Iontophoresis Notes Flashcards

(48 cards)

1
Q

What is iontophoresis?

A

a therapeutic technique that involves the introduction of ions into the body tissues by means of a DC

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2
Q

What is the difference between iontophoresis and phonophoresis?

A
Phono = involves the use of acoustic energy in the form of US to drive whole molecules across the skin into the tissues
Ionto = uses an electrical current to transport ions into the tissues
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3
Q

How does transdermal iontophoresis compare to a passive skin application?

A
  • Decreases absorption lag time
  • Increases delivery rate
  • Can deliver spiked and sustained release
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4
Q

What is the benefit of delivering spiked and sustained release?

A

Reduces the possibility of developing a tolerance to the drug

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5
Q

How does iontophoresis ensure that the plasma concentration is within the therapeutic window?

A

Delivers medication at a constant rate

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6
Q

What determines the rate at which an ion is delivered?

A
concentration of the ion
pH of the solution
molecular size of solute
current density
duration of treatment
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7
Q

What are the advantages of ionto to oral medications?

A

Concentrated in a specific area

Does not have to be absorbed in the GI tract

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8
Q

What is the cathode?

A

The electrode that has the greatest concentration of electrons, negatively charged

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9
Q

Which type of movement creates an acidic reaction? Alkaline?

A
Acidic = negative to positive
Alkaline = positive to negative
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10
Q

What is the anode?

A

Electrode with a lower concentration of electrons

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11
Q

Which reaction is more likely to produce tissue damage?

A

Akaline

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12
Q

The force that acts to move ions through the tissues is determined by…

A

strength of the electrical field (current density)

electrical impendence of tissues to current flow

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13
Q

What determines ion migration?

A

the difference in current density between the active and inactive electrode

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14
Q

How can current density be altered?

A
  • changing the size of the electrode
  • increasing current density
  • decreasing current intensity
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15
Q

Which electrode is recommended to be larger?

A

The negative electrode

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16
Q

What do sweat glands do in terms of conduction?

A

Decrease impedance,

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17
Q

How far does medication penetrate?

A

no more than 1.5 cm over a 12-24 hour period, only 1-3 mm during average 15 minute treatment

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18
Q

The quantity of ions transferred into tissues is determined by….

A

Intensity of current
Current density at active electrode
Duration of current flow
Concentration of ions in solution

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19
Q

How can ion transfer be increased?

A

Increasing intensity

Increasing duration of treatment

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20
Q

What is the hazard of increasing treatment duration?

A

skin impedance decreases, increasing likelihood for burns

21
Q

What type of current does ionto use?

A

Continuous direct current, ensures unidirectional flow

22
Q

What type other type of current is being research for ionto?

A

AC, may help avoid burns and increase drug delivery

23
Q

What is the range for the current density used?

A

0.1 mA/cm2 - 0.5 mA/cm2 of the active electrode used

24
Q

What is the treatment duration?

A

10-20 minutes, 15 minute average

25
What is current amplitude measured in?
milliampere minutes (mA minutes)
26
What is the most effective current amplitude dosage?
40 mA-minutes | can range from 40-80
27
How is mA-min calculated?
2 mA current x 15 minute treatment = 30 mA-min dose
28
Describe the setup for the active electrode
Receives the medication, lead wire attached has same polarity as the ion solution
29
How far should electrodes be placed?
at least the diameter of the active electrode
30
Source, polarity, indications, concentration for: | Acetate
Source: acetic acid Polarity: negative Indications: Calcium deposits, inflammation Concentration: 2.5-5%
31
Source, polarity, indications, concentration for: | Dexamethasone
Source: DexNa2PO3 Polarity: negative Indications: inflammation Concentration: 0.4%
32
Source, polarity, indications, concentration for: | Lidocaine
Source: lidocaine Polarity: positive Indications: local anesthetic Concentration: 5%
33
Source, polarity, indications, concentration for: | Tap water
Source: n/a Polarity: neg/pos Indications: hyperhidrosis Concentration: n/a
34
Source, polarity, indications, concentration for: | Salicylate
Source: NaSal Polarity: negative Indications: Inflammation, plantar warts Concentration: 2%
35
What are the indications for ionto?
``` inflammation analgesia ischemia edema calcium deposits scar tissue hyperhidrosis fungi open skin lesions herpes allergic rhinitis gout burns RSD ```
36
What are the contraindications for ionto?
Skin sensitivity reactions Sensitive to aspirin (salicylates) or ions used Gastritis or active stomach ulcer (hydrocortisone) Asthma (mecholyl) Sensitive to metals (zinc, copper, magnesium) Sensitivity to seafood (iodine)
37
Precautions
``` Unknown patient allergies Cardiac disease Impaired mentation/dementia Malignant tumor Open wounds Skin irritation After using other physical agents ```
38
Side effects
Erythema Itching, tingling, burning Minimal blistering
39
What are some conditions that ionto can be used for?
``` Inflammation Lateral epicondylitis Hyperhidrosis Anesthetic Plantar fasciitis Patellar tendonitis ```
40
What is hyperhidrosis? How much of the population does it effect?
Increased sweat production | .6-1% of population
41
What causes hyperhidrosis?
Over excitability of sympathetic, cholinergic fibers that innervate eccrine glands
42
What are treatment options for hyperhidrosis?
Ionto - tap water or anti-cholinergics Botulinum toxin A Surgery
43
What are the benefits of using ionto as an anesthetic?
- negates pain (inconvenience of injections) - prevents variation in absorption seen with orals - reduces chance of over/under dose - can deliver drugs with short half lives - simple to use and terminate
44
What ion is associated with a sensitivity to aspirin?
Salicylate
45
What ion is associated with a sensitivity to metal?
Zinc, Copper, Magnesium
46
What ion is associated with a sensitivity to seafood?
Iodine
47
What ion is associated with asthma?
Mecholyl
48
What ion is associated with gastritis or stomach ulcers?
Hydrocortisone