Skin Disorders

Question 1

Therapeutic meds for contact dermatitis

Answer 1

For specific areas- Calamine lotion and corticosteroidshydrocortisone (topical)

For large allergic reaction- Antihistamine (Benadryl) and steroids (oral for both)
(Allergic to clothing)

Question 2

Treatment for diaper rash or dermatitis

Answer 2

Zinc oxide or petroleum ointment- destin

Question 3

Corn starch powders are usually avoided for diaper rashes why?

Answer 3

Due to talc- can be dangerous if inhaled can cause Resp issues

Question 4

How to relieve Pruritus in atopic dermatitis

Answer 4

Colloid bath
Cool wet compresses
Topical corticoid steroids
Oral antihistamines

Question 5

How to reduce inflammation in atopic dermatitis in children who are sensitive to topical corticosteroids

Answer 5

Non-steroidal immunomodulator creams

Question 6

if impetigo is caught early around the mouth we would prefer at topical cream such as

Answer 6

Mupirocin (bactroban)

We will do oral antibiotics for systemic

Question 7

Herpes simplex oral antivirals

Answer 7

Cyclovir (Zovirax)
Valacyclovir(valtrex)

Pain relievers

Question 8

Cellulitis treatment

Answer 8

Antibiotic oral
Elevation ,, immobilization
Pain relievers, antipyretics such as acetaminophen and ibuprofen

Question 9

Shingles treatment for itching and fever

Answer 9

Topical dipinhydramine cream , Benadryl cream

Acetaminophen, not aspirin

Question 10

For shingles what can we give the immunocompromised

Answer 10

Acyclovir

Question 11

Tinea capititis meds

Answer 11

Grisiofulvin or terbinafine
(Can be used w anti fungal topical cream)
Oral med for 2 wks
Take as prescribed and w high fat foods for better absorption and less GI upset

Selenium sulfide shampoo

Question 12

What can selenium sulfide shampoo caused

Answer 12

Severe drying in some and has a strong smell
Recommend to do ring worm of head /scalp both med and shampoo
(Use shampoo twice a wk)

Question 13

Treatment of tinea corporis (ring worm body skin n nails )

Answer 13

Griseofulvin oral and topical anti fungal

Question 14

Treatment of tinea cruris (jock itch )

Answer 14

Local application of topical anti fungal cream

Question 15

Tinea pedis (athletes foot) treatment

Answer 15

Local application of anti fungal cream
Oral anti fungal
Soak w burrow solution

Question 16

Burrow solution athletes foot

Answer 16

Water w aluminum acetate
OTC
Helps relieve itching

Question 17

Lyme disease suspected or confirmed treatment for children over 8

Answer 17

Watch for 30 days
Single dose antibiotic
Voxycycline

Question 18

Suspected Lyme disease or confirmed for children under 8

Answer 18

Watch for 30 days
Amoxicillin or cefuroxime

Question 19

Scarbicide or permethrin (elimite) for scabies direction

Answer 19

Apply to entire body from chin down and in skin folds
Leave on skin for 8-14 hours so apply at bed time and bathe in the morning

Question 20

Pedicures is capitus (head lice)

Answer 20

Shampoos w permethrin in them and mechanical removal of nits (lice comb)

Repeat treatment in 7 days

Question 21

Retinoidsdas for acne

Answer 21

First line treatment
Causes drying and peeling of skin but decreases oil production and gets rid of acne

Question 22

Topical antibacterial agent for acne

Answer 22

If they are bad at picking

Question 23

Systemic antibiotics- acne

Answer 23

If we see s/s of secondary infections

Question 24

What other thing can be prescribed to females for acne

Answer 24

Birth control
Reduce antigen reduction and decrease availability of androgen which produce sebum oil

Question 25

In care of mild burns the pt is at risk for tetanus which is

Answer 25

A wound infection caused by bacterial toxin that can settle in when burns and get thru skin
So make sure they are up to date w vaccines

Question 26

Order of care for severe burns

Answer 26

Airway, o2, smoke inhalation
Large bore IV access -fluids
Observe for s/s of shock
Pain management
Wound care/exchartomy
Nutritional support
Muskoskelatal / skin care
Physcosocial emotional support