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dr. jennifer palmer
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.

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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Phone (641) 620-9119 | Fax (641) 613-1305
2605 Washington Street | Pella, Iowa 50219
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