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what causes tanning?
UV (stimulates melanocytes) and produces melanin
what are the two tanning processes?
immediate pigment darkening and delayed tanning
what causes sunburn?
inflammatory response and vasodilatoin so redness and swelling
what are mild sunburn symptoms?
swelling, redness, and tenderness
what are severe sunburn symptoms?
blisters, fever, and chills
what are characteristics of UVC?
200-290 nm, blocked by the ozone, and not relevant for sunburn
what are characteristics of UVB?
290-320 nm, causes 90% of sunburn, causes skin cancer, and is needed for vitamin D
what are characteristics of UV A?
320-400 nm, penetrates deeper, causes photoaging, and found in tanning beds
what are features of phototoxicity?
first exposure, dose dependent, looks like severe sunburn, not immune
what are photoallergy key features?
immune mediated, requires prior exposure, not dose dependent, rash, blisters
are there drugs that cause photosensitvity?
yes there are
what is the peak sun exposure time?
10 am to 3 pm
when wearing wet clothing how much UV protection does it give?
allows 50% of the UV through
what is the mechanism of chemical sunscreens?
absorb UV radiatoin mostly UVB some UVA
why combine chemical sunscreen ingredients?
it increases SPF and broader UV coverage
what is a major side effect of PABA in sunscreen?
allergic reaction
is PABA short acting or long?
long acting
what UV protection do benzophenones provide?
UVA and UVB protection
what is an ingredient we look for in chemical sunscreens?
benzophenone
what is a risk of using benzophenones?
allergic reaction
what UV protection does cinnamates provide?
UVA and UVB
what is a downfall of cinnamates?
it doesnt adhere well to the skin
what UV protectoin does avobenzone provide?
UVA protection
are salicylates considered good sunscreens?
no they are weak sunscreens
what is a key ppint for anthranilates?
they are weak so they are used in combinatoin
what are adverse effects of chemical sunscreens?
contact dermatitis, photosensitivity, stinging, and sensitivity reactions
what is the mechanism of physical sunscreens?
reflect/scatter UV
what are the ingredients in physical sunscreens?
zinc oxide and titanium dioxide
what determines the effectiveness of physical sunscreens?
the thickness that they are applied
what are characterisitics of a physical sunscreen?
thick, visible on skin, and applied to targeted areas
if we want protection in a targeted area what type of sunscreen do we apply?
physical sunscreen
what are adverse effects of physical sunscreens?
white film, can stain clothes, must apply thick layer
when should sunscreen be applied?
15 minutes before sun
how much sunscreen should be used?
1 ounce full body
how often should sunscreen be reapplied?
every 2 hours
when should sunscreen be reapplied sooner?
after sweating or water exposure
how long do water resistant sunscreens protect you from water?
protect for 40 to 80 minutes in water
what does SPF measure?
UVB protection only
how much UVB protection does SPF 15 give?
93%
how much UVB protection does SPF 30 give?
97%
how much UVB protection does SPF 50 give?
98%
what is the recommended SPF level per the ADA?
SPF greater than or equal to 30
what does a SPF less than 15 mean?
sunburn prevention only
what is a broad specturm sunscreen?
protects against UVA and UVB and has SPF greater than or equal to 15
can sunscreen be used in infants less than 6 months?
no they must use shade and clothing
which sunscreen is best for children 6 months and up?
use zinc oxide or titanium dioxide