Iontophoresis Flashcards

(48 cards)

1
Q

What was iontophoresis originally referred to as?

A

ion tranfer

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2
Q

What is phonophoresis?

A

The use of acoustic energy in the form of US to drive whole molecules across the skin into tissues

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3
Q

What is iontophoresis?

A

The use of a low level direct electric current to transport ions into the tissues

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4
Q

When should iontophoresis be used over phonophoresis?

A

When ions are suspended in solution and can be carried into the tissue by an electrical current

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5
Q

What is the significance of iontophoresis delivering medication at a constant rate transdermally?

A
  • Decreases absorption lag time
    • Increases the delivery rate when compared with passive skin applications
    • Can deliver spiked and sustained release of a drug
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6
Q

What are the 5 things rate of delivery depends on?

A
  • Concentration of the ion
  • pH of the solution
  • Molecular size of the solute
  • Current density
  • Duration of treatment
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7
Q

The electrode that has the greatest concentration of electrons is _____ charged.

A

negatively

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8
Q

Describe what happens under the negative electrode (cathode).

A

Negative ions are repelled and move toward positive electrode, which creates an acidic reaction

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9
Q

The electrode with a lower concentration of electrons is the _____ electrode.

A

positive

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10
Q

Describe what happens under the positive electrode (anode).

A

Electrons move toward the negative electrode, which creates an alkaline reaction

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11
Q

What type of reaction is more likely to produce tissue damage?

A

Alkaline

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12
Q

The force that acts to move ions through the tissues is determined by what 2 things?

A
  • Strength of the electrical field (current density)

- Electrical impedance of tissues to current flow

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13
Q

What determines ion migration?

A

Current density difference

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14
Q

What are the 3 things in which current density is altered by?

A
  • Changing the size of the electrode
  • Increasing current intensity
  • Decreasing current intensity
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15
Q

Decreasing the current intensity is recommend under which electrode?

A

negative

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16
Q

Which electrode should be larger and why?

A

The negative electrode be larger to reduce current density and potential alkaline reaction at the positive electrode

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17
Q

What types of things are poor conductors?

A

Skin and Fat

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18
Q

Skin and fat, which are poor conductors provide a _____ resistance to current flow.

A

greater

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19
Q

Skin and fat, which are poor conductors require ____ current intensities.

A

higher

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20
Q

The presence of sweat glands _____ impedance.

21
Q

How deep does medication penetrate duraing an average treatment?

22
Q

What are the 4 things that determine the quantity of ions transferred into tissues?

A
  • Intensity of the current
  • Current density at the active electrode
  • Duration of the current flow
  • Concentration of ions in solution
23
Q

How can ion transfer be increased?

A

By increasing intensity and duration of treatment

24
Q

Increasing the intensity may also increase the risk of what?

25
What type of medication can be used to decrease inflammation?
Dexamethasone
26
What type of medication can be used as an anesthetic?
Lidocaine
27
Iontophoresis can also be used in conjunction with what types of things?
- analgesics - peptides - CNS agents - antiviral agents - antihypertensive agents
28
Iontophoresis utilizes a continuous direct current, which ensures what?
the unidirectional flow of ions
29
Is an alternating current effective for iontophoresis?
Recent studies have shown it to be effective as well. It may help to avoid electrochemical burns
30
Where should the electrodes be placed for iontophoresis?
The dispersive electrode should be place a few inches away from the treatment electrode
31
The active (treatment) electrode should have a current density between __ mA/cm2 and __ mA/cm2.
0.1 - 0.5
32
What should the polarity of the active electrode be?
The same polarity as the active ion of drug
33
How long is treatment time for iontophoresis?
10-20 minutes
34
What is current amplitude measured in?
milliampere minutes (mA-minutes)
35
What is the effective current dosage?
40-80 mA-minutes (suggested 40 mA-minutes)
36
How do you calculate mA-minutes?
Multiple the current amplitude by the treatment duration 4 mA current x 10 minute Tx = 40 mA-min dose
37
What can acetate be used for clinically?
Calcium deposits
38
Acetate has a _____ polarity.
negative
39
What can dexamethasone be used for clinically?
inflammation
40
Dexamethasone has a _____ polarity.
negative
41
What can lidocaine be used for clinically?
as a local anesthetic
42
Lidocaine has a _____ polarity.
positive
43
What can tap water be used for clinically?
hyperhidrosis
44
Tap water has a _____ polarity.
either positive or negative
45
What can salicylate be used for clinically?
Frozen shoulder, scar tissue, plantar warts, and pother adhesive or edematous conditions
46
What are some adverse side effects of iontophoresis?
- Erythema - Itching, tingling, burning - Minimal blistering
47
What can dampen the severity of irritation?
The co-delivery of saline and hydrocortisone
48
What are 5 positive aspects of iontophoresis when it is used as an anesthetic?
- negates the pain - prevents variation in absorption seen with oral medications - reduces the chance of over or under-dosage - can be used to deliver drugs with short half-lives directly to tissue - it is simple to use and easy to terminate if necessary