mcp: endocrine topical cs

Question 1

topical cs uses

Answer 1

treat inflammation, swelling, or itching associated with various skin conditions

Question 2

topical cs administration

Answer 2

• Wash hands before and after application
• Clean and thoroughly dry the affected area of skin before application
• Apply a thin layer to the affected area and gently rub into skin
• Use on skin only
• Avoid high potency preparations on areas of thin, sensitive skin such as genitals, body folds, and eyelids

Question 3

topical cs local side effects

Answer 3

More likely to occur with long-term use of higher potency agents
Thinning of skin
Irritation
Stretch marks
Skin discoloration
Bruising
“spidery” thin blood vessels (telangiectasia)

Question 4

topical cs systemic side effects

Answer 4

-Rare, but may occur with prolonged use
higher potency at larger application site greater risk
-Mainly a concern in children who need frequent doses of high potency topical corticosteroids (can affect growth)

Question 5

topical cs drug interxns

Answer 5

Less of a concern (compared to oral)

Question 6

topical cs Precautions/Warnings:

Answer 6

• Do not use on weeping lesion

- Do not cover with occlusive dressing

Question 7

topical cs Contraindications:

Answer 7

Systemic fungal infection

Question 8

topical cs time of effect

Answer 8

• Itching can begin to decrease within 2-4 hours
• Full effect of decreased inflammation may not be seen for 18-24 hours
• It may be 3-7 days before evidence of decreased excoriation/hyperkeratosis becomes apparent

Question 9

topical cs, What to monitor

Answer 9

• Symptom improvement or symptoms of irritation
• Prolonged use in specific patient populations
• Growth in children using high potency agent