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Otic Prep
Chapter 53
Question | Answer |
---|---|
Otitis Media | Most common middle ear infection. Can become systemic with fever. |
Actions | -Anti-biotics -Anti-biotic/steriod -Misc |
Benzocaine | Local anesthetic |
Phenylephrine | A vasoconstrictor decongestant |
Glyercin | An emollient and solvent |
Anti-pyrine | Analgesic |
Acetic Acid, Boric acid, benzalkonium, benzethonium | Anti-fungal and anti-botic action |
Carbamide peroxide | Removes Cerumen |
Uses | Pain relief, Infection and inflammation, removal of cerumen |
Adverse Reactions | Ear itching, burning, Irritation and prolonge(Oflaxacin)d use may cause super infection |
Contraindictions | Cerumen drugs are not to be used drainage, discharge, pain, or irritation is present, or if the ear drum is perforated and after surgery. |
Precautions | Pregnancy and lactation, Olfoxacin(Cat C) |
Assessment Infancy | Pulling, grabbing, or tugging on the ears, crying, fussiness, irritability, and fever |
Preparation for therapy | Hold container in hand for a few minutes to warm to room temp, can cause dizziness if to warm or cold, leave on side for 5 minutes and put a piece of gauze to prevent solution running out. |
CerumenX therapy | Do not leave in ear for longer then 30 minutes and put a cotton plug in, leave in for 15 to 30 minutes then flush with warm water, cerumen is thicker in adults assess for build up when hearing loss is suspected |
Risk for infection | Contact Primary provider if symptoms don't go away after a week |
Anxiety | Reassure patient that every effort is being made to treat disorder. |
Children infections | They are more prone to recurrent otitis media infections |
After use | Replace cap or dropper, then refrigerate |
After use Cerumenx | Do not put anything in ear canal such as a q-tip, do not use for more than 4 days, if dizziness occur contact PHCP |