950
A P P E N D I X C
Topical agents
■
■
Monitor for adverse effects (local stinging or
inflammation).
■
■
Evaluate the effectiveness of the teaching plan
(person can name drug, dosage, adverse effects
to watch for and specific measures to avoid
them; individual understands the importance of
continued follow-up).
■
■
Monitor the effectiveness of comfort measures and
compliance with the regimen.
■■
TABLE C Topical agents
Drug
Brand name
Dosage
Usual indications/special considerations
Emollients
boric acid ointment
Boric Acid, Olive Oil
and Zinc Oxide
Ointment
Gold Cross B.O.Z.
Ointment
Apply as needed
Relieves burns, itching, irritation
Relieves itching and aids in healing
for mild skin irritations
urea
Aquacare/HP Cream
Calmurid, FootSmart,
Nutraplus, Urecare,
Urederm
Apply b.d. to q.i.d. to
area affected
Rub in completely
vitamins A and D
generic
Apply locally with
gentle massage b.d.
to q.i.d.
Relieves minor burns, chafing, skin
irritations; consult healthcare
provider if not improved within
7 days
zinc oxide
Curash, Desitin,
Prickly Heat Powder,
Rectogesic Zinc
Powder, Sudocrem
Apply as needed
Relieves burns, abrasion, nappy and
heat rash
Lotions and solutions
aluminium acetate
(Burrow’s solution)
generic
Apply q 15–30 minutes
for 4–8 hours
Astringent wet dressing for relief of
inflammatory conditions, insect bites,
athlete’s foot, bruises, sores; do not
use occlusive dressing
calamine lotion
generic
Apply to affected area
t.d.s. to q.i.d.
Relieves itching, pain, insect bites and
minor skin irritations
hamamelis water
Witch Hazel
Apply locally up to six
times per day
Relieves itching and irritation of insect
bites, haemorrhoids, postepisiotomy
discomfort, posthaemorrhoidectomy
care
Antiseptics
benzalkonium chloride Bepanthen Antiseptic
Cream, Ionil Rinse
Apply as directed
Thoroughly rinse detergents and soaps
from skin before use
chlorhexidine
gluconate
Bepanthen First Aid
Antiseptic Cream,
Microshield
Scrub or rinse; leave
on for 15 seconds;
for surgical
scrub—3 minutes
Use for surgical scrub, preoperative
skin preparation, wound cleansing;
preoperative bathing and showering
hexachlorophane
generic
Apply to wet skin and
lather for 2 minutes
Surgical wash, scrub; do not use with
burns or on mucous membranes;
rinse thoroughly
iodine
Avagard 9240
Solution and generic
preparations
Wash affected area
Highly toxic; avoid occlusive dressings;
some preparations stain skin and
clothing; iodine allergy is common
povidone-iodine
Betadine, Evans
Dermal Powder,
Inadine Dressing,
Microshield PVP
Solution
Apply as needed
Treated areas may be bandaged; HIV
is inactivated in this solution; causes
less irritation than iodine; less toxic
