Question

A client is prescribed transdermal lidocain patches for postherpetic neuralgia. Which client statement requires additional teaching by the nurse?

a) " I should apply a new patch in a different location every 24"

b) " I should remove the patch if my skin begins to blister"

c) I can use up to three patches to cover the painful area of the skin"

d) " I can still use the patch if I become pregnant"

Answer 1

a) " I should apply a new patch in a different location every 24" PATHCES SHOULD BE APPLIED FOR 12 HRS ONLY IN 24 HOURS. 12 HOURS ON AND 12 HOURS OFF IN THE SITE OF PAIN ( Client needs clarification)

b) " I should remove the patch if my skin begins to blister" MILD BLISTERING, IRRITATION, ITCHING, FLAKING RASH ETC ARE MILD REACTION OCCURING WITH PATCH APPLICATION WHICH MAY DISAPPEAR IN FEW HOURS. IN SEVERE BLISTERING PATCH SHOULD BE REMOVED (client needs clarification in mild reaction)

c) I can use up to three patches to cover the painful area of the skin" 5% LIDOCAINE TRANSDERMAL PATCHES - UPTO 3 PATCHES CAN BE APPLIED ONCE FOR 12 HOURS (client has correct informationt)

d) " I can still use the patch if I become pregnant": TOPICAL / OCULAR APPLICATIONS USUALLY DO NOT HAVE SYSTEMIC EFFECTS, HENCE DRUG MAY NOT HAVE EFFECT ON FETUS.RISK DURING PREGNANCY HAS NOT BEEN ESTABLISHED (client has correct information)

Reference :

https://reference.medscape.com/drug/lidoderm

http://lidocainepatch.mylan.com/