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Otic (ear meds)
| Term | Definition | Meds | Side effects | Contraindications |
|---|---|---|---|---|
| Antibiotics/glucocorticoid combination drugs | Used for otitis externa (swimmer's ear) to reduce inflammation | -ciprodex -cortisporin -vosol HC | ||
| System antibiotics | Required for inner or middle ear infections | -amoxicillin -sulfamethoxazole & trimethoprim (Bactrim) -cefaclor | ||
| Impaction of cerumen | -can cause decreased hearing & pain -can trap bacteria | -Mineral oil -cerumenolytics -hydrogen peroxide | Used to decrease amount of wax | |
| Pain medications | For infection or trauma pain | |||
| Motion sickness | -balance disorder (-ine) | -meclizine -transdermal scopolamine | -meds should be take 20-60 min before -patch should be applied 4hrs before | |
| Vertigo (dizziness) | Treated with an anticholinergic drug | meclizine | ||
| Ototoxicity commonly occurs with antibiotics | cause damage to the ear | gentamicin | -tinnitus:ringing in the ears -hearing loss -severe headache -ataxia -balance disturbance | |
| Ear assessment | -assess ear structure & hearing -assess pain, tenderness, drainage -ask about previous damage/injury -ask about drug/food allergies | |||
| Nursing Implications (ear) | -wear gloves -cleanse of earwax -give meds at room temp -PT remain on opposite side 5-10 min -if both ear, wait 5-10min | -Ear meds may cause dizziness | Report ear pain, discharge, loss of hearing | -cotton ball may be used, but not in the ear canal -drops should be at room temp -may run warm water over drop bottle |