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242 and 170 > Topical and transdermal meds > Flashcards

Topical and transdermal meds Flashcards

1
Q

are most topical applications used therapeutically absorbed well, completely or predicatably when applied to intact skin

A

no. because the thick skin is a natural barrier

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2
Q

percutaneous means

A

through the skin

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3
Q

can topical meds cause systemic effects

A

if given in lg doses or high conc

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4
Q

transdermal patch can be applied to

A

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

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5
Q

what part of the extremity should you not apply patch to

A

distal end

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6
Q

where should women not apply nicotine or estrogen patches

A

their breasts

estrogen also shouldnt go on waistline

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7
Q

what do you do if hair will interfere w the patch

A

Clip DONT SHAVE

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8
Q

What do you write on the patch BEFORE applying to client

A

date
time
initial

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9
Q

how does fever affect care of pt w transdermal patch

A

inc absorption. monitor for changes in effects of the med

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10
Q

where should pts at home discard of used patches

A

folded w med side on inside, put in closed contianer away from kis or pets

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11
Q

how do you prep the site before applying dermatological preparation

A

thoroughly clean the area w soap and water, dry using patting motions

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12
Q

when applying powder how much do you put on

A

fine, thin layer of powder

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13
Q

do you apply skin preparations against the direction of hair growth or with it

A

in direction of hair growth

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14
Q

how to apply suspension based lotion

A

Suspension based lotion
• Shake
• Apply to gauze and stroke evenly in the direction of hair growth

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15
Q

creams, ointments, pastes, and oil-based lotions

how dyou apply?

A
  • Warm and soften it in gloved hands

* Use long strokes in direction of hair growth to spread it

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16
Q

once the patch is ready to be applied how do you physically apply it

A

press firmly w the palm of your hand for 10 seconds

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17
Q

T or F you directly apply suspension based lotion to skin

A

F. apply it to gauze first and then apply the gauze to site

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18
Q

before applying any topical med what do you do to pt

A

clean the skin site

19
Q

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?

A

false w gloves: wash site thoroughly w mild, nondrying soap & warm water, rinse and dry

20
Q

if skin is broken what type of gloves should you wear? when applying topical med

A

sterile gloves. if not broken can use clean

21
Q

you want to apply topical cream ointment or oil based lotion but your pts skin is excessively dry and flaking. what do you do?

A

apply it while skins still damp from cleaning

22
Q

during procedure for applying topicl cream ointment or oil based solution do you apply med straight from bottle to skin

A

no, warm or soften it in hands by rubbing briskly to make it easier to spread

23
Q

procedure for applying topicl cream ointment or oil based solution

A
  1. wash, rinse, dry area
  2. change gloves
  3. place required amount of med in hands and warm it/soften it by rubbing briskly
  4. warn pt of cold. apply in even long strokes in diretion of hair growth. dont rub vigorously
  5. tell pt that skin may feel greasy after application
24
Q

where dyou dispose of antianginal meds

A

in biohazard container

25
Q

after removing antianginal from skin what dyou do

A

wipe off residual med

dispose of it in biohazard after sticking the sides together w med side on inside

26
Q

can you measure a smaller amount from a nitro patch thats a unit dose package

A

no. dont cut them

27
Q

how dyou measure an antianginal OINTMENT

A

usually in inches. you squeeze them out onto small sheet of marked paper marked in 1/2 inches

28
Q

where do you apply nitro patches (antianginals)
can you apply them to distal arm?
to thigh?

A

chest, back, abdomen or anterior thigh

no. dont apply to arms

29
Q

do you rub on antiangianl ointment

A

no

30
Q

how dyou secure antianginal ointment and paper?

A

w tape or transparent dressing. plastic wrap may be usd as an occlusive dressing

31
Q

where shoud you heck for old transdermal patches

A

the usual sites and

everywhere you would think but for some reason skin folds. the patches are small clear or flesh colored

32
Q

if in hospital how dyou dispose of transdermal patch

A

in biohazard trash

33
Q

should you ever apply transdermal patch on irritated skin

A

nope

34
Q

how long should you wait to apply patch to a previously used site

A

1 week

35
Q

how long is it recommended to be patch free each day

why

A

10-12hrs because tolerance develops

36
Q

how dyou admin aerosol sprays eg local aesthetic

A

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

37
Q

if applying powder near pts face what dyou do

A

ask them to turn face or shield them

38
Q

if skin site appears inflamed and edematous w blistering and oozing of fluid from lesions what does it indicate and what do you do

A

this indicates subacute inflammation or eczema that can develop if skin lesions are getting worse
hold the medication. notify

39
Q

creams, ointments, pastes, and oil-based lotions

what should you warn pt about

A

skin may feel greasy

40
Q

where does a testoderm patch go?

scopalamine?

A

t-scrotum

s-behind the ear

41
Q

should you use ballpoint pen to write on patches

A

nope it could damage it, use soft tip or felt pen

42
Q

how long befor eyou can return to a site and apply a new patch where there was one ____ days ago

A

a week

43
Q

how far awy do you hold aerosol sprays to admin to skin

A

15-30cm

44
Q

do you shake suspension based ltoion

A

yes. vigorously

242 and 170 (5 decks)

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