Caution with activities that involve mental alertness Buff W Powell P Insect

Caution with activities that involve mental alertness

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Caution with activities that involve mental alertness. Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691 Diphenhydramine. . Micromedex® Healthcare Series [Internet database]. Greenwood Village, Colo: Thomson Micromedex. Updated periodically. Counterirritants Name Examples MOA OTC Strength Directions Length of Treatment Adverse Effects Notes Camphor Sarna Anti- Itch Original Lotion™ Eucerin Skin Calming Itch Relief Treatment™ Depress cutaneous sensory receptors 0.1%-3% Apply up to 3-4 times a day. Up to 7 days. Skin irritation Extremely dangerous if ingested. Keep out of reach of children. Menthol 0.1%-1% Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Anti-inflammatory Agent Name Examples MOA OTC Strength Directions Length of Treatment Adverse Effects Notes Hydrocortisone Cortaid Cortisone-10 Topical steroid with anti-pruritic and anti- inflammatory properties 1% Apply up to 3-4 times a day. Up to 2 weeks Skin atrophy, acne-like skin eruptions, irritation, skin tightening and cracking Potential for systemic absorption. Tachyphylaxis Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Skin Protectants Name Examples MOA OTC Strength Directions Length of Treatment Adverse Effects Notes Zinc oxide DynaShield™ Reduces inflammation and irritation. Mild astringent with weak antiseptic properties. 1%-25% Apply as needed up to 4 times a day. Up to 7 days. Negligible Can be applied to skin of children younger than 2 years. Calamine Calamine Lotion Reduces inflammation and irritation. Mild astringent with weak antiseptic properties. 1%-25% Apply as needed up to 4 times a day. Up to 7 days. Negligible Leaves pink film on skin. Can be applied to skin of children younger than 2 years Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691.
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10/21/2016 6 Evaluation of Patient Outcomes Follow up should occur after 7 days of self-treatment Advise patient to seek medical attention if Symptoms such as redness, itching, and localized swelling worsen during treatment. Patient develops secondary infection, fever, joint pain, or lymph node enlargement Symptoms persist after 7 days of treatment Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. INSECT STINGS Wasps, Hornets, Yellow Jackets, Wild Honeybees, and Africanized Bees Wasps, hornets, yellow jackets Found in southern, central, and southwestern United States Wild Honeybees Found in western and mid-western United States Africanized bees(“killer bees”) Found in southwestern United States Aggressive, swarming Patient Presentation Pain, itching, irritation Nausea/vomiting, abdominal cramps, diarrhea
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