Topical and transdermal meds Flashcards
are most topical applications used therapeutically absorbed well, completely or predicatably when applied to intact skin
no. because the thick skin is a natural barrier
percutaneous means
through the skin
can topical meds cause systemic effects
if given in lg doses or high conc
transdermal patch can be applied to
Apply transdermal patches to hairless clean areas that don’t wrinkle or go through excessive movement
eg trunk or lower abdomen
• May be applied to side, lower back, buttocks
what part of the extremity should you not apply patch to
distal end
where should women not apply nicotine or estrogen patches
their breasts
estrogen also shouldnt go on waistline
what do you do if hair will interfere w the patch
Clip DONT SHAVE
What do you write on the patch BEFORE applying to client
date
time
initial
how does fever affect care of pt w transdermal patch
inc absorption. monitor for changes in effects of the med
where should pts at home discard of used patches
folded w med side on inside, put in closed contianer away from kis or pets
how do you prep the site before applying dermatological preparation
thoroughly clean the area w soap and water, dry using patting motions
when applying powder how much do you put on
fine, thin layer of powder
do you apply skin preparations against the direction of hair growth or with it
in direction of hair growth
how to apply suspension based lotion
Suspension based lotion
• Shake
• Apply to gauze and stroke evenly in the direction of hair growth
creams, ointments, pastes, and oil-based lotions
how dyou apply?
- Warm and soften it in gloved hands
* Use long strokes in direction of hair growth to spread it
once the patch is ready to be applied how do you physically apply it
press firmly w the palm of your hand for 10 seconds
T or F you directly apply suspension based lotion to skin
F. apply it to gauze first and then apply the gauze to site
before applying any topical med what do you do to pt
clean the skin site
T or F if youre applying med to a wound you shouldnt use soap to clean the area because it interferes w the medication. How doyou clean the area?
false w gloves: wash site thoroughly w mild, nondrying soap & warm water, rinse and dry
if skin is broken what type of gloves should you wear? when applying topical med
sterile gloves. if not broken can use clean
you want to apply topical cream ointment or oil based lotion but your pts skin is excessively dry and flaking. what do you do?
apply it while skins still damp from cleaning
during procedure for applying topicl cream ointment or oil based solution do you apply med straight from bottle to skin
no, warm or soften it in hands by rubbing briskly to make it easier to spread
procedure for applying topicl cream ointment or oil based solution
- wash, rinse, dry area
- change gloves
- place required amount of med in hands and warm it/soften it by rubbing briskly
- warn pt of cold. apply in even long strokes in diretion of hair growth. dont rub vigorously
- tell pt that skin may feel greasy after application
where dyou dispose of antianginal meds
in biohazard container
after removing antianginal from skin what dyou do
wipe off residual med
dispose of it in biohazard after sticking the sides together w med side on inside
can you measure a smaller amount from a nitro patch thats a unit dose package
no. dont cut them
how dyou measure an antianginal OINTMENT
usually in inches. you squeeze them out onto small sheet of marked paper marked in 1/2 inches
where do you apply nitro patches (antianginals)
can you apply them to distal arm?
to thigh?
chest, back, abdomen or anterior thigh
no. dont apply to arms
do you rub on antiangianl ointment
no
how dyou secure antianginal ointment and paper?
w tape or transparent dressing. plastic wrap may be usd as an occlusive dressing
where shoud you heck for old transdermal patches
the usual sites and
everywhere you would think but for some reason skin folds. the patches are small clear or flesh colored
if in hospital how dyou dispose of transdermal patch
in biohazard trash
should you ever apply transdermal patch on irritated skin
nope
how long should you wait to apply patch to a previously used site
1 week
how long is it recommended to be patch free each day
why
10-12hrs because tolerance develops
how dyou admin aerosol sprays eg local aesthetic
shake vigorously. read container to see how far away to hold it (usually 15-30cm)
ask pt to turn away or hold towel to shield them
spray evenly
if applying powder near pts face what dyou do
ask them to turn face or shield them
if skin site appears inflamed and edematous w blistering and oozing of fluid from lesions what does it indicate and what do you do
this indicates subacute inflammation or eczema that can develop if skin lesions are getting worse
hold the medication. notify
creams, ointments, pastes, and oil-based lotions
what should you warn pt about
skin may feel greasy
where does a testoderm patch go?
scopalamine?
t-scrotum
s-behind the ear
should you use ballpoint pen to write on patches
nope it could damage it, use soft tip or felt pen
how long befor eyou can return to a site and apply a new patch where there was one ____ days ago
a week
how far awy do you hold aerosol sprays to admin to skin
15-30cm
do you shake suspension based ltoion
yes. vigorously
