UV Flashcards
what wavelengths are correlated with UVA,B, and C
A = 320-400 nm
B = 280-320 nm
C = 185-280 nm
what is the UV wavelength spectrum
200-400 nm
physiological effects of UV light
absorbed 1-2 mm
erythema
epidermal thickening
pigmentation / Vitamin D
bactericidal effects
suppress circulating lymphocytes
timeline associated with erythema
2-4 hrs after treatment, peak within 12 hrs
what type of reaction occurs via UV light
photochemical reaction
what device is used in UV therapy
mercury arc lamps
- either high or low pressure
high pressure mercury lamps provide ______ UV light
full spectrum
UVA,UVB,UVC
low pressure mercury arc lamps provide _____ UV light
UVC
at 185-254 nm
what wavelengths are most effective at producing erythema
254-297 nm
what wavelengths are most effective for producing bactericidal effects
250-270 nm
UV inverse square law formula
E = I/D²
E - illumination intensity
I - lamp intensity
D = distance from source
minimal erythemal dosage is based upon
the time it takes for erythema to disappear
2.5 MED equals to
1 ED 1-3 days
5 MED equals to
2 ED 10-14 days
10 MED equals to
3 ED >14 days
indications of UV
chronic stage psoriasis
chronic wounds
infected wounds
exfoliation
acne
contraindications / precautions for UV
medications
foods
skin cancer
radiation treatment in area
fever
photosensitization
sun allergy
co-morbidities
what medications contraindicate UV
thiazide diuretics
phenothiazines
sulfonylureas
tetracyclines
chemotherapeutics
foods that contra indicate UV treatment
sensitivity to strawberries and eggs
what co-morbidities contraindicate UV
lupus
sarcoidosis
acute psoriasis
renal/hepatic insufficiencies
how administer UV therapy after determining MED
E1 for treatment areas <20% of body surface
E2 for treatment areas <250cm²
E3 for treatment areas <25cm²
what do both the patient and therapist need to wear during UV therapy
goggles
documentation of UV therapy
type of UV machine used
most recent MED measurement
– either every reassessment period, or if chronic each time of administration
body part treated
UV dosage (ED1-3)
pre/post treatment assessment
– 24 hours after