RTS - Skin 1 Flashcards
what are emollients?
applied directly to the skin to reduce water loss - keep moisture.
They form a protective film and help manage dry, itchy skin conditions
Soften cracks in skin
What bases are- creams, ointments, lotions (emollients)
Creams - water based, thicker
Ointments - oil based
Lotions - pourable, water based
what are the 4 types of emollients?
- occlusive - film over skin to prevent water evaporation (moisture) - diprobase
- humectant containing - contain additives e.g urea, lactic acid, propylene glycol that holds water in the skin = double base
- antipruritic - contains ingredients to stop itching = Eurax
- antiseptic = contains ingredients to combat infection = dermol
what are topical corticosteroids?
used to treat inflammatory skin conditions - reduce skin irritation and inflammation. Help induce remission during a flare up
Name 2 examples of topical corticosteroids
- hydrocortisone acetate 1% cream - HC45 (used for anything)
- Clobetastone Butyrate 0.05% cream - eumovate. (only licensed for use in eczema/dermatitis, NOT redness/stinging)
What are the side effects of corticosteroids? (3)
skin thinning
vulnerable to infection
skin changing colour
(with long term use)
what are the legal restrictions imposed on the sale of topical corticosteroids?
- PATIENT: patient must be >10 years for hydrocortisone, >12 years for clobetasone. Cannot be used in pregnancy/BF
- Maximum of 7 days use and only applied twice a day
- Can only sell a maximum of 15g at any one time
- Cannot be used on - face, anogenital, broken or infected skin
How are topical corticosteroids applied?
The finger tip unit - One FTU is the amount of steroid squeezed out from a standard tube along the adults fingertip = very end of the finger to the first crease.
One FTU is enough to treat an area the size of the flat of an adults hand.
Indication Licensing for - hydrocortisone actetate 1% and clotbetasone butyrate 0.05% cream
hydrocortisone - on any inflammation/redness/stinging
Clobetasone - only for eczema and dermatitis
How do topical antifungals work?
(a) killing the fungal cells - affect their cell walls and cells leak out
(b) prevent growth - prevent them reproducing
Name examples of anti fungal treatments (4)
clotrimazole 1% - canesten
Ketoconazole 2% - daktarin intensiv
micronazole 2% - daktarin
Terbinafine 1% - lamisil
Name the different formulations of antifungals and why there are different ones
Sprays, creams, gels, powders
they can be used in different areas e.g athletes foot, some people may not be flexible enough to put cream on their feet so a spray is a more convenient way
what symptoms are we looking out for/ asking about?
Rash redness? itchiness? broken skin? inflamed? hot to touch? bleeding/ weeping?
General referral points for - rashes/eczema/dermatitis
signs of infection e.g yellow crusts on face children / pregnancy/ BF bleeding, weeping non blanching rash broken skin widespread
what is eczema?
Allergic condition - usually infants and children. They often have other sensitivities e.g hay fever and asthma.
Sensitisation cocues leading to an inflammatory response
Common aggravating factors of eczema?
pollen, sweat, detergents, cosmetics, rubber, dyes
Treatments for eczemA? and contact dermatitis
1- emollient use whenever -
2- topical corticosteroid twice a day for 7 days
(CD = remove the causative agent also)