Questions from OTC Jeopardy Flashcards
ASA has potential to cause this condition in patients under age 16
Reye’s Syndrome
List 3 risk factors that put patients at increased risk for GI bleed when used a NSAID/ASA
- history of GI or peptic ulcer
- anticoagulants
- age >60
- H. pylori
- Rhumatoid arthritis
- NSAID-related dyspepsia
- alcohol use >3/day
- higher dose/longer use
What are 2 non-pharmacological methods to help relieve symptoms of fever?
- replenish fluids
- lower temperatuer in room
- wear light clothing
If soapy/runny water is not available, name an OTC antiseptic that could be used to clean the skin around a wound that is bactericidal
- ethyl alcohol (20-70%)
- isopropyl alcohol (70-%)
- povidone-iodine (betadine)
What are some exclusions of care for self-treatment of atopic dermatitis?
- severe intense pruritis
- presence of infection
- involvement of >20% of the body
Patients using this OTC acne treatment product should be counseled on increased photosensitivity and potential bleaching of clothes, hair, fabric, etc
benzoyle peroxide
Which is an exclusion of self-care?
A. patient with fever >2 days
B. patient with oral temp <101
C. patient >6 months with rectal temp <100
D. patient with temp >104
D. patient with temp >104
Name 5 exacerbating factors of acne
- oil-based products on skin
- exposure to dirt
- certain chemicals
- vaporized oils
- medications
- high humidity
- prolonged sweating
- increased androgen levels
Dustin is 5 yo and weighs 19 kg. His pediatrician recommended an OTC fever agent. List each fever reducer, route, dose, and frequency
- Acetaminophen 190-285 mg po q4-6h (10-5mg/kg q4-6h)
- Ibuprofen 95-190 mg po q6-8h (5-10mg/kg q6-8h)
A patients skin is highly sensitive but wants to use a topical antibiotic on their cut. Which ingredients might you consider avoiding in the agent you recommend?
-neomycin and any topical anesthetics
What is the maximum dose of naproxen in the elderly?
440 mg/day
Which route of temperature measurement is considered the gold standard?
rectal
This type of dermatitis can present after one exposure and is commonly occupationally related
irritant contact dermatitis
Which is an exclusion of self-care for treatment of burns?
A. Pt with hypothyroidism
B. Pts 55 and older
C. Pts with burns involving hands or feet
D. Pts with asthma
C. pts with burns involving hands or feet
List counseling points rgarding sunscreen use:
- apply 15-30 min before sun exposure and after swimming, sweating, toweling, and every 2 hours minimum
- apply 1 oz to entire body (~4.5 tsp)
- lips and scalp
- consider physical sunscreen if previous hypersensitivity to rxn chemical
This cleanser must be used for minimum 2 minutes to effectively remove urushiol after exposure
Tecnu (Ivyblock)
List 3 signs and symptoms of dehydration
- decrased skin turgor
- dry mouth of cracked lips
- thirst
- urinating less often or having dark yellow or brown urine
- no tears when a child cries
- sunken eyes
- tired or confused, dizzy, or light-headed
- babies with sunken fontanel
Grace wants a sunscreeen product that will help protect her from burning so she can enjoy her vacation in the Bahamas. What are 2 important characterisitics that she should look for in a sunscreen?
- SPF high enough to keep pt from burning (at least SPF 15)
- Labeling that claims broad spectrum
A patient with light colored hair should be counseled on ths possible adverse effect when using selenium sulfide
-hair discoloration may occur and must be rinsed thorougly
This condition often presents as redness and chapping in the cheeks of infants
atopic dermatitis
This barrier product can be used to protect agains exposure to poison ivy
Ivy Block (bentoquatam 5%)
List 3 common drug interactions associated with NSAIDs
- ASA
- PPIs
- antihypertensives (ACEIs, ARBs)
- anticoagulants
- methotrexate
- digoxin
- lithium
Describe the most common presentation of tinea pedis
- athletes foot
- fissures
- scaling
- malodor
- itching/stinging
- maceration of interdigital spaces
Which of the following is not an exclusion of self-treatemnt for tinea infections?
A. nails or scalp invovled
B. Pts with diabetes
C. signs of possible bacterial infection
D. trunk involvement
D. trunk involvement
List 2 OTC treatment options for self-treatment of plantar wart
- cryotherapy
- salicylic acid
List 2 non-pharmacological treatments for an insect sting
- remove stinger via credit card method ASAP
- apply ice or ice pack in 10 minute invervals
