermatitis)

Question 3

Patient education for topical antibiotics

Answer 3

Apply small amount to clean and dry area; Bactricin is applied 1-3 times/day and mupirocin is applied 3 times/day

Question 4

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

Answer 4

Topical antifungals

Question 5

Side effects of topical antifungals

Answer 5

Minimal: stinging, redness

Question 6

Topical antifungals can be applied ___ for ___-___ weeks

Answer 6

BID; 1-4

Question 7

What is used for tinea cavities (fungal infection on scalp)?

Answer 7

Selenium sulfide shampoo

Question 8

Silver sulfadiazine (Silvadene) and mafenide acetate are examples of topical medications indicated for

Answer 8

Burns (2nd, 3rd degree) and prevention of wound sepsis

Question 9

Side effects of silver sulfadiazine (Silvadene)

Answer 9

Leukopenia, rash, burning/itching, skin necrosis

Question 10

Silver sulfadiazine (Silvadene) nursing care

Answer 10

Monitor CBC levels

Question 11

Which topical medication penetrates wound eschar?

Answer 11

Mafenide acetate

Question 12

Mafenide acetate side effects

Answer 12

Pain, burning/itching, metabolic acidosis

Question 13

Mafenide acetate nursing care

Answer 13

Monitor acid base balance

Question 14

Coal tar, salicylic acid, and corticosteroids are topical medications for the treatment of

Answer 14

Psoriasis

Question 15

Side effects of coal tar

Answer 15

Photosensitivity, staining of clothes, cancer (with high doses)

Question 16

Side effects of salicylic acid

Answer 16

Mild burning, stinging

Question 17

Side effects of topical corticosteroids

Answer 17

Burning, itching, irritation

Question 18

Benzoyl peroxide, Clindamycin, and tretinoin (Retin-A) are examples of topical medications used to treat

Answer 18

Acne

Question 19

Side effects of topical medications for acne

Answer 19

Skin dryness and irritation, photosensitivity

Question 20

Benzoyl peroxide patient education

Answer 20

May bleach hair and fabric

Question 21

Topical tretinoin patient education

Answer 21

Avoid sun exposure and wear sunscreen

Question 22

Oral _________ can be used for severe acne

Answer 22

Isotretinoin

Question 23

Isotretinoin patient education

Answer 23

DO NOT use during pregnancy (causes birth defects); 2 pregnancy tests before therapy and monthly tests required

Question 24

Topical medication indicated for pediculosis (lice) and scabies

Answer 24

Permethrin (Elimite)

Question 25

Permethrin (Elimite) side effects

Answer 25

Skin irritation

Question 26

Patient education for lice

Answer 26

Shampoo with 1% permethrin and removed nits with nit comb

Question 27

Patient education for scabies

Answer 27

Treat entire family; apply permethrin head to toe and wash after 8-14 hours

Question 28

General patient education for lice/scabies

Answer 28

• wash clothing/linens in hot water to prevent reinfestation
• bag linens that cannot be washed in tightly seal bags for 2 weeks