Pharmacy Practice Post Midterm

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Pharmacy Practice Post Midterm

• Jason

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• What does ACD stand for?

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• Allergic contact dermatitis

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• How do you get allergic contact dermatitis?

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• Exposure to an allergen such as Poison
  Ivy/Oak/Sumac

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• What is the general treatment approach for
  Allergic Contact Dermatitis

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• General Treatment includes
• Cleansing the affected area within the first 10
  minutes of exposure reduces the immune response
  in poison ivy/oak/sumac dermatitis

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• What are pharmacologic treatments for ACD?

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• Topical Anesthetics
• Benzocaine max 20
• Pramoxine 1
• Hydrocortisone
• 0.25-1
• Astringents
• Aluminum acetate, zinc oxide, zinc acetate,
  sodium bicarbonate, calamine, and witch hazel

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• How often should I use a Topical Anesthetic?

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• Apply no more than 3 to 4 times daily
• Note Benzocaine allergy???

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• How and when should hydrocortisone be used?

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• Used for treating mild to moderate severe ICD or
  ACD
• Concentration 0.25 to 1
• Should not be used for longer than 7 days, or if
  symptoms clear and then reappear in a few days.

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• How are astringents used for treating ACD?

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• Used to stop or reduce oozing of capillaries or
  the fluid release from blisters or inflamed
  tissue.
• Promotes drying and reducing inflammation.

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• How long can I use an astringent for?

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• Use an astringent for 5 to 7 days, when the
  dermatitis is moist and oozing.

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• Are ointments good for treatment of a ACD?

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• Yes ointments hold moisture within the skin and
  act as a reservoir for the active ingredient,
  keeping it on the affected site.

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• Name a barrier product to prevent exposure to
  poison ivy/oak/sumac

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• IvyBlock Lotion contains bentoquatam
• Apply every 4 hours
• Product is flammable
• Not recommended for children

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• How long would it take for ACD to resolve without
  any pharmacologic measures?

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• 10 to 21 days as a result of the patients own
  immune system

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• When should itching subside significantly?

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• Itching should subside significantly within 5 to
  7 days.

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• Overall complete remission of the dermatitis may
  take up to 3 weeks.

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• _________from poison ivy/oak/sumac is the best
  known allergen.

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• Urushiol
• _________from poison ivy/oak/sumac is the best
  known allergen.

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• To help the lesions dry, apply compresses of cool
  tap water or aluminum acetate for ______ minutes
  ____ to _____ times daily.

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• To help the lesions dry, apply compresses of cool
  tap water or aluminum acetate for 40 minutes 4 to
  6 times daily.

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• Nondrug measures to relieve itching associated
  with ACD.

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• Take Tepid soapless showers to relieve itching.