NUR 677 Exam 1 Study guide Chapter 67, 68, 69, 70
Questions With Complete Solutions
Pharmacological management of OE 3 Topical antibiotics
Topical antibiotics are indicated for uncomplicated conditions in
which inflammation is confined to the ear canal. p392
Pharmacological management of OE 4 (do not to prescribe)
Topical anesthetics such as benzocaine otic solution were once
frequently prescribed, they have been removed from the market
since 2015. p.392
In the absence of C&S results for OE antibiotics
It is important to choose medications that target both
P.aeruginosa and S. aureus. Fluoroquinolones antibiotics target
both ex: Oflaxin, Cipro (Cetralax, Ciloxan).
antibiotics-corticosteroids combination- (Cipro-Hc),
Pharmacological management of OE 5 antibiotics
Aminoglycoside antibiotics- Neomycin (S. Aureus) it does not
work on (P.aeruginosa) needs to be combined w/ polymyxin for
(P.aeruginosa)
Pharmacological management of OE 6 Fungal
acidification w 5% acetic acid (white vinegar) or a 1:1 or 1:2
solution of vinegar and alcohol is often effective. Clotrimazole
otic are effective against common causative agents. Fluconazole
(diflucan) may be given if no contraindication of drug-drug
interaction (ex: warfarin). p392
, Non-pharmacological management of OE
debris should be gently removed to allow healing, if TM is intact
aural lavage w hydrogen peroxide, saline or even water may be
helpful. These should be warmed to room temp. p.392
tympanic membrane perforation
perforation can be caused by trauma, infection or neoplastic
process. TM can be lacerated or perforated by foreign objects in
the external canal p.397
Clinical presentation of TM perforation
Common symptoms hearing loss, sensation of fullness or
popping in the affected ear, tinnitus, vertigo. if related to
trauma- bleeding, hearing loss, and pain can be the CC. p.397
Non-pharmacological treatment of TM perforation
Most heal spontaneously unless they become secondarily
infected or are very large. Some TM will require surgical repair
w/ a patch or graft. p397
pharmacological treatment of TM perforation
antibiotic drops w/ low otoxicity or systemic antibiotics are
often necessary when infection is evident (short term). p397
Definition Rhinosinusitis
Sings & symptoms rhinosinusitis
Common complaints include: cough, dental pain, facial
discomfort, fatigue, fever, halitosis, headache, nasal blockage, or
discharge (anterior or posterior nasal drip), and reduction in or
Questions With Complete Solutions
Pharmacological management of OE 3 Topical antibiotics
Topical antibiotics are indicated for uncomplicated conditions in
which inflammation is confined to the ear canal. p392
Pharmacological management of OE 4 (do not to prescribe)
Topical anesthetics such as benzocaine otic solution were once
frequently prescribed, they have been removed from the market
since 2015. p.392
In the absence of C&S results for OE antibiotics
It is important to choose medications that target both
P.aeruginosa and S. aureus. Fluoroquinolones antibiotics target
both ex: Oflaxin, Cipro (Cetralax, Ciloxan).
antibiotics-corticosteroids combination- (Cipro-Hc),
Pharmacological management of OE 5 antibiotics
Aminoglycoside antibiotics- Neomycin (S. Aureus) it does not
work on (P.aeruginosa) needs to be combined w/ polymyxin for
(P.aeruginosa)
Pharmacological management of OE 6 Fungal
acidification w 5% acetic acid (white vinegar) or a 1:1 or 1:2
solution of vinegar and alcohol is often effective. Clotrimazole
otic are effective against common causative agents. Fluconazole
(diflucan) may be given if no contraindication of drug-drug
interaction (ex: warfarin). p392
, Non-pharmacological management of OE
debris should be gently removed to allow healing, if TM is intact
aural lavage w hydrogen peroxide, saline or even water may be
helpful. These should be warmed to room temp. p.392
tympanic membrane perforation
perforation can be caused by trauma, infection or neoplastic
process. TM can be lacerated or perforated by foreign objects in
the external canal p.397
Clinical presentation of TM perforation
Common symptoms hearing loss, sensation of fullness or
popping in the affected ear, tinnitus, vertigo. if related to
trauma- bleeding, hearing loss, and pain can be the CC. p.397
Non-pharmacological treatment of TM perforation
Most heal spontaneously unless they become secondarily
infected or are very large. Some TM will require surgical repair
w/ a patch or graft. p397
pharmacological treatment of TM perforation
antibiotic drops w/ low otoxicity or systemic antibiotics are
often necessary when infection is evident (short term). p397
Definition Rhinosinusitis
Sings & symptoms rhinosinusitis
Common complaints include: cough, dental pain, facial
discomfort, fatigue, fever, halitosis, headache, nasal blockage, or
discharge (anterior or posterior nasal drip), and reduction in or
