t3. Integumentary Pharm

Females prescribed isotretinoin must have 2 ___________ ___________ __________ before taking the medication.

negative pregnancy tests

take Tetracycline on an empty stomach

or optimum absorption, tetracyclines should be taken 1 hour before or 2 hours after meals

tetracycline and rifampin can decrease the effectiveness of

oral contraceptives; additional contraceptive techniques will be needed

Isotretinoin (Accutane) is category ?

pregnancy category X drug known to cause serious birth defects if taken during pregnancy.

Isotretinoin should not be taken with

because the latter also increases the risk for intracranial hypertension.

Isotretinoin side effects

birth defects, skin changes (eg, dry skin, skin fragility, cutaneous atrophy), and risk for increased intracranial pressure.

________________ is also discouraged while on isotretinoin therapy and for 1 month afterward

Blood donation , to ensure that pregnant women do not receive any donated blood

Isotretinoin

causes photosensitivity so client to use sunscreen routinely.

Isotretinoin (Accutane)

decreases sebum secretion prescribed for severe, disfiguring nodular acne that has been unresponsive to other therapies, including antibiotics

Before Isotretinoin refills can be obtained ?

enrollment in a risk management program is required to verify that pregnancy tests are negative and 2 forms of contraception are being used.

Tetracycline taken at bedtime has been associated with

esophageal irritation and stricture development as it increases reflux of the gastric contents into the esophagus. This can be prevented by taking the medicine with plenty of water and during the day when upright.

vitamin A toxicity may cause ?

increased intracranial pressure, gastrointestinal upset, liver damage, and changes in skin and nails.

Due to teratogenic risk and severity of side effects (eg, Stevens-Johnson syndrome, suicide risk), isotretinoin is used to treat only ?

severe and/or cystic acne not responding to other treatments.

Tetracyclines may cause Photosensitivity

severe sunburn can occur with tetracycline. The client should use sunblock

Isotretinoin capsules

should be swallowed whole with at least 8 oz of water

Tetracyclines should be taken with a full glass of water

tetracyclines can cause pill-induced esophagitis and gastritis; the risk can be reduced by taking with a full glass of water and remaining upright after pill ingestion

When taking Tetracyclines, avoid Antacids or Dairy Products

tetracyclines should not be taken with iron supplements, antacids, or dairy products as they bind with the drug and decrease its absorption

Isotretinoin is an oral acne medication derived from

vitamin A

aking vitamin A supplements along with isotretinoin can cause

vitamin A toxicity

*** The health care provider has just prescribed tetracycline for an adolescent with acne vulgaris. The client takes oral contraceptive pills. The clinic nurse should educate the teen about which topics? Select all that apply.

- not taking tetracycline with dairy products - using additional contraceptive techniques - using sun block

for at least 1 month prior to starting isotretinoin ?

2 forms of contraception must have been in place must be continued both during treatment and for 1 month after the medication is discontinued.

Isotretinoin side effects

Dryness of the eyes, mouth, and skin Lubricating eye drops may be needed to wear contacts.

*** nurse reinforces education with a client starting isotretinoin for acne. Which statement indicates the client needs further instruction?

I will take vit A supplements

*** A 24-year-old female client has been prescribed isotretinoin for severe nodulocystic acne that has been resistant to other therapies. Which instruction is most important for the nurse to reinforce with this client?

Use 2 forms contraception