Wounds:Topicals Flashcards
1
Q
Anti-Septic Topicals
A
- Alcohols, Biguanides, Halogen Cmpds, Iodine, Organic Acid Acetic, Peroxides, Sulfa, Tinctures, Mercurochrome
2
Q
Anti-Biotic Ointment
A
- Petroleum Based Antibx
- Rx Based Antibx
3
Q
Topical Pain Agents
A
Lidocaine
4
Q
Topical Debridement Agents
A
Enzymatic Debridement Agents
5
Q
Anti-Septic Topicals:
Alcohols
A
- Used as disinfectant on intact skin
-
Precautions:
- Cytotoxic, may cause dryness and irritation on skin
6
Q
Anti-Septic Topicals:
Biguanides
A
- Highly effective as handwashing agent for surg. scrub
-
Precautions:
- Toxicity
7
Q
Anti-Septic Topicals:
Halogen Cmpds
A
- Dakins Solution, Boric Acid, Bleach
-
Type of Wound:
- Gram+ or Gram- bx infxs
- Wounds w/ purulent exudate
-
Precautions:
- Cytotoxic→ delays wound healing
-
Contraindications:
- Noninfected wound
*Discontinue when wound clean
8
Q
Anti-Septic Topicals:
Iodine
A
- Antimicrobial
- Ex. Betadine
- Type of Wound: Staph Infx
-
Precuations:
- Cytoxic (delays wound healing)
- Pot. thyroid toxicity
9
Q
Anti-Septic Topicals:
Organic Acid Acetic
A
- Inhibit bacterial infx’s
- Type of wound: Pseudomonas aeruginosa
- Contraindications: NONinfx wound
- Damages fibroblasts more than bacteria
10
Q
Anti-Septic Topicals:
Peroxides
A
- Used for nonselective debridement to loosen sm. debris in wound
- Precautions: Cytotoxic unless diluted
- Contraindications: Noninfx, Tunneling, Granulating wounds
11
Q
Anti-Septic Topicals:
Sulfa
A
- Antimicrobial
- Ex’s: Silver Sulfadiazine, Silver Nitrate Solution
- Type of Wound: Gram +/Gram- bacterial infx’s, yeast/fungal infx’s, thermal inj’s
- Precautions: can cause severe neutro/leukopenia
- Contraindications: Renal, Hepatic disorders, Pregnancy
12
Q
Anti-Septic Topicals:
Tinctures
A
- Very weak antiseptic, Kills gram+ organisms, some yeast
- Precautions: Pot carcinogen, cytotoxic
13
Q
Anti-Septic Topicals:
Mercurochrome
A
- Mercury based w/ antiseptic props.
- Type of Wound: Mercurochrome
- Precautions: use sparingly since Mercury
- Irritates open wounds*
14
Q
Antibiotic Ointments
Petroleum-Based Antibx
A
- Helps w/ moisture
- Ex’s: Bacitracin, Neosporin
15
Q
Antibiotic Ointments
Rx-Based Antibiotics
A
- Ex. Bactroban
- Type of Wounds: Staph, MRSA, Strep