Question

pharmacology for nurses 2nd ed chapter 13 case study questions

ATERO Pharmacology Dermatologic Conditions CASE STUDIES CONTINUED) The provider decides to prescribe both topical and systemic medications for AB. Topical treatme choices include topical retinoids, keratolytics, and antibiotics. Oral choices include antibiotics or isotretinoin. A topical retinoid, tretinoin topical 0.1% once daily at bedtime, was selected. The provider also selected an oral antibiotic, tetracycline 500 mg twice a day for two months, followed by 500 mg once daily for two months. The provider has also discussed intralesional injection diluted triamcinolone acetonide solution for the acne cysts and scars. Cose Questions What should the nurse tell AB about continuing to use the over-the-counter benzoyl perode ad preparations? 2. How should AB apply the newly prescribed tretinoin topical 0.1% cream? 3. The provider prescribed tretinoin 0.025% gel, how would the nurse explain the differences cream and gel preparations? 4. Which precautionary information should be provided for AB regarding this medication o What prescribed for AB 5. W e he different tetracycline class medications that could have been prescribed to antages and disadvantages of selecting any one of these agents? 6. Which precautions should be explained to AB about the use of tetracycline class medica that would require AB to take tetracycline separate from food or beve co n current medications and tetracycline? A were to begin to use any contraceptives would it be important for her to contact myo why not HAB Suspected she were pregnant which information shoul Medications beverage Alwhat he could podane patient begin using the topical retinolds or polim

Answer 1

1. Benzyl alcohol and salicylic acid are effective in treating severe acne. Most of the skin topical application contains these products at a higher level compared to over the counter medications. It is safe to use, so the nurses advised AB to continue the over the counter medication.

2. Take the tretinoin cream and squeeze a pea-sized amount. Apply it gently on faces where the acne is present. Give more importance to the cheeks and forehead. Avoid contact with eyes and lips.

3. Tretinoin Gel is quickly absorbed by the skin compared to cream. Sometimes cream contains water and oil-based. The gel is prescribed for the person whose skin requires more moisture and during summer.

4. Always apply on the dry skin. If there is skin irritation, immediately wash your face and stop using it. Do not use if allergic to fish because the products contain fish gel.  Avoid using other skin products.