Which patient should not use lindane? (Select all that apply.) ...

[Engineer]

Which patient should not use lindane? (Select all that apply.)
 
  a. A child with a history of seizures
  b. A patient who has used lindane in the past 2 months
  c. A person who weighs 115 pounds
  d. A person with an autoimmune disorder
  e. A person with atopic dermatitis

Question 2

A parent has used permethrin (Nix) twice to treat head lice in a child. Two weeks after the last treatment, head lice are again found in the child's hair. The parent asks the nurse what to do.
 
  The nurse will recommend asking the child's provider about which therapy?
  a. Applying lindane 1 shampoo
  b. Cutting the child's hair
  c. Ordering permethrin 5 (Elimite)
  d. Using benzyl alcohol (Ulesfia)

[popopong]

Answer to Question 1

ANS: A, B, E
Any patient with a history of seizures should not use lindane, because it is associated with seizures. Patients who have used lindane within the past 2 months are at increased risk for serious side effects with repeated use. Patients with psoriasis or atopic dermatitis should not use lindane. Lindane may be used in patients who weigh more than 110 pounds and in patients with autoimmune disorders.

Answer to Question 2

ANS: D
Permethrin 1 (Nix) is the drug of choice for lice, but it fails in about 5 of patients as the result of drug resistance. When drug resistance occurs, patients should be treated with malathion or benzyl alcohol. Lindane has serious central nervous system (CNS) side effects and should not be used unless other treatments fail. Cutting the child's hair is not necessary. Permethrin 5 (Elimite) is used to treat scabies.

[Engineer]

TYSM

[JCABRERA33]

Excellent