Nystatin vs Zinc Oxide vs A&D Ointment

[angelique777]

Nystatin vs Zinc Oxide vs A&D Ointment what do you use and when???????????

PT today in clinic had rash on buttock. The PA ask me what I think about it.

Well what do I say? Well I take a look at it buttocks red with those elevated red blochs on it ,,,skin intact. I tell him well when we get a patient with this at the hospital they usually use zinc oxide or nystatin.

Would like to know what you will use and when why. This is not my expertise but that is what we I do when my patient has redness. Find home care nurses really good with skin care and wound care vs some of my hospital experiences. The some times knew about more products available.

What we do on our unit.

Some redness with skin intack =AD ointment after good cleaning

Some redness and irritation =Zinc oxide

Some redness , irritation , lots of bloching accompanied by itching =nystatin

If I see a small tear I will put a duoderm.

I note the problem let the doc know about it and they examine patient and then order the med

Just thought I should ask here and get expert advice and some examples and reference to know for sure when fungal

when to put what or what you use for what problems

Seen some fungal cases that guessing was no brainer but hope you could classify for me when to use what and how do you know what to use.

Just a quick post forgive any misspelling run on sentences typos ok lol

Thanks for your time

Angela

[santhony44, MSN, RN, NP]

Nystatin is used for a candidal rash.

Zinc oxide and A&D can be used for other types of rashes, for example, redness from diarrhea.

Personally, I use zinc oxide, A&D, Desitin, and petroleum jelly pretty interchangeably. None of those can be used interchangeably with Nystatin, though.

[ICRN2008, BSN, RN]

I prefer triple paste

[canoehead, BSN, RN]

A&D to moisturize and provide a barrier making cleanup easier.

Zinc oxide for redness, a stronger barrier and some healing qualities.

Nystatin for pimply rash associated with candida infections- no other use.

One of our docs mixes zinc oxide and hydrocortisone cream for an antiinflammatory effect. I prefer the zinc and a dose of fresh air to the parts involved, along with more frequent changes.

[dosamigos76, RN]

TAO with Lanaseptic is awesome as well for redness with or without any breakdown.

Cheryl

[Kunzieo]

Desitin/Vasoline for very mild redness

Zinc oxide for mild/moderate redness or blotchiness

Butt Paste (Aquaphor ointment, Nystatin ointment, Stomahesive powder) for severe redness or some breakdown.

Just the Aquaphor and Stomahesive powder for more severe breakdown.

That is our typical dispensing pattern to the NH we are contracted with at the pharmacy I work at.

[angelique777]

Thanks for all your post. It broke down what to do for what. Very helpfull!!!!!!!!!!!!!!!!!!

The patient had

mild/moderate redness or blotchiness

PA ended up ordering

Start Lotrisone cream, 0.05%-1%, applied topically, 20, 1 app, BID, 7 day(s) .

Thanks everyone