Week 8: Chapter 37: Insect Bites and Stings

Question 1

if a patient’s insect bite looks like a tick/spider bite, what is the appropriate recommendation?

Answer 1

tell them to go to the doctor

Question 2

notable exclusions for self-treatment of bite

Answer 2

• systemic symptoms to bite

- under 2 y/o

Question 3

if insect bite/sting has spread from reaction site, what is the appropriate recommendation?

Answer 3

tell them to go to the doctor

Question 4

best non-pharm treatment for bug bite?

Answer 4

ice pack for up to 10 minutes

Question 5

what product is a good insect repellant?
side effects?
do not spray onto ____ skin

Answer 5

insect repellants containing DEET
breathing difficulty, burning eyes, or headaches
damaged

Question 6

best treatment for insect bite/sting?

Answer 6

topical anesthetics

Question 7

how to properly get out the stinger from a bee sting? what should you NOT do? why?

Answer 7

pick it out with your fingernails or use something to scrape it out
don’t use tweezers b/c they can cause the stinger to release more venom

Question 8

how often can you apply local anesthetics, topical antihistamines, counterirritants, and hydrocortisone?
do not use longer than?

Answer 8

3-4 times a day

7 days

Question 9

Pramoxine

drug class

Answer 9

Topical anesthetic

Question 10

Benzocaine

drug class

Answer 10

Topical anesthetic

Question 11

Dibucaine

drug class

Answer 11

Topical anesthetic

Question 12

Lidocaine

drug class

Answer 12

Topical anesthetic

Question 13

Benzyl alcohol

drug class

Answer 13

Topical anesthetic

Question 14

Phenol

drug class

Answer 14

Topical anesthetic

Question 15

Camphor

drug class

Answer 15

Topical anesthetic

Question 16

Menthol

drug class

Answer 16

Topical anesthetic

Question 17

Diphenhydramine

drug class

Answer 17

Topical anesthetic

Question 18

best non-pharm treatment for insect sting?

Answer 18

ice pack for up to 10 minutes

Question 19

counsel point to tell patient about 7 days following a sting

Answer 19

if pain, itching, or swelling worsen after 7 days they should go see doctor

Question 20

how do you remove a tick?

Answer 20

with tweezers

Question 21

what is pediculosis?

Answer 21

lice

Question 22

Hydrocortisone

drug class

Answer 22

Topical corticosteroid

Question 23

what can patient apply to protect skin from bugs to prevent bug bites?

Answer 23

calamine and zinc oxide

Question 24

before/after applying topical products, what should patient do?

Answer 24

wash and dry hands

Question 25

Permethrin

drug class

Answer 25

Pediculicides

Question 26

Pyrethrin/Piperonyl butoxide

drug class

Answer 26

Pediculicides

Question 27

Dimethicone

drug class

Answer 27

Pediculicides

Question 28

children under two years should not use which Pediculicide?

children under two months should not use which pediculicide?

Answer 28

pyrethrins

permethrins

Question 29

if a woman is pregnant or breast-feeding and they have suspected lice, what is the appropriate recommendation?

Answer 29

go see doctor

Question 30

pregnant women should not use which Pediculicide unless prescribed?

Answer 30

pyrethrins

Question 31

how to use pyrethrin shampoo?

what is the only difference in using a permethrin shampoo?

Answer 31

• apply enough to cover scalp and hair that is dry
• keep in hair for 10 minutes
• lather shampoo throughout hair and then rinse
• use a nit comb to remove dead lice and eggs
• repeat in 7-10 days if lice or nits are observed

clean hair first and apply after drying hair

Question 32

what should you recommend a patient does once lice is confirmed?

Answer 32

• get a pediculicide
• thoroughly wash/scrub anything that has come into contact with person having lice
• wash/dry clothes on highest heat setting possible
• vacuum living areas regularly
• place anything that cannot be washed in a plastic bag for 14 days

Question 33

recommendation for bug bite with topical anesthetic: menthol gel
how to use:
what to do after applying:
counseling points:
side effects:
do not use longer than _ days
counsel on if symptoms worsen:

Answer 33

• apply 3-4 times a day to bug bite
• wash hands after applying
• do not allow applied area to get warm
• Redness, warmth, or irritation
• 7
• if symptoms worsen or last longer than 7 days go see doctor

Question 34

alternate recommendation for lice: dimethicone
how to use:
side effect/reactions?

Answer 34

• apply to scalp and leave in for 10 minutes and wash hair with shampoo and no conditioner. towel dry hair and use a knit comb through hair
• can irritate skin, allergic reaction is rare