Topical and transdermal meds

Question 1

are most topical applications used therapeutically absorbed well, completely or predicatably when applied to intact skin

Answer 1

no. because the thick skin is a natural barrier

Question 2

percutaneous means

Answer 2

through the skin

Question 3

can topical meds cause systemic effects

Answer 3

if given in lg doses or high conc

Question 4

transdermal patch can be applied to

Answer 4

Apply transdermal patches to hairless clean areas that don’t wrinkle or go through excessive movement
eg trunk or lower abdomen
• May be applied to side, lower back, buttocks

Question 5

what part of the extremity should you not apply patch to

Answer 5

distal end

Question 6

where should women not apply nicotine or estrogen patches

Answer 6

their breasts

estrogen also shouldnt go on waistline

Question 7

what do you do if hair will interfere w the patch

Answer 7

Clip DONT SHAVE

Question 8

What do you write on the patch BEFORE applying to client

Answer 8

date
time
initial

Question 9

how does fever affect care of pt w transdermal patch

Answer 9

inc absorption. monitor for changes in effects of the med

Question 10

where should pts at home discard of used patches

Answer 10

folded w med side on inside, put in closed contianer away from kis or pets

Question 11

how do you prep the site before applying dermatological preparation

Answer 11

thoroughly clean the area w soap and water, dry using patting motions

Question 12

when applying powder how much do you put on

Answer 12

fine, thin layer of powder

Question 13

do you apply skin preparations against the direction of hair growth or with it

Answer 13

in direction of hair growth

Question 14

how to apply suspension based lotion

Answer 14

Suspension based lotion
• Shake
• Apply to gauze and stroke evenly in the direction of hair growth

Question 15

creams, ointments, pastes, and oil-based lotions

how dyou apply?

Answer 15

• Warm and soften it in gloved hands

* Use long strokes in direction of hair growth to spread it

Question 16

once the patch is ready to be applied how do you physically apply it

Answer 16

press firmly w the palm of your hand for 10 seconds

Question 17

T or F you directly apply suspension based lotion to skin

Answer 17

F. apply it to gauze first and then apply the gauze to site

Question 18

before applying any topical med what do you do to pt

Answer 18

clean the skin site

Question 19

T or F if youre applying med to a wound you shouldnt use soap to clean the area because it interferes w the medication. How doyou clean the area?

Answer 19

false w gloves: wash site thoroughly w mild, nondrying soap & warm water, rinse and dry

Question 20

if skin is broken what type of gloves should you wear? when applying topical med

Answer 20

sterile gloves. if not broken can use clean

Question 21

you want to apply topical cream ointment or oil based lotion but your pts skin is excessively dry and flaking. what do you do?

Answer 21

apply it while skins still damp from cleaning

Question 22

during procedure for applying topicl cream ointment or oil based solution do you apply med straight from bottle to skin

Answer 22

no, warm or soften it in hands by rubbing briskly to make it easier to spread

Question 23

procedure for applying topicl cream ointment or oil based solution

Answer 23

1. wash, rinse, dry area
2. change gloves
3. place required amount of med in hands and warm it/soften it by rubbing briskly
4. warn pt of cold. apply in even long strokes in diretion of hair growth. dont rub vigorously
5. tell pt that skin may feel greasy after application

Question 24

where dyou dispose of antianginal meds

Answer 24

in biohazard container

Question 25

after removing antianginal from skin what dyou do

Answer 25

wipe off residual med | dispose of it in biohazard after sticking the sides together w med side on inside

Question 26

can you measure a smaller amount from a nitro patch thats a unit dose package

Answer 26

no. dont cut them

Question 27

how dyou measure an antianginal OINTMENT

Answer 27

usually in inches. you squeeze them out onto small sheet of marked paper marked in 1/2 inches

Question 28

where do you apply nitro patches (antianginals) can you apply them to distal arm? to thigh?

Answer 28

chest, back, abdomen or anterior thigh | no. dont apply to arms

Question 29

do you rub on antiangianl ointment

Answer 29

no

Question 30

how dyou secure antianginal ointment and paper?

Answer 30

w tape or transparent dressing. plastic wrap may be usd as an occlusive dressing

Question 31

where shoud you heck for old transdermal patches

Answer 31

the usual sites and | everywhere you would think but for some reason skin folds. the patches are small clear or flesh colored

Question 32

if in hospital how dyou dispose of transdermal patch

Answer 32

in biohazard trash

Question 33

should you ever apply transdermal patch on irritated skin

Answer 33

nope

Question 34

how long should you wait to apply patch to a previously used site

Answer 34

1 week

Question 35

how long is it recommended to be patch free each day | why

Answer 35

10-12hrs because tolerance develops

Question 36

how dyou admin aerosol sprays eg local aesthetic

Answer 36

shake vigorously. read container to see how far away to hold it (usually 15-30cm) ask pt to turn away or hold towel to shield them spray evenly

Question 37

if applying powder near pts face what dyou do

Answer 37

ask them to turn face or shield them

Question 38

if skin site appears inflamed and edematous w blistering and oozing of fluid from lesions what does it indicate and what do you do

Answer 38

this indicates subacute inflammation or eczema that can develop if skin lesions are getting worse hold the medication. notify

Question 39

creams, ointments, pastes, and oil-based lotions | what should you warn pt about

Answer 39

skin may feel greasy

Question 40

where does a testoderm patch go? | scopalamine?

Answer 40

t-scrotum | s-behind the ear

Question 41

should you use ballpoint pen to write on patches

Answer 41

nope it could damage it, use soft tip or felt pen

Question 42

how long befor eyou can return to a site and apply a new patch where there was one ____ days ago

Answer 42

a week

Question 43

how far awy do you hold aerosol sprays to admin to skin

Answer 43

15-30cm

Question 44

do you shake suspension based ltoion

Answer 44

yes. vigorously