Test 1 Deck 2 Flashcards
Side effects steroids
Hypopigmentation, atrophy, telangiectasia, bruising, striae, infection, acne, rosacea, hypertrichosis
Mix of organic chemical/oils, water and preservative. Cosmetically acceptable. Intertriginous areas. White, slightly greasy
Cream
Treatment of exudative skin diseases?
Wet dressings
Pulse therapy 2 weeks on 1 week off?
Group I agents
Propylene glycol, water, alcohol. Greaseless, clear jelly like, scalp. Acute exudative inflammation.
Gel (think sun burn: acute inflammation)
Water, ETOH, chemicals. Clear or milky. Least lipophilic. Scalp. Stinging and drying in intertriginous areas
Solutions and lotions
5 common mistakes of topics steroids
- MC: too weak
- Not enough meds
- Failure to follow up
- Too strong on kids
- Too strong on face
Test for allergy to steroids?
Patch testing
Limited organic compounds, primarily grease, no water. Too occlusive for intertriginous areas.
Ointments
IM corticosteroids can cause what if too short?
Local atrophy
BID x 2-6 weeks dosing?
II-VI
Systemic effects of steroids
Adrenal axis suppression: teens, children <2 think baby w/ diaper
Cushing, FTT, stunted growth, cataracts/glaucoma
___ inc. potency x100, even hydrocortisone under a diaper
Occlusion
Effects of topical steroids?
Anti-inflammatory, vasoconstriction, anti-mitotic
Scalp, acute eczematous inflammation. Poison ivy/plaque psoriasis. Good for high potency preps
Foam