The rapidly expanding field of non-medical prescribing requires that clear and comprehensive information on the subject be accessible to healthcare professionals. This book, written by experts with a wealth of practical and clinical experience in the field, provides essential material on the diagnosis and treatment of common dermatological conditions as well as relevant background information such as basic pharmacology. The user-friendly format ensures effective use in a practical setting to facilitate accurate prescribing without consulting library resources. A range of skin infections and infestations are dealt with alongside more specific coverage of conditions such as acne, eczema, psoriasis and skin cancers. As such it is an invaluable guide for primary care practitioners and healthcare professionals prescribing in dermatology as well as pre-post registered nurses looking to specialize in the field.
Author(s): Polly Buchanan, Molly Courtenay
Edition: 1
Publisher: Cambridge University Press
Year: 2006
Language: English
Pages: 142
Cover......Page 1
Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
Preface......Page 11
Topical administration......Page 13
Parenteral administration......Page 14
Drug absorption......Page 15
Factors affecting drug absorption from the gastrointestinal tract......Page 16
Absorption following topical administration......Page 17
Drug distribution......Page 18
Drug metabolism......Page 19
Lungs......Page 20
Perspiration, saliva and tears......Page 21
Pharmacodynamics......Page 22
Factors affecting an individual’s response to a drug......Page 24
FURTHER READING......Page 26
2 The skin......Page 28
The epidermis......Page 29
Dermis......Page 30
REFERENCE......Page 31
3 Treatment of infection......Page 32
Mode of action......Page 33
Modification of bacterial energy metabolism......Page 34
Side-effects......Page 35
REFERENCES......Page 37
Acne vulgaris......Page 38
General history......Page 41
Clinical assessment......Page 42
General daily skin care......Page 43
Benzoyl peroxide and azelaic acid......Page 44
Antimicrobials (Antibiotics)......Page 45
Hormone treatment......Page 46
Rosacea......Page 48
Triggers to acute flares......Page 49
General skin care advice......Page 50
Specialist referral......Page 51
REFERENCES......Page 52
5 Psoriasis......Page 53
Patho-physiological changes in the skin......Page 54
Assessment......Page 55
General history......Page 56
Physiological assessment......Page 57
Psychological assessment......Page 59
Preparation for the treatment of psoriasis......Page 60
Mode of action......Page 61
Mode of action......Page 62
Contraindications......Page 63
Retinoids......Page 64
Side effects......Page 65
Specialist referral......Page 67
REFERENCES......Page 68
Histopathology of eczema......Page 69
Clinical features......Page 71
Management principles......Page 73
Physiological assessment......Page 74
Psychological assessment......Page 75
Emollient therapies......Page 76
Role of anti-infective agents in the management of eczema......Page 77
Specialist referral......Page 78
REFERENCES......Page 79
Pathophysiology......Page 81
Clinical presentation......Page 82
Systemic signs and symptoms......Page 83
Psychological impact......Page 84
General history......Page 85
Psychological assessment......Page 86
Emollient therapy......Page 87
When to refer for specialist opinion......Page 88
REFERENCES......Page 89
Assessment......Page 90
Treatment......Page 91
Treatment......Page 92
Chronic paronychia......Page 93
Assessment......Page 94
Mode of action......Page 95
Assessment......Page 96
General skin care advice......Page 97
General skin care advice......Page 98
Assessment......Page 99
Molluscum contagiosum......Page 100
Herpes simplex virus and herpes zoster (shingles)......Page 101
Treatment......Page 104
When to refer......Page 105
Dermatophyte infections (Tinea or ringworm)......Page 106
Assessment......Page 107
Candidiasis......Page 108
Treatment of fungal infections......Page 109
When to refer......Page 110
Lice......Page 111
General advice......Page 112
Management of head lice......Page 113
Treatment with insecticides......Page 114
General points......Page 115
Scabies......Page 116
Application of preparations......Page 118
REFERENCES......Page 119
Epidemiology of skin cancer......Page 121
Actinic Keratoses (AK)......Page 122
Malignant melanoma......Page 123
Types of melanoma......Page 124
Secondary metastatic disease......Page 125
Basal cell carcinoma......Page 126
Squamous cell carcinoma......Page 127
Treatment of SCC......Page 128
Early screening......Page 129
Specialist intervention......Page 130
Side effects......Page 131
Mode of action......Page 132
REFERENCES......Page 133
Index......Page 137
