Week 8: Chapter 37: Insect Bites and Stings Flashcards
if a patient’s insect bite looks like a tick/spider bite, what is the appropriate recommendation?
tell them to go to the doctor
notable exclusions for self-treatment of bite
- systemic symptoms to bite
- under 2 y/o
if insect bite/sting has spread from reaction site, what is the appropriate recommendation?
tell them to go to the doctor
best non-pharm treatment for bug bite?
ice pack for up to 10 minutes
what product is a good insect repellant?
side effects?
do not spray onto ____ skin
insect repellants containing DEET
breathing difficulty, burning eyes, or headaches
damaged
best treatment for insect bite/sting?
topical anesthetics
how to properly get out the stinger from a bee sting? what should you NOT do? why?
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
how often can you apply local anesthetics, topical antihistamines, counterirritants, and hydrocortisone?
do not use longer than?
3-4 times a day
7 days
Pramoxine
drug class
Topical anesthetic
Benzocaine
drug class
Topical anesthetic
Dibucaine
drug class
Topical anesthetic
Lidocaine
drug class
Topical anesthetic
Benzyl alcohol
drug class
Topical anesthetic
Phenol
drug class
Topical anesthetic
Camphor
drug class
Topical anesthetic
Menthol
drug class
Topical anesthetic
Diphenhydramine
drug class
Topical anesthetic
best non-pharm treatment for insect sting?
ice pack for up to 10 minutes
counsel point to tell patient about 7 days following a sting
if pain, itching, or swelling worsen after 7 days they should go see doctor
how do you remove a tick?
with tweezers
what is pediculosis?
lice
Hydrocortisone
drug class
Topical corticosteroid
what can patient apply to protect skin from bugs to prevent bug bites?
calamine and zinc oxide
before/after applying topical products, what should patient do?
wash and dry hands
Permethrin
drug class
Pediculicides
Pyrethrin/Piperonyl butoxide
drug class
Pediculicides
Dimethicone
drug class
Pediculicides
children under two years should not use which Pediculicide?
children under two months should not use which pediculicide?
pyrethrins
permethrins
if a woman is pregnant or breast-feeding and they have suspected lice, what is the appropriate recommendation?
go see doctor
pregnant women should not use which Pediculicide unless prescribed?
pyrethrins
how to use pyrethrin shampoo?
what is the only difference in using a permethrin shampoo?
- 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
what should you recommend a patient does once lice is confirmed?
- 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
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:
- 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
alternate recommendation for lice: dimethicone
how to use:
side effect/reactions?
- 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
