dermatologic

topical dermatologic drugs

• antimicrobial drugs

  • antibacterial drugs

  • antifungal

• antiacne

• antiinflammatory drug

  • topical corticosteroids

• parisitic infections

• wound care

antibacterial meds

• bacitracin

• neomycin

• neomycin and polymyxin B

• mupirocin (used for MRSA; can be swabbed into the nares for pt that have previously had MRSA and it has colonized)

• silver sulfadiazine

  • Used to prevent or treat infection at the site of second- and third-degree burns

  • Adverse effects: pain, burning, and itching

  • Do not use in patients who are allergic to sulfonamide drugs

topical fungal infections meds

• Nystatin (oral thrush - rinse and swish it 2 mins then swallow it; comes in oral, cream, or liquid)

• Clotrimazole (good cream for vaginal yeast infections - treatment of candidiasis found in warm moist areas or mucous membranes like skin folds)       

• Miconazole (skin yeast infection under skin folds - apply coating of cream/powder there; vaginal)

topical anti-inflammatory meds

Topical Steroids
• Hydrocortisone (lower potency - safer OTC for itchy rash)      

• Triamcinolone (prescription - more potent for more severe reactions like poison ivy or chemicals; good for eczema and mild psoriasis - don’t use on face)

Topical Antiacne Meds

• benzoyl peroxide (has drying effect; might see skin peeling, warmthness, redness)

• isotretinoin (for pt that have severe cystic acne; inhibits sebaceous glands; softens skin; highly teratogenic (use 2 forms of BC); monitor for depression and suicidal ideation)

• tretinioin (might see redness, peeling, mild s/s; helps the turnover of cells)

  • vitamin A acid: retinoic acid

Oral antibiotics Antiacne meds

• minocycline

• doxycycline

• tetracycline

kill the bacteria on the skin

oral contraceptives antiacne

• for female acne patients

• can help with the hormonal aspect that causes skin breakouts

parastitic infections

topics ectoparasitical drugs to treat lice and scabies

parasitic infection meds

• lindane (shampoo and skin; treats lice infestation)

• permetherine cream (skin)

wound care drugs

• sodium hypochlorite (dakin’s solution; bleach solution; applied to infected wounds and helps with debridement; be careful getting on healthy skin; often ordered with wet to dry dressing)

• collagenase (santyl; helps with debridement; more forgiving with the healthy tissue)

for deeper wounds

wound care nursing implications

• assess: do not apply antiinfective drugs until culture and sensitivity test are completed

• age considerations: systemic absorption is higher in very young and very old pts because their skin may be more permeable