Acne Vulgaris PATIENT EDUCATION
AVOID: NCLEX TIPS
1. Vigorous scrubbing/washing
2. Squeezing or picking lesions
3. Antibacterial soap
4. Smoking
2. wash hair & skin frequently "gentyly"
3.Apply
-Moisturizer
- Skincare product "non-comedogenic
DIET:
"well balanced"
Fluid intake: 8 glasses of water/day
Acne Vulgaris Treatment?
Tetracycline
Isotretinoin (Vitamin A Derivative)= Its given to Treat SEVERE ACNE that is unresponsive to other treatments.
Side effects of Isotretinoin= Birth defect and Suicide risk
Isotretinoin (Vitamin A Derivative) patient teaching
KEY POINTS
1.Avoid Vitamin A supplements
2.Report SUICIDAL thoughts NCLEX TIPS
3.NO PREGANANCY - 2 forms of contraception NCLEX TIPS
ALSO MENTION BY ATI as PRIORITY
ABOVE ALL ELSE!
NO PREGNANCY IS NO JOKE
There were 5 criteria for preventing pregnancy
Register with iPledge program
One negative pregnancy test before refills
Patient must agree to report depressed mood/suicidal thoughts
Isotretinoin (Vitamin A Derivative) patient teaching
1.Skin changes
-AVOID excessive sun
2.DRY eyes
-May not be able to wear contacts
-Will need lubricating eye drops
3. Risk for Increased ICP
Avoid tetracylines!
Cellulitis seen in patient with?
History of Trauma
History diabetes
History cellulitis
History of athletes foot= Tinea pedis
Cellulitis Risk factors?
Lymphedema
Obesity
Venous insufficiency= Where blood flow is limited to the lower legs
Cellulitis= we have Inflammation and Infection SIGNS AND SYMPTOMS?
1.Pain
2.warmth
3.Tenderness
4.swelling and Erythema
5.Patches of redness to the affected area
*If untreated it can grow into an abscess
*Complication can include Sepsis
* It occurs when bacteria enters the body through a break in the skin
* It can be spread by DIRECT CONTACT with sn Open area on a person who has an infection.
Cellulitis TREATMENTS?
Penicillin
Cephalosporins
Clindamycin
Good way to monitor the infection
is to see if its getting worse or better is to DRAW A BORDER around the infection site using a marker. Then we date it and we monitor it to see if getting larger .
Fungal Infection (Tinea)
Most common
1.Tinea corporis-ringworm infection
2.Tinea pedis-Athletes foot infection
3. Tinea capitis- lice on head
BOTH are very contagious fungal Infections that live on the surfaces of the skin.
Fungal Infection (Tinea) Sign & Symptoms?
Circular Rash
Scaly
Pruritus (itchy)
**Tinea pedis-Athletes foot infection
Patient education?
-Wear cotton stocking
-Use warm socks for the toes
-Keep the toes clean and dry
-Soak the toes in Burow's solution
Fungal Infection (Tinea) Education
Priority : Tinea Corporis NCLEX TIPS
Most important to teach ways to prevent the spread.
Avoid sharing tooth brush, towels, hats, clothes or anything else.
Always wash bedding and sheets before infecting another person in the family
Fungal Infection (Tinea) TREAMENTS
Griseofulvin =Tinea corporis (Ringworm)
KEY point
1.Take weeks to months
2.DO NOT discontinue once itching stops
3. BEST absorbed after eating a high fat diet