Skin cleansers, antiseptics and desloughing agents Flashcards
What is used to cleanse intact skin?
Soap or detergent with water
What can be used in place of soap or detergent for cleansing dry skin?
Emollient preparations such as aqueous cream or emulsifying ointment
An (?) is used for skin that is infected or that is susceptible to recurrent infection.
antiseptic
An antiseptic is used for skin that is infected or that is susceptible to (?).
recurrent infection
Antiseptics include detergent preparations that contain (?) or (?)
Chlorhexidine
Povidone-iodine
Antiseptics such as (?) or (?) are used on intact skin before surgical procedures; their antiseptic effect is enhanced by an alcoholic solvent.
Chlorhexidine
Povidone-iodine
Antiseptics such as chlorhexidine or povidone-iodine are used on intact skin before surgical procedures; their antiseptic effect is enhanced by an (?).
alcohol solvent
Antiseptic solutions containing (?) can be used if a detergent effect is also required.
cetrimide
Hydrogen peroxide is an (?) agent
oxidising
Hydrogen peroxide, an oxidising agent, can be used in solutions of up to (?)% for skin disinfection, such as cleansing and deodorising wounds and ulcers.
6%
Hydrogen peroxide is available as a (?) for superficial bacterial skin infections.
cream
Hydrogen peroxide is available as a cream for (?) bacterial skin infections.
superficial
What is used for irrigating ulcers or wounds? (2)
Lukewarm sterile sodium chloride 0.9% solution
OR
tap water (often appropriate)
(?) solution 1 in 10 000, a mild antiseptic with astringent properties, can be used for exudative eczematous areas
Potassium permanganate
Potassium permanganate solution 1 in 10 000, a (?) antiseptic with astringent properties, can be used for exudative eczematous areas
mild
Potassium permanganate solution 1 in 10 000, a mild antiseptic with (?) properties, can be used for exudative eczematous areas
astringent
Potassium permanganate solution 1 in 10 000, a mild antiseptic with astringent properties, can be used for (?) areas
exudative eczematous
When should treatment with potassium permanganate be stopped?
When the skin becomes dry
Potassium permanganate solution 1 in 10 000, a mild antiseptic with astringent properties, can be used for exudative eczematous areas
Name three desloughing agents that are effective at wound debridement?
Alginate
Hydrogel
Hydrocolloid dressings
Sterile larvae (maggots) (available from BioMonde) are also used for managing sloughing wounds and are prescribable on the NHS.
What are the contraindications for the use of chlorhexidine? (2)
Alcoholic solutions not suitable for use on neonatal skin
Not for use in body cavities
What are the common side effects of chlorhexidine with oromucosal use? (6)
Dry mouth Hypersensitivity Oral disorders Taste altered Tongue discolouration Tooth discolouration
What are the contraindications to the use of povidone iodine (topical)?
- Avoid regular use in patients with thyroid disorders
- Concomitant use of lithium
- Corrected gestational age under 32 weeks
- Infants body-weight 1.5 kg
- Regular use in neonates
What happens if topical povidone iodine is used during the second and third trimester of pregnancy?
Sufficient iodine may be absorbed to affect the fetal thyroid
Topical use of povidone-iodine may affect which laboratory tests?
Thyroid function tests
