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drug cards of medical surgical course
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Drug Card Template Patient teaching/patient education : Topical antifungals are safe to use while pregnant or breastfeeding. It is recommended that the medication is not applied directly on the breast or nipple while breast feeding. Reference: Smeltzer, S. C., & Bare, B. G. (1992). Brunner & Suddharth’s textbook of medical-surgical nursing. Philadelphia: JB Lippincott@2022 Nurseslabs. https://www.singlecare.com Drug Classification : Topical Antifungal Action : Topical antifungals work by inhibiting production of ergosterol, a fundamental component of the fungal cell membrane and wall. Indications for use : Topical antifungal drugs are used to treat many common types of fungal infections including: pityriasis, tinea capitis, tinea pedis, ringworm, cutaneous candidiasis, dandruff, diaper rush, yeast infections, seborrheic dermatitis, onychomycosis, intertrigo, paronychia, jack itch, tinea versicolor, tinea corporis and tinea cruris. Pre -Assessment/Nursing interventions Check for allergies, Assess for cautions contraindications like liver and kidney dysfunction, pregnancy, and lactation. Perform a thorough physical assessment, obtain culture of the infected area to make an accurate determination of the type and responsiveness of the fungus. Side Effects Itching, burning, rash, redness, tingling, skin irritation, thinning of skin, stinging, dryness. Adverse Effects/Toxic Effects Diarrhea, abdominal pain, maceration of skin, Alopecia, bruising hypopigmentation Post Administration /Nursing intervention Ensure patient receives full course as prescribed, monitor patient response to therapy, closely monitor adverse reactions. Contraindications / Drug to Drug interactions/Food Interactions Contraindications: Do not take topical antifungal if you have: known hypersensitivity to medication, or a skin infection where the medication would be applied. Drug interactions: Co-administration of drugs such as phenytoin, phenobarbital, carbamazepine, rifampicin, isoniazid, ritonavir, efavirenz, and other inducers of CYP3A4 can induce the metabolism of azole antifungals. This in turn can result in failure of antifungal treatment.