26: Drugs used for Eye & Ears conditions

Question 1

1. The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within 1 hour of birth.
2. Gentamicin ophthalmic ointment
3. Ciprofloxacin ophthalmic drops
4. Erythromycin oral suspension
5. Erythromycin ophthalmic ointment

Answer 1

4. Erythromycin ophthalmic ointment

Question 2

2. Conjunctivitis in a child that is accompanied by acute otitis media is treated with:
3. Sulfacetamide 10% ophthalmic solution (Bleph-10)
4. Bacitracin/polymyxin B (Polysporin) ophthalmic drops
5. Ciprofloxacin (Ciloxan) ophthalmic drops
6. High-dose oral amoxicillin

Answer 2

4. High-dose oral amoxicillin

Question 3

3. Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:
4. None, wait for the culture results to determine the course of treatment
5. Ciprofloxacin (Ciloxan) ophthalmic drops
6. IM ceftriaxone
7. High-dose oral amoxicillin

Answer 3

3. IM ceftriaxone

Question 4

4. Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:
5. Throwing away eye makeup and purchasing new
6. Redness and intense burning is normal with ophthalmic antibiotics
7. When applying eye ointment, set the tip of the tube on the lower lid and squeeze in inch
8. Use a cotton swab to apply ointment, spreading the ointment all over the lid and in the conjunctival sac

Answer 4

1. Throwing away eye makeup and purchasing new

Question 5

5. Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because:
6. There may be an antagonistic reaction between the two.
7. The additive effects may include bradycardia.
8. They may potentiate each other and cause respiratory depression.
9. The additive effects may cause metabolic acidosis.

Answer 5

2. The additive effects may include bradycardia.

Question 6

6. David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes:
7. He should not wear his soft contacts while using the cromolyn eye drops.
8. Cromolyn drops are instilled once a day to prevent allergy symptoms.
9. Long-term use may cause glaucoma.
10. He may experience bradycardia as an adverse effect.

Answer 6

1. He should not wear his soft contacts while using the cromolyn eye drops.

Question 7

7. Ciprofloxacin otic drops are contraindicated in:
8. Children
9. Patients with acute otitis externa
10. Patients with a perforated tympanic membrane
11. Swimmer’s ear

Answer 7

3. Patients with a perforated tympanic membrane

Question 8

8. __________ is / are prescribed to prevent swimmer’s ear.
9. Ciprofloxacin otic drops (Ciloxan)
10. Isopropyl ear drops (EarSol)
11. Colistin (Coly-Mycin S Otic)
12. Gentamicin otic drops

Answer 8

2. Isopropyl ear drops (EarSol)

Question 9

9. Patient education regarding the use of ciprofloxacin-hydrocortisone (Cipro HC otic) ear drops includes:
10. Fill the canal with the drops with each dose.
11. Some redness and itching around the ear canal is normal.
12. Warm the bottle of ear drops in his or her hand before administering.
13. Cipro HC otic may cause ototoxicity.

Answer 9

3. Warm the bottle of ear drops in his or her hand before administering.

Question 10

10. Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:
11. Moisten a cotton swab (Q-tip) and swab the ear canal twice daily.
12. Instill tap water in both ears while bathing.
13. Squirt hydrogen peroxide into ears with each bath.
14. Instill carbamide peroxide (Debrox) twice daily until canals are clear.

Answer 10

4. Instill carbamide peroxide (Debrox) twice daily until canals are clear.