topical Flashcards

1
Q

Erythema

A

redness of the skin

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2
Q

Pruritis

A

a skin disorder attended with itching

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3
Q

Candidiasis

A

a fungal infection

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4
Q

Tinea

A

ringworm

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5
Q

AA

A

Affected area

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6
Q

Crm

A

Cream

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7
Q

Ung

A

Ointment

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8
Q

Cmpd

A

Compound

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9
Q

UD

A

As directed

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10
Q

PRN

A

As needed

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11
Q

Lidocaine MOA

A

Local anesthetic agent

Stabilize neuronal membranes producing an analgesic effect

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12
Q

Lidocaine indications

A

Treatment/relief of pain

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13
Q

Lidocaine adverse effects

A

Application site irritation

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14
Q

Lidocaine interactions

A

Antiarrhythmic agents

Local anesthetics

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15
Q

Lidocaine counseling

A

Apply to intact skin only; patches may be cut into smaller sizes with scissors before removal of the release liner
Wash hands after handling patch and avoid eye contact
Store and dispose of patches out of the reach of children, pets, and others
Never reuse a patch
Remove patch prior to MRI procedures to avoid burns

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16
Q

Clobetasol, Fluocinonide, Hydrocortisone, Mometasone, Triamcinolone
Topical Corticosteroids MOA

A

Produces anti-inflammatory, antipruritic, and vasoconstrictor actions

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17
Q

Clobetasol, Fluocinonide, Hydrocortisone, Mometasone, Triamcinolone
Topical Corticosteroids indications

A

Psoriasis

Dermatitis

18
Q

Clobetasol, Fluocinonide, Hydrocortisone, Mometasone, Triamcinolone
Topical Corticosteroids adverse effects

A

Dryness
Burning
Itching
Irritation

19
Q

Clobetasol, Fluocinonide, Hydrocortisone, Mometasone, Triamcinolone
Topical Corticosteroids counseling

A

For external use only; do not apply to mucous membranes
Apply in a thin layer
Do not cover treated area unless directed by a physician
Avoid sunlight exposure to affected area

20
Q

Metronidazole, Mupirocin, Chlorhexidine, Clindamycin

Topical Antibiotics/Antiseptics MOA

A

Inhibits protein synthesis

Causes cell death in susceptible organisms

21
Q

Metronidazole, Mupirocin, Chlorhexidine, Clindamycin

Topical Antibiotics/Antiseptics indications

A

Treatment of acne/rosacea

Treatment of bacterial vaginosis

22
Q

Metronidazole, Mupirocin, Chlorhexidine, Clindamycin

Topical Antibiotics/Antiseptics adverse effects

A

Topical: Burning, skin irritation, dryness, headache
Vaginal: Vulva/vaginal irritation, vaginal discharge, fungal infection
Serious: leukopenia

23
Q

Metronidazole, Mupirocin, Chlorhexidine, Clindamycin

Topical Antibiotics/Antiseptics interactions

A

Warfarin?

Alcohol?

24
Q

Metronidazole, Mupirocin, Chlorhexidine, Clindamycin

Topical Antibiotics/Antiseptics patient counseling

A

For external use only
Avoid contact with eyes or mouth
Wash hands and affected areas before application of gel
Cosmetics can be worn after application of gel
Discontinue use and notify physician if skin rash occurs
Vaginal Product:

25
Q

Mupirocin MOA

A

Inhibits protein synthesis in susceptible organisms

26
Q

Mupirocin indications

A

Secondary infected skin lesions
Impetigo
Elimination of nasal MRSA

27
Q

Mupirocin adverse effects

A

Burning
Stinging
Erythema

28
Q

Mupirocin counseling

A

For external use only
Avoid contact with eyes or mouth.
Treated area may be covered with a dressing
Contact provider if no improvement is seen in 3-5 days

29
Q

Chlorhexidine MOA

A

Binds to bacterial cell walls and extramicrobial complexes

Bactericidal effect

30
Q

Chlorhexidine indications

A

Skin cleanser

Germicidal hand rinse

31
Q

Chlorhexidine adverse effects

A

Erythema
Roughness and/or dryness
Sensitization

32
Q

Chlorhexidine counseling

A

For external use only
Do not swallow solution
Do not apply to wounds that involve more than superficial layers of skin
Do not use on lumbar puncture sites
Solutions may be flammable
Avoid application to hairy areas, which may significantly delay drying time

33
Q

Clindamycin MOA

A

Inhibit protein synthesis by binding to 50S ribosomal subunits
The drug inhibits the growth of susceptible organisms on the surface of the skin and reduces the concentration of free fatty acids in sebum.

34
Q

Clindamycin indications

A

Treatment of acne
Treatment of bacterial vaginosis
Treatment of susceptible bacterial infections

35
Q

Clindamycin adverse effects

A

Topical: Dryness, burning, itching, scaliness/peeling skin, erythema, oiliness
Vaginal: Vaginal candidiasis, vaginitis, pruritis, vaginal pain

36
Q

Clindamycin counseling

A

Patient Counseling (Topical)
Wash hands thoroughly before and after applying
Apply small amount of product to affected area
Wait 30 minutes before shaving or applying makeup after application
Patient Counseling (Vaginal)
Remain lying down for 30 minutes following administration
Avoid intercourse during therapy
Vaginal products may weaken condoms or contraceptive diaphragms

37
Q

Ketoconazole, Terconazole

A

Topical Antifungals

38
Q

Ketoconazole, Terconazole MOA

A

Disrupts cell wall permeability

39
Q

Ketoconazole, Terconazole indications

A

Ketoconazole
Treatment of cutaneous fungal infections
Terconazole
Treatment of uncomplicated vulvovaginal candidiasis

40
Q

Ketoconazole, Terconazole adverse effects

A

Ketoconazole
Severe skin irritation, pruritis, stinging
Terconazole
Burning and irritation, itching

41
Q

Ketoconazole counseling

A

For external use only; not for ophthalmic, oral, or intravaginal use
Although improvement and symptom relief usually occur quickly, continue to treat for recommended time period

42
Q

Terconazole counseling

A

For vaginal use only
Refrain from intercourse during period of treatment - sexual partner may experience penile irritation
Suppositories may cause breakdown of condoms and diaphragms - avoid concurrent use
Finish course of therapy even if symptoms have improved
Vaginal product does not appear to interact with oral contraceptives