Exam (elaborations)
NURS 517 Final Drug Guide Ch. 22 (Skin) Questions answers latest update
- Course
- NURS 517
- Institution
- University Of Hawaii - Manoa
NURS 517 Final Drug Guide Ch. 22 (Skin) Questions answers latest update
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NURS 517 Final Drug Guide Ch. 22 (Skin)Moderate to Severe Impetigo
Boils or Abscesses
Perinanal Strep
MRSA - 5 things that require systemic ABx:
Cephalexin
Amoxicillin/clavulanate
Dicloxacillin - 3 antibacterials effective against S. Aureus and S. Pyogenes:
Mupirocin***
(3x/day for 10 days. Re-evaluate after 3-5 days if no response)
Retapamulin
(2x/day x 5 days; Can not be used IN; is a 1% topical cream) - BROAD SPECTRUM:
1st line tx for impetigo for up to 5 lesions* (only by rx)
impetigo, nasal colonization MRSA - Mupirocin (Bactroban) treats (2):
Number of lesions
Location
,Need to limit spread - Treatment of impetigo is based on (3):
Cephalexin or Dicloxacillin - Impetigo tx: if greater than 5 lesions or pt is not
responding in 2-3 days to tx (2)?
Clindamycin
Doxycycline
TMP-SMZ - If MRSA skin infection suspected, tx is (3):
Impetigo - Contagious superficial skin infection caused by S. Aureus, S. pyogenes,
or both
Furuncles (boils) - Infections of the hair follicle and are usually caused by S.
aureus.
warm, moist compress** - The first-line treatment for a small furuncle is:
incision and drainage**
If >5cm, cellulitis or infection s/s involved- then systemic Abx - Larger furuncles
are treated by
, Doxycycline & TMP/SMZ - Appropriate 1st line Abx therapy before gram
stain/culture come back are 2 broad spectrum abx?
Recurrent Skin Accesses - Initial therapy is early incision and drainage, with
drainage sent for culture**
ABx active against the identified pathogen for 5 to 10 days.
A 5-day decolonization regimen of twice-daily nasal mupirocin; daily chlorhexidine
washes; or dilute bleach baths; and daily washing of personal towels, sheets, and
clothing may be considered
intranasal mupirocin
supplied in 1 g, single-use tubes- 2x/day AM and PM for 5 days* - Eradication of
nasal MRSA colonization in adult patients and health-care workers may be
achieved with?
1 week (7 days)
Large surface areas (>20% of body)
Share (general infection measures) - The DONT's for topical antibacterials:
Dont use longer than ________
Dont apply to ________
Dont _______ personal items
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