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Home Q & A Board Biology-Related Homework Help Medicine Pharmacology (Moderator: DelightfulMind)
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haileyyfoll haileyyfoll
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6 years ago
A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should:
 
  a. prescribe triamcinolone cream for 2 weeks.
  b. recommend continuing treatment for 2 more weeks.
  c. discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
  d. discontinue the clobetasol and recommend prn use for occasional flare-ups.
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#1
6 years ago
A
Treatment should be discontinued when the skin condition has resolved. Tapering the corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually reducing the potency and dosing frequency at 2-week intervals. This patient was on a very high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
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