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Skin Agents

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What is keratin:
outer skin layer that provides a waterproof barrier
How can the absorption of the epidermis or keratin be enhanced:
hydrated
Ways medications are kept hydrated:
occlusive dressings (plastic wrapy)
Occlusive ointment (petroleum jelly)
What effect can alcohol have:
drying
What effects do steroids have on the skin:
thin the skin
Steroids are contraindicated for the:
face
groin
axillae
What can cause flare ups of acne vulgaris:
stress
Nonpharmacologic approach to tx of acne vulgaris:
avoid excessive scrubbing
Benzoyl Peroxide:
mild acne, may cause blisters
Clindamycin is classified as an
antibiotic
Clindamycin treats
moderate acne
Clindamycin is administered:
PO or systemic, often topical
SE of clindamycin:
drying, peeling, stinging
Clindamycin is applied how many times:
2x/day
Erythromycin is administered:
topically or PO
SE of erythromycin:
red tenderness
dryness
itching
burning
When to apply erythromycin:
every am & pm
Caution when using erythromycin:
dont use around mucous membranes
Tetracycline treats:
severe acne
Tetracycline is administered:
topical or PO
PO dosage of tetracycline:
low dose 250mg/day
Pt on tetracycline and has acute flare ups...
increase mg
Tetracycline can't be used with patients with:
pregnancy
SE of tetracycline:
yellowing in infant teeth
How many times to use tetracycline:
2x/day
When using tetracycline avoid:
mucous membrane, sun (use sunscreen)
Erythromycin is classified as an:
antibiotic
Tetracycline is classified as an:
antibiotic
Tretinoin (Retin-A) treats
mild-severe acne
Tretinoin (Retin-A) is made from
Vitamin A
SE of Tretinoin (Retin-A):
redness
edema
blisters
Besides acne tretinoin (Retin A) can be used to treatL
wrinkles
Things to remember when using tretinoin (retin-A)
never apply to open wound
-clean area first
Isotretinoin (accutane) is what kind of drug:
systemic
Isotretinoin (accutane) treats:
severe acne
Isotretinoin (accutane) is under what pregnancy category:
X
Isotretinoin (accutane) increases what:
triglycerides, watch for liver function test
SE of isotretinoin:
nose bleeds
itching
inflammation eyes & lips
Characteristics of psoriasis:
onset before 30yrs
chronic condition
tx based on severity
Anthraderm is used to treat:
topical, psoriasis
Estar is used to treat:
topical, psoriasis
Tazorac is used to treat:
topical, psoriasis
Methotrexate is used to treat:
systemic, anticancer drug, used to treat psoriasis
Who is methotrexate used for:
severe cases of psoriasis
Can pregnant women use methotrexate:
no
What increase with methotrexate:
photosensitivity
What kind of drug is Tegison
systemic to treat psoriasis
How long does it take for Tegison to work:
1-6mos
When can you use tegison:
after all others fail
Characteristics of Stevens-Johnson's Syndrome:
hypersensitive
widespread eruption & lesions
neurotis of organs
How long does stevens-johnson's syndrome last:
months
Reaction of stevens-johnson syndrome:
mides and anticonvulsants
Treatment of stevens-johnson syndrom:
antibiotics if infection
Symptoms of Lupus Erythematous:
butterfly rash
joint pain
swelling
oral ulcers
Tx of Lupus Erythematous:
reversible if drug stops & rash treated by topical corticoid steroids
Discoid Lupus Erythematous cause:
unknown maybe autoimmune, body attacks skin
chronic skin condition
Treatment of disocid lupus erythematous:
corticosteroid injections
What is dermatitis usually caused by:
contact with chem. or plant
Nonpharmacologic measures for dermatitis:
avoid irritant
wash skin immediately
Topical glucocorticoids are listed by:
Potency...low to extra high
What kind of drug is perriactin:
systemic antihistamine
SE of perriactin:
increase appetite
drowsiness
dry mouth
Antipruritic baths:
oatmeal
Exfoliative dermatitis:
skin sloughs off
What causes exfoliative dermatitis:
causitive agents
How are verruca valgaris treated:
surgery
freezing
sacylic acid
Treatment of venereal warts:
pophyllum
Tx of tinea pedis:
antifungals (some OTC)
Tx of corporis:
antifungals (some OTC)
What kind of drug is bacitracin:
antibiotic
What is bacitracin used for:
anti-infective(ointment & powder)
Caution used with bacitracin:
no sensitivity
What kind of drug is neomycin:
antibiotic
characteristic of neomycin:
broad spectrum
Neomycin can be toxic to:
nephro & oto
What kind of drug is acyclovir:
systemic antiviral
What does acyclovir treat:
herpes 1 & 2
Forms of acyclovir:
topical and PO
What is sulfamylon used for:
2nd degree burns
What are the SE of sulfamylon:
hurts
When using sulfamylon must be:
sterile
Silver sulfadiazine is used for:
burns
Directions for using silver sulfadiazine:
contiue till satisfactory
Benefits of silver sulfadiazine:
less painful
easy to apply
UVA causes:
wrinkles
UVB causes:
cancers
Facts about UVB:
more potent than UVA
10-2
slowly
Water proof vs water resistent:
WP:doesnt wash
WR: washes
SPF approved by FDA:
30
What is alopecia:
hair loss
Rogaine treats:
hair loss
How does rogaine work:
increases blood flow by vasodialation which stimulates hair follicle
SE of rogaine:
HA
slightly hypotensive
What happens if you stop rogaine:
if you stop hair loss returns 3-4mos
Propecia is used for:
male baldness
Propecia is not as effective in:
older men

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