Term
| Three types of skin disorders |
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Definition
Infectious
Inflammatory
Neoplastic |
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Term
| Topical agents for staph or strep |
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Definition
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Term
| Fun Fact about Fungal infections |
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Definition
| Fungal infections of skin and mucous membranes of immunocompromised patients are serious. |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Nursing IMPS for Parasite SKin infections |
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Definition
Must be used strictly as directed
Excessive use can damage skin
Do not apply to the mouth, open lesions, or the eyes
After tx, inspect hair shaft w/ a fine tooth comb after hair is dried
Must be applied for at least one week |
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Term
| More Nursing IMps for parasite skin infections |
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Definition
Important to tx bedding, carpets, combs, brushes, clothing, and upholstery in hot water and meds
Should also tx household pets
Wear gloves
Highly toxic if swallowed
Notify daycare |
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Term
| Danger of skin exposure to the sun |
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Definition
Eye injury
Cataracts
Skin Cancer |
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Term
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Definition
| TX symptoms not speed recovery |
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Term
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Definition
| soothing lotions, rest, maintaining hydration, topical and oral anesthetics |
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Term
Topical Skin Anesthetics
(Also good for insect bites and pruritis) |
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Definition
Benzocaine (Not for severe burns)
Dibucaine |
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Term
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Definition
Monitor for secondary infections
Topical anesthetics contraindicated if infection is present |
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Term
| Factors Associated with Acne Vulgaris |
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Definition
Seborrhea: overproduction of sebum by oil glands
Abnormal formation of keratin that blocks oil glands
Androgens: stimulate sebum production |
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Term
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Definition
| benzoyl peroxide, Differin, retin-A, doxycycline, Accutane, BCP |
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Term
| Benzoyl peroxide-keratolytic AX |
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Definition
| (dries out and sheds outer layer of epidermis); may also suppress sebum and microbial activity for up to 48 hours post application |
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Term
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Definition
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Term
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Definition
vit A derivative; irritant that decrease comedome formation and pushes out comedomes that are present
Also used for wrinkle removal |
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Term
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Definition
vit A metabolite that reduces the size of sebaceous glands
Contraindicated w/ pregnancy, hx of depression or suicidal thoughts
Interactions w/ lithium and oral hypoglycemic agents |
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Term
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Definition
May cause photosensitivity
Skin will often look worse before it looks better |
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Term
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Definition
| doxycycline, tetracycline, & erythromycin |
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Term
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Definition
| Txs the infection in the pore |
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Term
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Definition
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Term
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Definition
Sunlight, stress, increased temperature
Agents that dilate facial blood vessels
Gender: women more often affected |
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Term
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Definition
| EX-Accutane, Finacea, MetroGel |
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Term
| Acne and Rocasea Meds IMPS |
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Definition
Wear gloves
Test a spot in an inconspicuous area
Limit foods that make acne or rocasea worse
Avoid irritants on skin |
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Term
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Definition
| Inflammatory skin disorder—pain, redness, and pruritus |
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Term
| Atopic dermatitis or eczema |
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Definition
| Chronic; genetic predisposition |
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Term
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Definition
| Hypersensitivity response |
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Term
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Definition
| Seen in newborns and teenagers after puberty |
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Term
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Definition
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Term
| Most effective tx for Dermatitis |
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Definition
| Topical glucocorticoids most effective treatment |
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Term
| Adverse effect with long term use of glucocorticoids for dermatitis |
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Definition
| Irritation, redness, thinning of skin |
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Term
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Definition
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Term
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Definition
| Red patches of skin covered with flaky, silver-colored scales (plaques) |
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Term
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Definition
Genetic or immune rx
Extremely fast skin turnover rate
Underlying skin inflamed and irritated |
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Term
| Goal of Pharmacotherapy of Psoriasis |
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Definition
reduce erythema, plaques, and scales to improve appearance
No pharmacological cure |
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Term
| Topical Therapies for PSORIASIS |
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Definition
Glucocorticoids
Immunomodulators
Retinoid like compounds
Tar Treatment and antthralin |
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Term
| Tar treatment and anthralin AX |
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Definition
| inhibit DNA synthesis and arrest abnormal cell growth |
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Term
| Topical immunomodulator AX |
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Definition
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Term
| Three PO meds for Psoriasis |
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Definition
Methotrexate (Folex)
Acitretin (Soriatane)
Etretinate (Tegison) |
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Term
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Definition
| Inhibit abnormal cell growth |
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Term
| Nonpharmacoloical therapy for psoriasis |
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Definition
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Term
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Definition
Retinoid-like meds may be given
EX-Dovonex (synthetic Vit D), Tazorac (vit A derivative; may produce hypercalcemia if used extensively) |
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Term
| Fun fact Retinoid like meds for Psoriasis |
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Definition
| Fewer Ses than topical glucocorticoids and have the same benefits |
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Term
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Definition
| Do not take with Antibiotics b/c of Antabuse like affect |
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Term
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Definition
| Most prescribed systemic drug for psoriasis |
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Term
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Definition
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Term
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Definition
Hydrea
Cyclosporine
Enbral
Remicade |
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Term
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Definition
| Most common in those 60yrs or older |
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Term
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Definition
Long term use of meds such as Glucocorticoids, antihypertensives
antihistamines
antidepressants
HYpertension
Migraines
Severe nearsightedness or farsightedness
Aging |
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Term
| Closed Angle Glaucoma AKA Acute or Narrow angle glaucoma |
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Definition
Usually unilateral
caused by Stress, impact injury, or medications
Iris pushed over drainage area; causes angle to narrow and close |
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Term
| Symptoms of Closed-Angle Glaucoma |
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Definition
Dull to severe eye pain, headache
Bloodshot eyes, foggy vision with halos, bulging iris
Medical emergency requiring surgery |
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Term
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Definition
Accounts for 90% of cases
Usually bilateral
IOP develops slowly over years
Asymptomatic
Iris does not cover opening
Treated with medications |
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Term
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Definition
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Term
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Definition
| activate the cholinergic receptors in the eye producing miosis (pupil constriction)and contraction of the ciliary muscles; results in a change of the trabecular meshwork allowing greater outflow of aqueous humor lowering IOP |
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Term
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Definition
| acts directly on cholinergic Sites |
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Term
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Definition
| blocking acetylcholinesterase responsible for breaking down acetycholine; remember this group have longer lasting effects and great chance for toxicity; only used for open angle that does not respond to usual tx |
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Term
| Antidote for Cholinergic Agonist |
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Definition
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Term
| Nonselective Sympathomeimetics AX |
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Definition
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Term
| Nonselective Sympathomeimetics EX |
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Definition
| Propine (converts to epinephrine) and Epinephrine (produces mydriasis, pupil dilation, and increase outflow of aqueous humor) |
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Term
| Nonselective Sympathomeimetics IMP |
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Definition
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Term
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Definition
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Term
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Definition
| decreases aqueous humor formation and increases outflow |
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Term
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Definition
| increased pigmentation, cycloplegia (paralysis of the ciliary muscle, resulting in a loss of accommodation, resulting in pupil dilation), local irritation, and stinging |
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Term
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Definition
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Term
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Definition
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Term
| Beta ADrenergic Blockers EX |
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Definition
| Betoptic, Ocupress, Timoptic |
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Term
| Beta ADrenergic Blockers AX |
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Definition
| decreases the production of aqueous humor |
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Term
| Beta ADrenergic Blockers SE |
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Definition
| may rarely cause bronchoconstriction, bradycardia, and hypotension |
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Term
| Carbonic Anhydrase Inhibitors |
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Definition
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Term
| Carbonic Anhydrase Inhibitors AX |
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Definition
| decreases the production of aqueous humor |
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Term
| Carbonic Anhydrase Inhibitors EX |
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Definition
| Diamox, Azopt, and Trusopt |
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Term
| Carbonic Anhydrase Inhibitors IMPS |
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Definition
Contain Sulfa-ask about allergies
Diuretic-decreases IOP quickly; watch for F & E imbalances |
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Term
| GENERAL NURSING IMPS W/ GLAUCOMA MEDS |
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Definition
Pts MUST take EVERYDAY as ordered or they could go blind
Teach proper eye medication instillation procedures
May have visual impairment just after instillation
Remove contacts before instillation |
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Term
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Definition
| paralyze the cilliary muscles and prevents the lens from moving during assessment |
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Term
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Definition
| DILATE THE PUPILS TO ALLOW BETTER VISUALITION OF RETINA |
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Term
| MEDS USED DURRING EYE EXAM IMPS |
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Definition
| Anticholinergic mydriatics can worsen glaucoma (impairs outflow of aqueous humor); can also produce systemic SEs |
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Term
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Definition
Review instillation procedure
Warm to body temp before instillation
Massage ear gentle after instillation
Lie on opposite side for at least 5 minutes |
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