Skin, Eyes, Ears

Question 1

Common Anti-Acne Drug client education?

Answer 1

• ALWAYS begin and end with hand hygiene
• Clean the area to remove debris, drainage and/or residual medication
• Don clean gloves to apply topical medication if the skin is broken
• Store medication as recommended

Question 2

Benzoyl Peroxide indication?

Answer 2

• 1st line treatment for mild to moderate acne
  
  • improvement is seen in 4-6 weeks

Question 3

Benzoyl Peroxide adverse effects?

Answer 3

• Peeling skin (dryness)
• Erythema (over treated area)
• Sensation of warmth

Question 4

When would Benzoyl Peroxide need to be discontinued?

Answer 4

Drug must be discontinued if blistering and/or swelling of the skin occur (cues of an allergic reaction)

Question 5

Benzoyl Peroxide client education?

Answer 5

Teach client to apply topically 1-4 times daily (depending on the dose, form, & HCP instructions)

Question 6

Isotretinoin special considerations?

Answer 6

• Category X- not safe for pregnant women -> birth defects (teratogen)
• Females MUST use 2 forms of birth control while on this medication (iPLEDGE); 2 negative pregnancy tests before starting medication
• Reports of suicide & suicide attempts; have client’s report any sign of increasing depression

Question 7

Tretinoin special considerations?

Answer 7

• Started with a low dose
• Applied every 2-3 days
• Severe sunburn can occur
• Waxing procedures are contraindicated

Question 8

Fluorouracil special considerations?

Answer 8

• Can be applied w/ a nonmetallic applicator, clean fingertips, or gloved fingers
• If fingertips are used, client MUST wash them thoroughly after application

Question 9

At what age can we tell parents to apply sunscreen on their child?

Answer 9

NO SUNSCREEN ON INFANTS (less than 6 months old)

Question 10

What are things we can tell the parents to do to protect their child from the sun?

Answer 10

• Wear sunscreen
  
  • SPF greater than 15 = reduce risk for skin cancer & early skin aging

Question 11

Mupirocin indications?

Answer 11

Impetigo and nasal colonization with MRSA

Question 12

Silver Sulfadiazine indications?

Answer 12

Prevention & treatment of infections in burns

Question 13

Silver Sulfadiazine special considerations?

Answer 13

• Contraindicated in clients with an allergy to sulfonamide abx
• Sterile application

Question 14

Brand name for Finasteride?

Answer 14

Propecia (1 mg)

Question 15

Propecia special considerations?

Answer 15

• Women should not handle this drug without gloves or crush this drug (airborne); Category X
• Educate client to notify HCP if changes in breasts (lumps, pain, nipple discharge) occur

Question 16

If a client was prescribed miotic eye drops, would it cause pupil constriction or dilation?

Answer 16

Pupil constriction

Question 17

Why do newborn babies receive a “ribbon” of erythromycin?

Answer 17

Prophylaxis for neonatal conjunctivitis caused by Chlamydia trachomatis AND for the prevention of eye infections in newborns that may be caused by Neisseria gonorrhoeae

Question 18

How do you administer eyedrops in patients 3 and younger?

Answer 18

In children younger than 3, hold pinna down and back

Question 19

How do you administer eyedrops in patients 3 and older?

Answer 19

Adults: hold pinna up and back

Question 20

What can administering cold ear drops cause?

Answer 20

Solutions that are too cold can cause dizziness, vertigo, and vomiting.

Question 21

Ear drops client education?

Answer 21

• Warn that dizziness may occur after the application of the medication
  
  • Remain supine or sitting during the medication administration
• If the solution has been refrigerated, allow it to warm to room temperature