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59 Cards in this Set

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Mepitel

what is it?
synthetic transparent dressing
Why use transparent dressing (Mepitel)? (x4)
1. v infection rates
2. v pain
3. v cost
4. able to see wound w/o dressing removal
Bullous impetigo

caused by...
staph
like medieval weapons: bolus and staph
impetigo

cause by either....
staph or strep
staph

systemic antibiotic to use is...
penicillin
tretinoin (Retin-A)

ngs imp...
apply when?
tx effect takes how long?
-skin irritant
-HS
-2-3 wks to 2-3 mos.
mafenide (Sulfamylon)

kills...
pseudomonas
"-mylon" like "nylon" is fake, as in "pseudo"
nitrofurazone (Furacin)

kills...
staph
I will use my ninja 'staff' with "fury"
staph on skin, use...
nitrofurazone (Furacin)
pseudomonas on skin, use...
mafenide (Sulfamylon)
amphoteracin B

classification
anti-fungal
psoriasis

first line Rx is...
calcipotriene (Dovonax)
"Psorry" I calcified your dove...
psoriasis

goal of topical tx...
v skin cell production
calcipotriene (Dovonax)

action is...
to v skin cell production
debridment

topical agents include both...
elase and collagenase
anthrax

organism category and description are...
latin name...
gram-positive, rod-shaped bacteria
bacillus anthracis
anthrax

Rx is both...
cipro & doxy
Cipro

adverse effects are... (x3)(
local burning, irritation, crystalline precipation on cornea
scabies leave...
s-shaped tracts
Rx for lice and scabies
lindane (Kwell)
lindane (Kwell)

nsg imp... (x2)
adverse effect...
...apply to cool, dry skin
...risk of sys. absorb.
...neurotoxic: restless, dizzy, convulsions, h/a, n/v
Acyclovir (Zovirax)

common assoc. s/e
h/a
If acyclovir applied topically

nsg imp...
freq. topical dosing req.
metronidazole (Flagyl)

drug class...
anti-fungal
Balmax is...
use...
,,,OTC barrier cream
...diaper rash, etc.
Candida tx...
Nystatin
Anthralin (Drithocreme)

Rx for...
nsg imp...(x2)
...psoriasis
...potent skin irritant
...remove p2hrs
"Dry thou cream"?! Never, you must wash it off!
Hydrocolloid dressing

use as...
protection for uninfected wound
Collagenase

brand name...
...(Santyl)
terbinafine (Lamisil)

pharm class...
drug class...
...allylamines
...anti-fungal
why use warm, moist, occlusive dressing?
enhance topical glucocorticoids
Tongue depressor as med applicator for...
open wounds
corticosteroids

s/e... (3)
...hyperglycemia
...fluid retention
...delayed wound healing
Associate tachycardia & heat sensitivity w/...
hormone replacement thx for hypothyroidism
Proteolytic enzymes

example...
procedure...(x4)
...collagenase
...applied with sterile gauze, covered, held in place UNTIL granulation appears
Wart tx:
agent?
example?
action?
...Kerotinolytic agent
...salicylic acid
...kills skin cells containing papilloma virus
Astringent causes ...
topical vasoconstriction
^ risk of toxicity from topical drugs...
children
^ risk of toxicity from inhalation route...
pregnant clients
^ risk of toxicity from excessive accumulation of drugs in organs...
older clients
acne:
assoc'd cause...
process...
Rx...
drug class...
...^ androgens
...excessive sebum prod.
...drying agent
...keratinolytic
Viligon is a...
tx for...
... semi-permeable dressing
...Stevens-Johnson Syndrome (SJS)
Stevens-Johnson Syndrome (SJS)
s/s process...(1st & 2nd)
1st - chills fever malaise
2nd (few days p) - general blister-like skin lesions & skin sloughing
Stevens-Johnson Syndrome (SJS)
associated with...(ex.)
abnormal drug response
(part. sulfanomides)
Stevens-Johnson Syndrome (SJS)
tx... (x2)
action...
...Viligon dressing & IGIV
...v s/s w/in 48 hrs
Pruritus

Rx...
corticosteroids
immunomodulators

Rx that's good for...
psoriasis
Nizatidine (Axid)
pharm class...
action...
...histamine-2
...controls gastric secretions
emolliants...
hydrate
dry powders are usually...
for what?
...protective agents
...for moist app. to prevent drying
wet dressings are usually for...
inflamed skin
Rx for partial- and full-thickness burns...
mafenide (Sulfamylon)
Why use mafenide (Sulfamylon) on burns? (x2)
penetrates eschar & protects from infection
Burn wounds

usually contain Gram neg. or pos.?
ex... (x3)
Gram neg
...staph, pseudo, E. coli
Ointment applications, usu. used for... (x3)
^ penetration, ^ hydration, vasoconstriction
gel applications, usu. used for...
hairy areas
spray applications, usu. used for...
weeping lesions
skin lesions with topical tx improve how fast?
very slow to improve
Instralesional thx used for..
highly visible and resistant lesions