Self Care- Contact Derm Treatments

Card Set Information

Author:
mwill222
ID:
123388
Filename:
Self Care- Contact Derm Treatments
Updated:
2011-12-13 12:40:18
Tags:
pharmacy contact derm
Folders:

Description:
Fall 2011 PT Module III Contact Dermatitis
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user mwill222 on FreezingBlue Flashcards. What would you like to do?


  1. What are the (4) Non-Pharmacologic treatments of contact dermatitis?
    • Avoid allergen- drug, clothing, common sense
    • Remove Urushiol- w/in first 10min
    • Trim fingernails
    • Tepid showers
  2. What are the (6) pharmacologic therapies for contact dermatitis?
    • Topical anesthetics
    • Corticosteroids
    • Counterirritants
    • Astringents
    • Antihistamines
    • Topical Wash
  3. What are the (3) primary topical anesthetics? And why are they used?
    • Benzocaine
    • Phenol
    • Pramoxine
    • (to reduce itching)
  4. What is the mechanism of topical anesthetics?
    prevents impulses being carried to sensory neurons which sense pain or itching
  5. What is the dosing of topical anesthetics?
    apply up to 3-4 times daily
  6. Which corticosteroid is most commonly used with contact dermatitis?
    Hydrocortisone 1%
  7. What is the mechanism of hydrocortisone in treating contact dermatitis?
    reduce pruritis and inflammation
  8. What is the dosing of topical corticosteroids?
    apply up to 3-4 times a day
  9. When are systemic steroids used to treat contact derm and what's the dose?
    • for severe cases
    • 1mg/kg/day prednisone eq. tapered 12-21 days
  10. ___mg of methylpred = ___mg of prednisone
    • 4
    • 5
  11. What counterirrtants are used to treat contact derm?
    • Menthol
    • Camphor
  12. What is the mechanism of counterirritants?
    • depress the skins sensory receptors
    • local antipruritic and mild anesthetic properties
  13. What is the dosing of counterirritants?
    apply up to 3-4 times a day no longer than a week
  14. What are the adverse effects of counterirritants?
    local burning/irritation seen mostly on open lesions
  15. What are the (6) Astringents?
    • Aluminum acetate
    • Zinc oxide
    • Zinc acetate
    • Sodium bicarbonate
    • Calamine
    • Witch hazel
  16. What is the mechanism of astringents is treating contact derm?
    • promotes drying of wet dermatitis by contracting of the skin
    • reduce inflammation and promote healing
  17. What are the adverse effects of astringents?
    • drying of skin
    • cosmetically unappealing
  18. What are the (7) most commonlt used antihistamines used in contact derm?
    • Diphenhydramine
    • Chlorpheniramine
    • Clemastine
    • Brompheniramine
    • Triprolidine
    • Loratidine
    • Hydroxyzine
  19. What is the mechanism of antihistamines?
    • Block H1 receptors
    • reduce inflammation and itching
  20. What is the dosing of:
    -Topical antihistmines
    -Diphenhydramine
    -Hydroxyzine
    • Apply 3-4 times daily
    • 25-50mg Q6-8hrs
    • 25mg Q6-8hrs
    • (Do NOT use more than 7 days)
  21. What are the adverse effects of topical and systemic antihistamines?
    • Topically: may cause sensitization which can lead to worse respone
    • Systemic: anticholinergic effects, sedation
  22. When should you avoid using 1st generation antihistamines?
    • Glaucoma
    • Hypothyroidism
    • HTN
    • diabetes
    • BPH
    • Elderly
    • Chronic Bronchitis
  23. What is the topical wash used to treat contact derm?
    Zanfel
  24. What is the mechanism of Zanfel?
    Removes urushiol from binding sites in the skin
  25. What is the dosing of Zanfel?
    • Apply once daily as soon as possible after exposure
    • (rarely need 2nd dose)
  26. What are other agents used to treat contact derm?
    • Bentoquatam (Ivy-block)
    • Oatmeal
  27. What are the characteristics of Ivy-Block?
    • Approved barrier to urushiol
    • Apply prior to exposure and reapply Q4hrs
    • Generally well tolerated
  28. What are the characteristics of Oatmeal baths?
    • Provides soothing sensation
    • Bathe 15-30mins BID
    • Makes bath-tub slippery

What would you like to do?

Home > Flashcards > Print Preview