EENT- Red info #2 Flashcards
(13 cards)
Ocular and medical emergency
Orbital cellulitis
In what condition should aminoglycosides as an ophthalmic abx be AVOIDED as tx?
What is the exception to this rule?
Aminoglycosides (gentamicin/tobramycin) should be avoided in Corneal abrasions since they can be toxic to the epithelium
EXCEPT in the case of contact lens-related abrasions
- Preparations containing steroids are contraindicated– slows epithelial healing and reduce host resistance to superinfection
–Inpatient treatment: empiric with vancomycin plus - ceftriaxone or cefotaxime
Orbital cellulitis
Tx: Ophthalmic Fluroquinolones
Tx for corneal ulcer
Tx:
–Topical antivirals
- Ganciclovir ophth gel
- Trifluridine ophth solution
- Acyclovir ophth ointment
–Corticosteroids ONLY by ophthalmologist
“TAG”
Tx for HSV keratitis
•Treatment:
–Ophthalmic antivirals, and antibiotics
–Corticosteroids-ONLY by ophthalmologist
Treatment for Herpes zoster involving the eye
•Patients with Bacterial conjunctivitis should respond in ___ to ___ days with a decrease in discharge, redness, and irritation
one to two days
•There is no specific therapy for _________, although patients may receive symptomatic benefit from topical antihistamine/decongestants or from lubricating agents like those used for noninfectious conjunctivitis
viral conjunctivitis
Used to treat bacterial/fungal infection in which ear condition:
- Fluoroquinolones (cipro)
OE
What is first line tx for AOM in adults
Amoxicillin- clavulanate
(dose: amoxicillin 875mg w/ clavulanate 125mg orally twice daily)
Is sinusitis normally bacterial or viral?
viral
Ophthalmic preparations containing______are contraindicated– slows epithelial healing and reduce host resistance to superinfection
steroids
How do you treat AOM in children >3 months and <40kg?
Amoxicillin is 1st line
Oral: 80-90mg/kg/day divided every 12hrs
Max: 3 grams per day
