PATIENT EDUCATION
PT NAME, AGE, & WT IF PEDIATRIC:
Armstrong, Lilly; eight y/o; 30kg
NAME OF MEDICATION:
Mupirocin 2% cream (Bactroban)
DOSAGE, ROUTE, & FREQUENCY:
Apply cream to lesions three instances every day for five days
INDICATION/DIAGNOSIS:
Impetigo
POSSIBLE ADVERSE REACTIONS:
Often nicely tolerated however might trigger:
Burning/stinging of the lesion (Arcangelo et al., 2022).
Rash/redness/itchiness (Arcangelo et al., 2022).
Not often causes anaphylaxis or angioedemia (Lexicomp, n.d.).
HEALTH PROMOTIONS RELATED TO DIAGNOSIS AND MEDICATION:
Impetigo is extremely contagious (Arcangelo et al., 2022). Keep away from contact with infants, different youngsters, and older adults (Arcangelo et al., 2022).
Keep away from touching, itching, or selecting at lesions.
Apply correct hygiene and wash fingers continuously (Arcangelo et al., 2022).
Wash fingers earlier than and after making use of cream.
Put on gloves whereas making use of cream.
Use a gloved fingertip or cotton swab to use cream to lesion. Don’t contact the container on to the lesion.
Don’t apply cream in nostril or eyes. It could trigger extreme burning (Lexicomp, n.d.). Rinse eyes completely with water if this does happen (Lexicomp, n.d.).
It’s possible you’ll cowl the lesions with a bandaid to forestall contact with the lesion and unfold of the an infection (Lexicomp, n.d.).
Contact your healthcare supplier in the event you develop a brand new rash, itchiness, elevated redness or swelling or your youngster develops a fever (Lexicomp, n.d.).
Search rapid medical consideration if facial swelling, swelling of the neck, or problem respiratory happens (Arcangelo et al., 2022).
Contact your well being care supplier if the lesions don’t resolve after 5 days of therapy (Arcangelo et al., 2022).
CLINICAL INFORMATION
MECHANISM OF ACTION:
Mupirocin binds to transfer-RNA synthetase which inhibits protein synthesis inside the micro organism cells (Arcangelo et al., 2022).
CONTRAINDICATIONS:
Individuals who’re allergic to the drug (Arcangelo et al., 2022).
Intranasal types of the drug shouldn’t be used with every other intranasal merchandise (Arcangelo et al., 2022).
WARNINGS/PRECAUTIONS:
If a brand new rash, anaphylasix or angioedema happens discontinue use (Lexicomp, n.d.).
Cream will not be for intranasal or ophthalmic use(Lexicomp, n.d.).
Might trigger extreme burning (Lexicomp, n.d.).
INTERACTIONS:
There are at the moment no identified interactions (Lexicomp, n.d.)
SPECIAL POPULATION CONSIDERATIONS:
Use with warning in these with renal impairment, research haven’t been performed on this inhabitants(Lexicomp, n.d.)
Keep away from use in neonates and in folks with intensive burns/open wounds (Lexicomp, n.d.). Some dosages include propylene glycol which might be trigger deadly toxicities in massive quantities through topical, oral, and intravenous routes (Lexicomp, n.d.).
Intranasal Mupirocin will not be authorized for pediatric use within the U.S.
In adults, intranasal Murpirocin is extra more likely to trigger the above listed adversarial results in addition to:
Complications/dizziness
Rhinitis
Respiratory congestion
Pharyngitis
Cough
Bloody noses
References
Arcangelo, V. P., Peterson, A. M., Wilbur, V. F., Kang, T. M. (2022). Pharmacotherapeutics for superior apply: A sensible method (fifth ed.). Wolters Kluwer.
Lexicomp. (n.d.). Mupirocin: drug Data. UpToDate. Retrieved October 14, 2022 obtainable from https://www.uptodate.com/contents/mupirocin-drug-information?

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