3.1 Nail Infections - Hill

he said one question on systemic treatment and another on either RF, signs and symps, or counseling

risk factors for development of nail infections include (6)

sweaty feet

swimmers

trauma

tinea pedis (athletes foot)

older age

psoriasis

risk factors for serious complications of nail infections include… (2)

diabetes

immunocompromised pts

signs and symps of nail infections:
describe the color change

white, yellow, or brown nail

signs and symps of nail infections:
describe physical characteristics

change in color (white, yellow, brown)

change in shape, thick, lift from nail bed

split or break easily

what are the systemic options for nail infections? (4)

terbinafine

itraconazole

griseofulvin

fluconazole

name the two most common systemic treatment options for nail infections

terbinafine

itraconazole

name the systemic treatments for nail infections in order of highest cure rate to lowest

terbinafine

itraconazole (pulse)

griseofulvin

itraconazole (continuous)

fluconazole

itraconazole ____ tx has a higher cure rate than itraconazole ____ tx

pulse

continuous

terbinafine dose for nail infections

250 mg

terbinafine dosing instructions for nail infections

po dailyt

terbinafine duration of tx for toenail infections

12 weeks

terbinafine duration of tx for fingernail infections

6-8 weeks

itraconazole pulse and continuous dose for nail infections

200 mg

itraconazole administration directions for nail infections

po bid for one week a month

itraconazole pulse dose tx for toenail duration

3 months

itraconazole pulse dose tx for fingernail duration

2 months

itraconazole continuous admin instructions

po daily

itraconazole continuous tx for toenail infection duration

12 weeks

itraconazole continuous tx for finger nail infection duration

6 weeks

terbinafine CI

liver or renal impairment

terbinafine can be toxic to which organ?

liver

terbinafine requires pretreatment labs for

liver enzymes

which drug for nail infections requires pre-treatment liver function tests and monitoring for signs of hepatotoxicity

terbinafine

common SE of terbinafine (5)

rash, pruritus, D, heart burn, metallic taste in mouth

itraconazole is CI in pts with (3)

ventricular dysfunction

HF

preg

which nail infection treatment option is CI in pregnancy?

itraconazole

which nail infection treatment option has hella drug interactions?

itraconazole

T or F:

both terbinafine and itraconazole require LFTs before treatment

T

pt counseling:

how to prevent nail infections

keep feet clean and dry

wear properly fitted shoes

wear shoes in gross places

avoid sharing nail clippers

pt counseling for nail infection treatment

may take months for nail to return to normal

avoid anything that can be toxic to the liver if on terbinafine

may experience recurrence or incomplete resolution of infection

side effects