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INSTRUCTIONS FOR WOUND CARE
1. Leave
dressing in place and keep dry for 24 hours.
2. After first day, cleanse the
affected area with plain water and mild soap or diluted hydrogen peroxide both
morning and evening; you may bathe or shower and get area wet after first 24
hours.
3. After cleansing the wound, apply a small amount of plain Vaseline
pertroleum jelly or an anitbiotic ointment (Polysporin or Bacitracin) to the
affected area.
4. Cover with a clean, dry dressing or Band-Aid until
healed.
5. Call if signs of infection (increasing redness, tenderness,
warmth, pus, fever, etc...) |
LIQUID NITROGEN INSTRUCTIONS
1.You may
experience pain with the liquid nitrogen treatment. This generally resolves
within minutes, but may persist for 24-48 hours, depending on the location and
duration of freezing. An analgesic, such as Tylenol or Advil, should be
sufficient to reduce pain if needed. Notify the clinic if the pain seems too
severe or persistent.
2. A blister or crusty area may develop from the
treatment, that may become large or dark like a blood blister. This is an
expected result of treatment and should cause no concern. If the blister seems
especially large or painful, or if swelling or pus is noted, please notify the
medical staff at Iowa Dermatology.
3. Make sure to clean the area twice
daily with mild soap and water and apply plain Vaseline petroleum jelly or
antibiotic ointment. You may puncture the blister yourself with a needle
sterilized with alcohol if you wish. |
DIOLITE-532
Pre-Treatment
Information
| 1. |
Generally
little or no pre-treatment is required with the DioLite 532. |
| 2. |
Dr. Palmer
may recommend a treatment to prepare you for laser therapy. Sometimes a mild
bleaching agent is prescribed to lighten the areas that will be
treated. |
Post-Treatment Instructions
| 1. |
The area
treated with the laser may be red afterward. This will generally fade within
24-48 hours. |
| 2. |
The
treated area can be washed normally with mild soap and water. Wash the area
gently with your fingertips. Use of a washcloth or other abrasive instrument is
not recommended. |
| 3. |
For the
next 3-4 weeks, avoid sun exposure to the treated area. Use of a sunscreen
containing an SPF of 15 or higher is recommended. |
| 4. |
Avoid
irritants such as products containing glycolic acid or Retin-A for 5-7
days. |
| 5. |
Minor
crusting or scabbing of the treated area can occur. Do not rub or pick the
scab. After washing with fingertips with a gentle soap, apply an antibacterial
ointment to the treated area. |
| 6. |
Pigmented
lesions may turn gray or dark after treatment. As the skin heals, in 7-14 days,
the spot will slough off. Do not rub or pick the lesion. Antibacterial or
moisturizing ointment may be applied to the area as desired. |
Please
remember that multiple treatments may be required to achieve the optimum result
with either vascular or pigmented lesions. |
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SCABIES TREATMENT WITH ELIMITE
| 1. |
Take a cleansing
bath or shower, washing with a good antibacterial soap, such as Dial, Lifebouy,
or Zest. Make sure to trim fingernails and toenails and scrub underneath as
well. |
| 2. |
Wait one hour
after bathing skin, to allow skin to return to normal room
temperature. |
| 3. |
Thoroughly
massage Elimite into the skin everywhere from the neck to the toes, including
folds and creases. For infants and geriatric age patients (70 years and older),
also include the scalp, hairline, neck, temples and forehead. Infants' hands
and feet should also be covered with mittens and socks (or by closing the arm
holes of a footed sleep by stitching), in order to prevent them from sucking
fingers, hands, toes and feet. The medication should not be taken in orally;
also, all attempts should be made to avoid contact with the eyes. A 30 gram
tube is sufficient for an average adult, less is required for a child or
infant. |
| 4. |
The cream should
be removed by a cleansing bath or a shower after 8 to 12 hours. One application
is curative, if done correctly. |
| 5. |
Itching, mild
burning and/or stinging may occur after application of Elimite. Patients may
experience persistent pruritus after treatment which represents the allergic
response of the skin to the presence of the mite. This is rarely a sign of
treatment failure and is not an indication for retreatments. The pruritus
gradually improves over the course of three to four weeks and is usually gone
by the fourth or fifth week after treatment. |
| 6. |
The morning
following treatment, all clothing, nightclothes and bed linen worn or used in
the last week should be laundered; hot water is preferable. For clothing that
requires dry cleaning, send them to the cleaners. The alternative to laundering
is to hang an item in a dry place for at least one week or longer. The human
mite cannot live outside of the human body for this period of time and will
die. |
| 7. |
For the itching,
over-the-counter preparations may be used for symptomatic relief, such as
Calamine or Sarna lotion. If itching is severe and curtailing sleep, your
physician may also prescribe an oral antihistamine to be taken at night and a
prescription lotion for symptomatic relief during the day and
night. |
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