Quiz 4 Flashcards
Methotrexate adverse reactions
photosensitivity
eczema
more likely to occur with asthma and hay fever
tazarotene
need contraception
TERATOGENIC
isotrtinoin
TERATOGENIC: must use two forms of birth control !
Can not get pregnant for two years after using this medication.
suicidal ideation and or depression come see your provider
No sun exposure
Psoriasis education
No hot water
do not pick scaley, silvery lesions, no essential oils or scents, baths with emollients, and oatmeal
PUVA
May need to stop light therapy inflammation occurs.
Use eye protection
Limit sun exposure
Give methoxsalen 1 hr. prior
Treatments are two to three days a week but not consecutive.
betamethasone patient teaching
Thining of the skin if used for long her
Only apply to effected areas.
Only keep medication on for 8 hours
Cover with plastic wrap
Ointment or cream topicals?
ointment will hold moisture longer than a cream.
Lichenification
is likely to occur in areas where the patients scratches the skin often. Seen with atopic dermatitis
Contact dermatitis
Patient is likely to identify irritant by keeping a journal. Generally only in spots they have come into contact with irritant
Priority actions for a patient with rash on chest and neck?
Airway give epinephrine
When to take diphenhydramine
At night time due to sleepiness
Risk factor for atopic dermatitis
genetics, infections, skin trauma
Interventions for diaper dermatitis (diaper rash)
Take a cool tepid bath, cool compress, desitin, antihistamine to reduce itching
Standard precautions
gloves
hand hygiene