Module 4 Integumentary Flashcards
Describe creams (4)
Semi-solid
Non greasy
Mostly water
Some oil
Describe Ointments (4)
Semi-solid
Oily base
Greasy
Water resistant
How do we remove ointments
Vaseline
Describe Lotions
Water base
How do we apply medicated lotions
Shake before, firmly pat, do not rub.
What does rubbing cause with a lotion
irritation, friction
What are lotions used for
Relieve rashes, cleanse skin
What are Powders used for
To absorb moisture and cool skin
How do we apply powders
Thin even layer
A reservoir patch is ________ controlled as apposed to a Matrix which is _________ controlled
Membrane
Patients skin
What is an advantage of a Transdermal patch
More consistent blood levels
increased compliance
What is a disadvantage of a transdermal patch
Slow initial onset
Local irritation
What can patches contain where we use caution
Aluminum
What is a Scopolamine patch used for
motion sickness behind the ear
Emollients are used to
Prevent water loss, caused skin to hold water
Keratolytics can also be called
Peeling agents
Causes sloughing or hardened epithelium by breaking down the keratin layer of the skin to remove excess keratin
Keratolytics
Can be used to remove corny layer of skin
Keratolytics
Where is one place that we cannot use Local Anesthetics
Genital area
Inhibits conduction of nerve impulse from sensory nerve
Local anesthetics
Used to relieve itching and discomfort
Local anesthetics
Salicylic acid, Masoprocol, Resorcinol are examples of
Keratolytics
Benzocaine, Dibucaine, and Lidocaine are examples of
Local anesthetics
Used for local infections: skin and mucous membranes
Antifungals, antimycotics
Ketonazole is an example of a
Antifungal, antimycotic
The only Local anesthetics that can be used Topically, IM, IV
Lidocaine
Used to treat Candida, Tinea
Antifungal, antimycotic
Nystatin is used for
Oral Candida, diaper rash
Gentian Violet is used for
Peds
Terbinafine is used for
Nail fungus
Drug is absorbed in the organism and its eggs. The nervous system is stimulated resulting in convulsion and death of parasite
Antiparasitics, Antipediculosis
How do we treat live
Medication in hair for 5-10 minutes, if still live after 7 days restart tx.
How do we treat live in eyebrows, eyelashes
Vaseline
What allergy do we check for before administering Antiparasitics, antipediculosis
Persampethal plant
Drugs used to tx. lice and Scabies
Antiparasitics, antipediculosis
How do we treat Scabies
Apply lotion/ointment from neck to toes for 8-14 hours. keep them on isolation after for 24 hours. If scabies still exist after 14 days, repeat tx.
Permethrin, Pyrethrins, Malathion, Crotamiton are examples of what drug
Antiparasitics, antipediculosis
Prevents minor and superficial infection
Antimicrobials, Antibiotics
Triple ointment
Neosporin
Used prophylactically and tx of burn infections
Antimicrobials
Silver Sulfadiazine and Mafenide Acetate are examples of
Antimicrobials
What are 3 side effects of Silver Sulfadiazine
Discoloration of skin
decrease in RBC
hypoglycemia
Antimicrobials should be applied using
Sterile technique 1/16”
Psoriasis can be tx with what drug class
Corticosteroids
Only use corticosteroids if patient is free of
infections
Causes a slow rate of skin turnover
Corticosteroids
If corticosteroid are to be d.c. after 5 days what does the drug need to be
Tapered
Where should corticosteroids not be used
friction area
Breasts, Buttocks, Groin
What syndrome can Corticosteroids cause
Cushings syndrome
What are 3 side effects of Corticosteroid use
Buffalo humps
hypopigmentation
Spider veins
Why do we use Hydrocortisone the most
It is most like our natural steroid
Desoximetasone should be administered by
Giving food
Herpes Simplex should be treated with what drug class
Antivirals
What should we teach to patient taking antivirals
Spread precautions
USed for Basal Cell Cancr
Antineoplastics
What is a side effect of Antineoplastics
Alopecia
How long should patient be on Antineoplastics
2-6 weeks
Women of childbearing age taking antineoplastics should be taught
not to get pregnant for 3 months
Acyclovir, Pencyclovir, and Docosanol are examples of
Antivirals
Fluorouracil is an example of
A Antineoplastic
Restores normal rate of epidermal cell proliferation
Antipsoriatic
How should Sulfonamides be applied
1/16”
Calcipotriene and Methoxsalen are examples of
Antipsoriatics
How long does therapy usually last for patients on Antipsoriatics
1-2 mo
Methoxsalen is used to treat
Vitiligo
What should patient apply to unaffected areas near area where they applied Antipsoriatic
Sunscreen
Antipsoriatics are contraindicated if patient
is pregnant
Tazarotene is known for being applied
to the face
Used to digest and remove dead tissue from wounds
Proteolytic Enzymes
How do we cleanse wounds
Normal Saline
Collagenase and Becaplermin are examples of
Proteolytic Enzymes
Used to increase growth of epithelial cells, to loosen comedones
Retinoids
USed to treat cystic acne
Retinoids
Tretinoin and Isotretinoin are examples of
Retinoids
Retinoid therapy usually lasts
2-6 weeks
Retinoids are contraindicated if
Patient in pregnant
Retinoids should be used
Once a day at 10pm
What should we teach patient on Retinoid (3)
When exacubation is expected
Skin will get worse before it gets better
Skin will peel
What are 3 side effects of Retinoids
Jaundice, Neurotoxicity, increased lipid levels
Patients going into Retinoid therapy should register with
iPLEDGE
Patients must be at least __ years old for Antiacne medication
14
Kills bacteria on inanimate objects
Antiseptics
Alcohols cause (3)
Vasodilation
increased pH Levels
difficult to stop bleeding
Isopropol and ethanol are examples of
Antiseptics
What are some side effects of Antiseptics (2)
Stained skin
disrupted thyroid function
What allergy should we check for before using Antiseptics, disinfectants
Iodine and Shellfish
