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Pharm NUR 560 > Exam 1 Deck > Flashcards

Exam 1 Deck Flashcards

(51 cards)

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1
Q

Impetigo

A

Highly contagious skin infection with lesions and rash

Treatment: Mupirocin topical

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2
Q

Muperocin

A

Topical AB

Treats: Impetigo and nasal MRSA

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3
Q

Tinea Corporis

A

Aka Ringworm

Spreads through direct contact

Treatment: Topical Azole (miconazole/clotrimazole)

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4
Q

Tinea Pedis

A

AKA: Athletes Foot

Usually present during puberty in males

Treatment: Topical Azoles (miconazole or clotrimazole)

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5
Q

Bacitracin

A

Commonly known as Neosporin

Can be used in double or triple abx formulations

Does not treat MRSA

Treats: superficial wounds

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6
Q

Miconazole

A

First line for Tinea Corporis and pedis
Can also treat cutaneous candida

Low cost

Not for kids under 2

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7
Q

Clotrimazole

A

Pretty much the same as miconazole

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8
Q

Acne

A

First line non inflammatory: Benzoyl Peroxide

Inflammatory: topical retnoids or metronidazole

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9
Q

Terbinafine

A

Allylamine anti-fungal

Treats Tinea Capitus and all other Tinea’s

Can be detected in nails and skin for 3 months

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10
Q

Isotretinoin

A

Topical Retnoid

Treats severe acne (not eczema)

Ipledge needs to be done due to risks associated with fetal demise and birth defects.

Many severe adverse reactions: liver and kidneys

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11
Q

Topical Corticosteroids

A

First line for eczema and psoriasis

Low (high number) to high (low number) of potency

Thin skin= need for low potency

Potency determined by vasoconstriction

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12
Q

Ointments

A

Dry scale skin

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13
Q

Creams

A

For oozing lesions

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14
Q

Lotions and gels

A

Hair bearing areas

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15
Q

Eczema

A

Chronic patchy raised scaled skin (usually in elbows knees etc.)

Worse in winter

Treatment: topical corticosteroids

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16
Q

Psoriasis

A

Similar to eczema but found an any place on body

Goal of treatment: clear the psoriasis

Treatment: Topical Corticosteroids

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17
Q

Tacrolimus

A

Immunomodulator

Second line for eczema (if corticosteroids fail)

No preg

Can cause malignancy in rare cases

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18
Q

Pimecrolimus

A

Same as tacrolimus

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19
Q

Benzoyl Peroxide

A

First line in non-inflammatory Acne

Can stain pillow cases and clothes

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20
Q

Adapalene

A

Topical Retnoid

Used to treat non-inflammatory acne

Takes 6-8 weeks to clear face

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21
Q

Emollients / Aluminum Acetate

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A

Usually dressing impregnated to treat eczema or dermatitis

Aveeno or Cetaphil are common brands of topical lotions.

22
Q

Irritant Dermititis

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A

Cause by direct contact with irritant

To relieve remove the irritant

23
Q

Allergic Dermatitis

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A

Delayed reaction to touching something in the environment

24
Q

Empirical therapy

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A

Based on clinical findings and diagnosis

25
Definitive therapy
Based on concrete findings such as cultures or other results
26
Penicillin
Treats Aerobic gram + organisms Avoid with food
27
Amoxicillin
Beta Lactam ABX Usually seen in the form Augmentin Is the most common prescription in USA Tastes better and requires less tablets then penicillin Watch BUN/ Creatinine clearance
28
Ciprofloxacin
Fluoroquinolone ABX many adverse reactions (ruptured tendons, photosensitivity, prolonged QTC) Should be taken with full glass of water to ensure no crystalluria
29
Nitrofurantoin
Macrobid ABX First line of treatment for UTI/cystitis Can cause adverse respiratory symptoms
30
Sulfonamides
Works on both gram + & - organisms Usually not used in monotherapy No preg: renal/hepatic/ cbc
31
Doxycycline
Tetracycline First line for Chlamydia Also treats MRSA and other STIs No Preg: Renal/ hepatic/ dig levels
32
Azithromycin
Macrolide ABX usually used in CAP and food borne bacteria/ alt treatment for Chlamidia Can cause torsades, increase hearing loss Once daily tabs
33
Acyclovir
Nucleoside antiviral Treats: Herpes (can be given topically too) Varicella Zoster (shingles / chickenpox) Epstein-Barr Virus (mono) Safest for children Monitor renal function
34
Valacyclovir
Nucleoside Antiviral Same treatments as Acyclovir 3-5 times higher serum levels than Acyclovir Dosed less than Acyclovir
35
Herpes need to knows
Women are likely to develop Cervical CA Meds do not prevent transmission
36
Goal for Antivirals therapy
Decreasing Viral Load to point of not being recognized
37
Oseltamivir
Antiviral Known as Tamiflu Treatment should begin within 48 hours and last 5 days
38
Fluconazole
Azole Anti-fungal First line for oral treatment for yeast
39
Metronidazole (Flagyl)
Nitroimidazole (ABX and anti-parasitic) First line for trichomonas and bacterial vaginosis BUT… has a wide range of effectiveness Can cause seizures
40
Syphilis
Penicillin G only treatment Cancer or ulcers at site of infection Can spread to brain heart eyes and affect hearing
41
Gonorrhea
Ceftriaxone first line treatment Usually co-infection with Chlamydia so also use Doxycycline Small pustular dermatitis
42
Chlamydia
Treatment: Doxycycline/ secondary treatment one time dose of azithromycin Most common STI Pregnant women need repeat test 4 weeks later to determine the infection has resolved
43
Bacterial Vaginitis
Metronidazole for treatment Fishy smell
44
Trichomonas
Treatment metronidazole Yellow green vaginal discharge Men epididymitis or urethritis Can cause low birth weight or preterm birth for expecting mothers
45
Goals for UTI treatment
Eradicate organisms Relief of symptoms Prevention of recurring
46
Kava
Herbal Treats anxiety, fatigue, insomnia
47
Ginkgo
Treats Dementia and vasodilation
48
Melatonin
Induced sleep Should not be used more than three times a week
49
SAM-E
Treatment for Depression Should not be used with Bipolar patients
50
St. John’s Wort
Treatment of depression
51
Valerian
Used for anxiety and insomnia No Preg

Pharm NUR 560 (5 decks)

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