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Adult Health Nursing
Ch 3 Skin Diseases MEL
| Question | Action | Side Effect |
|---|---|---|
| Silver Sulfadiazine / Silvadene | Broad antimicrobial gram neg & pos Candida organism | skin may develop slimy, grayish apperance, simulating infection despite neg cultures prolonged use causes skin rash & depress granuloctye formation |
| Pyrethrin / RID | Pediculicide | local irritation(do not use on eyebrows or eye lashes) |
| Acyclovir / Zovirax Herpes | Antiviral | topical: burning, rash, pruritus,stinging(use gloves,cover lesion completely) Systemic: headache, seizures, renal toxicity, phlebitis at IV site(ensure adequate hydration to prevent crystallization in the kidneys,admin IV dose for @least a hour) |
| Coal Tar / Ester-Gel / Psori-Gel / other | treatment of pruritic dermatoses, including eczema and psoriasis | Photosensitivity, dermatitis,allergic reactions (avoid exposure sunlight for 72 hrs after use, stains everything it touches,external use only) |
| Isotretinoin / Accutane | Antiacne agent | severe dryness of skin, mouth, eyes,mucous membranes,nose, & nails, skin fragility,epistaxis, joint,muscle,abdom pain,nausea(give drug during meals, don't give vit A, avoid exposure to sunlight; contraception is a must during therapy 1 mo b4 & after) |
| Bactroban / Mupirocin Impetigo | Topical antibiotics | |
| Aluminum Acetate solution / Burow's Solution | Astringent | local irritation, allergic reactions (do not use with occlusive dressings, external use only) |
| Silver Nitrate | Bacteriostatic effect lessens pain & eliminates odor, reduces evaporative water loss from burns | Electrolyte imbalance, stains everything, doesn't penetrate eschar, pain on application |
| Ativan / Lorazepam Herpes Zoster | Tranquilizer, decrease anxiety | |
| Lotrimin AF / Miconazole | Antifungal | |
| Griseofulvin / Fulvicin / Grisactin / Grifulvin | Antifungal | hypersensitivity reactions, photosensitivity, nausea, fatigue, mental confusion(Avoid sunlight, drug absorption increased when given with meals, clinical response may appear after full course of therapy |
| Mafenide / Sulfamylon | Bacteriostatic against gram-neg & positive Penetrates thick eschar | Metabolic Acidosis, Pain on application, Allergic rash |
Created by:
diamondgirljaz
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