Nurs 6630 Exam 1: Chapter 49 Upper
Respiratory Infection, Pharyngitis, Sinusitis,
Otitis Media, and Otitis Externa
If a child has not had any amoxicillin within the last 30 days what medication
should the prescriber consider for Acute Otitis Media?
Amoxicillin 80-90 mg/kg/d
Dx is based on clinical symptoms and the course of illness. Any persistent URI
lasting longer than 10 days without any clinical improvement is likely to be?
Bacterial sinusitis
Most common minor acute illness seen in primary care
Upper Respiratory Infections (URI)
The most common secondary infections seen with viral URI are:
Sinusitis & otitis media (OM)
The most common cause of the common cold
Rhinovirus
Other causes of the common cold?
-Adenovirus
-Respiratory syncytial Virus
-Coronavirus
-Enterovirus
-parainfluenza virus
-influenza virus
Using antibiotics for a viral infection leads to?
Antibiotic resistance
URI symptoms?
-nasal congestion
-rhinorrhea
-malaise
-Scratchy throat
-Nasal discharge: starts out thin & clear->then thickens ->green/yellow color
-generalized muscle aches
-Usually no fever in adults
- Low-grade fever in children
URI Tx?
Symptomatic care:
-fluids, antipyretics
-nasal bulb suctioning in infants
-decongestants in older children & adults
*NO ABX*
URI meds
Oral Decongestants
--Pseudoephedrine HCL (Sudafed)
Respiratory Infection, Pharyngitis, Sinusitis,
Otitis Media, and Otitis Externa
If a child has not had any amoxicillin within the last 30 days what medication
should the prescriber consider for Acute Otitis Media?
Amoxicillin 80-90 mg/kg/d
Dx is based on clinical symptoms and the course of illness. Any persistent URI
lasting longer than 10 days without any clinical improvement is likely to be?
Bacterial sinusitis
Most common minor acute illness seen in primary care
Upper Respiratory Infections (URI)
The most common secondary infections seen with viral URI are:
Sinusitis & otitis media (OM)
The most common cause of the common cold
Rhinovirus
Other causes of the common cold?
-Adenovirus
-Respiratory syncytial Virus
-Coronavirus
-Enterovirus
-parainfluenza virus
-influenza virus
Using antibiotics for a viral infection leads to?
Antibiotic resistance
URI symptoms?
-nasal congestion
-rhinorrhea
-malaise
-Scratchy throat
-Nasal discharge: starts out thin & clear->then thickens ->green/yellow color
-generalized muscle aches
-Usually no fever in adults
- Low-grade fever in children
URI Tx?
Symptomatic care:
-fluids, antipyretics
-nasal bulb suctioning in infants
-decongestants in older children & adults
*NO ABX*
URI meds
Oral Decongestants
--Pseudoephedrine HCL (Sudafed)
