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NURC 1021 Anaesthetics ATI Template
- Institution
- Eastern Florida State College
Med - witch hazel - Tucks, or dibucaine - Nupercainal ointment, Dermaplast spray Learning Template
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ACTIVE LEARNING TEMPLATE: MedicationSTUDENT NAME _____________________________________
witch hazel (Tucks) or dibucaine (Nupercainal) ointment, Dermoplast spray
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Anesthetic (topical/local)
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
Inhibit initiation and conduction of sensory Local anesthesia with subsequent loss of
nerve impulses. sensation or relief of pain and/or pruritis.
Complications Medication Administration
EENT: mucosal use- absent or diminished gag reflex. Dibucaine topical- (Adults and
Derm: topical use- burning, edema, irritation, stinging, tenderness, Children): Apply as needed (not
urticaria.
to exceed 30 g/day in adults or
Misc: allergic reactions including anaphylaxis.
7.5 g/day in children).
Can be used 3-4 times a day.
Contraindications/Precautions
-Pedi: Topical benzocaine products should not be used in children less than 2 yr. old.
-Hypersensitivity, Cross-sensitivity mat occur among related agents (amide types-
dibucaine; ester types- benzocaine, tetracaine).
-Active untreated infection of affected area.
Nursing Interventions
-Debilitated patients.
-Large or severly abraded areas of skin or mucous membrane. -Assess type, location, and intensity of
-Prolonged use 9not recommended). pain before and a few minutes after
administration of anesthetic.
-Assess integrity of involved skin and
mucous membranes before and
periodically throughout course of
Interactions therapy.
-Notify health care professional if signs
Drug-drug: toxicity of ester type agents may be increased of infectionn or irritation develop.
by concurrent use of cholinesterase inhibitors.
Client Education
-Instruct patient on correct application technique.
-Caution patient that these agents shouild not be
applied for prolonged periods or to large areas.
Evaluation of Medication Effectiveness -Advise patient to discontinue use and notify
heath care professional if erythema, rash, or
-Temporary relief of discomfort associated with minor irritation at site of administration occurs, area
becomes infected, or medication is swallowed.
irritations of skin or mucous membranes, -Caution patient to read lists of active ingredients
-Temporary local anesthesia of mucosal surfaces. on OTC products. Brand names frequently
change and may be misleading as to actual
contents.
ACTIVE LEARNING TEMPLATES
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