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Pharm SFU PA HEENT
Pharm III SFU PA prog spring 2006 HEENT Krekel
| HEENT Question | Answer |
|---|---|
| Cycloplegics..cause what? | cause paralysis of accomodation |
| what color eyes have a slower onset and longer duration of drugs? | Dark color eyes have a slower onset and longerduration of action . |
| The less... pigment in the iris the ___ drugs bind | Less drugs bind to lighter eyes . |
| A drug that is lipohylic ( or uncharged ) have an easier time crossing___ | the cornea |
| List all the FDA approved anti infective eye drops available OTC.. | 0 none zip nada |
| How many refills should you write for eyeointments? | Dont write for refills for eye ointments |
| A sexy adult with copius disgusting snot like globs oozing from their eyes ..what do you think? what organisim ? | Yuck! then N.gonorrhoeae |
| If you have a n Intack cornea can you get N. Gonorrhoeae? | Yes and its opthalmic emergency |
| I have heart block and COPD what eye drug might give me problems? | Timolol (a beta blocker) |
| Eye drops what size bottles ? | 5cc and 10cc |
| Muscarinic Antagonists are used in eyes for ? | Mydriasis (Pupil Dilation) |
| Muscarinic Antagonists name 3 Representative Products | Atropine, 2) Homatropine 3) Mydriacyl |
| Shortest duration anticholinergic (1-3 ) hours | Mydriacyl ( tropicamide) |
| Which of the Muscarinic Antagonists is NOT for UVitis? | Mydriacyl ( tropicamide ) Not used for UV itis |
| Who needs to be cautious when using Atropine ,Homatropine, and Mydriacyl? | Elderly or glaucoma Pts due to IOP, children due to CNS disturbances |
| Least cycloplegic effect of the Muscarinic antagonists? | Mydricyl (tropicamidea0 ..has the least cycloplegic effect |
| Proparacaine (Opthetic) is a . | Corneal anesthetic |
| What drug? In the eye:tonometry, suture removal, cataract extraction, removal of foriegn bodies | Proparacaine (Ophthetic) |
| 1) Chlorpromazine 2)Thioridazine 3)Chloroquine, 4)hydroxychoroquine 5) Loveastatin what do they have comon? | Drugs causing corneal and conjunctival disturbances |
| 1) Methanol 2) Chloroquine 3) Indomethacin 4) Tamoxifen 5) Phenothiazines what do they have in common? | Drugs that cause retinopaythy |
| 1) Ethambutol, 2) Chloroquine 3)Quinine 4) Quinidine what do they cause? | Drugs theat couse optic neuropathy |
| eyedrops: antihistamine /decongestant how long can you take them? | 2 weeks max |
| Acular (Ketorolac) what? | Non steroidal anti infammatory eye drops |
| Opthalmic Antihistamine name one | Patanol (olopatadine) |
| Gonococcal cunjunctivitis is an opthamlogic emergency due to a chance of.... | corneal perforation |
| TX? Gonococcal conjunctivitis | 5 days Ceftriaxone 1-2 G daily IV and Topical antibiotic eye ointment |
| Major cuse of blindess worldwide: | Chlamydial kerato-conjunctivitis |
| TX chlamydial kerato-conjunctivitis | Tetracycline , Doxycycline, Erythromycin 3-4 weeks |
| Aophthalmia neonatorum caused by 2 organisism.. | gonorrhoeae or Chlamydia |
| Restasis what is it? | Cyclosporine eyedrops |
| In Tyrone the most perscribed Ophtalmic Corticosteroid | Prednisolone acetate 1% (Pred forte) |
| Ophthalmic prep for Herpes Simplex | Triflurridine (Viroptic) AND Vidarabine (Vira-A) |
| Emprically treat eye infections with : name 4 | Gentamycin, 2)Tobramycin 3) Ciprofloxacin 4) Ofloxacin |
| Acetazolamide is used to reduce what in eyes ? | IOP Intra ocular pressure can be reduced. |
| To reduce IOP ,other then Acetazolamide? | mannitol, Urea or Glycerol |
| Once IOP falls afteri nitial TX | Pilocarpine one drop every 15mins |
| A hyperoptic, Asian is at greater risk for what eye problem? | Glaucoma |
| Drugs, that decrease production of Aqueous Humor | Beta Blocker,Alpha agonists, Carbonic anhydrase inhibitors |
| drugs that Increase the drainage of aqueous humor: | Miotics Prostanoids, some sympathomimetics |
| Glaucoma : What is the primary agent of choise ? | beta blockers If no contridictions |
| Betoptic (betaxolol) | Beta-1 selective agent for open angle glaucoma |
| what class of drugs are theese? Ocupress, Betagan, Timoptic-XE, Betoptic | beta -Adrenoreceotor Antagonist (Beta blockers) for open angle Glaucoma |
| Alphagan-P (Brimonidine) | ALPHA agonist decrase IOP |
| What alpha agonist is safe for contact lenses? | Alphagan-P (Brimonidine) (does NOT contain benzalkonium chloride |
| Carbonic Anhydrase Inhibitors what does this class of drugs do for eyes? | (CA) decreases the aqueous humor secretion in the ciliary process of the eye |
| Dentist favorite pain drugs ..name 3 | 1) percocet, 2) Vicodin 3) Tylenol #3 |
| TMJ drugs name 2 | Carbamazepine (Tegretol) and Phenytoin (Dilantin |
| Drug induced gingival overgrowth , name 3 | 1) phenytoin, 2)CCB 3) cyclosporine |
| Peridontal infection most common antibiotics: | Penicillin VK, Amoxicillin |
| Peridontal infection if staph is involved what drug? | Kefflex (cephalexin) |
| Peridontal infection if allergic to penicillian what drug? | Erythromycin |
| peridontal infections unresponsive to first line drugs | Clindamycin |
| What provides a potent antimicrobial activity during rinsing? | Peridex and periogard ( chlorhexidine gluconate oral rinse (0.12%) |
| What drug is used for oral ginervitis taste nasty and stains teeth lovly Yellowish brown color? | Chorhexidine gluconate oral rinse ( Peridex and PerioGard |
| zinc chloride,zinc citrate and pyrophosphate are in what common OTC product? | Calculas control Toothpast |
| A pt come it the clinic with a rash around her mouth and sensitive teeth that has started after using a new toothpaste. Whats the likly ingredient? | pyroohosphates |
| the water concentration of Floride is 0.3- 0.6 ppm how much Fl suppliment does a 6mo -3 y/o need? | 0 mg/day floride suppliment |
| the water concentration of Floride is 0.4 ppm how much Fl suppliment does a 3y/o need? | 0.25 mg/day floride suppliment |
| the water concentration of Floride is < 0.3 ppm how much Fl suppliment does a 3-6 y/o need? | 0.5 mg/day floride suppliment |
| the water concentration of Floride is > 0.6ppm how much Fl suppliment does a 3y/o need? | 0. mg/day floride suppliment |
| the water concentration of Floride is between 0.3 -0.6 ppm how much Fl suppliment does a 6 - 16y/o need? | 0.5 mg/day floride suppliment |
| the water concentration of Floride is < 0.3 ppm how much Fl suppliment does a 6-16/o need? | 1.0 mg/day floride suppliment |
| True or False Fluoride supplents Oral are OTC? | FALSE! LIE! precription only! for Luride aFluoride oral supplement |
| True False Topical fluride can be found OTC? | YES Topical Floride rinses (ACT, Flurigard) and toothpaste |
| True of False Prevident 5000 plus OTC? | NO! the dental cream Prevident 5000 plus for sensitive teeth is RX only |
| Orabase -B what is it? | oral adhesive with 20% benzocaine for oral pain |
| Actisite what is it ? | A monofilamnet containing tetracycline |
| Actsite were do you put it? | the monofilament can be placed in the peridontal pocket around the tooth |
| Oral trauma and osteomyelitis what organisim ? what drug? | Staph Cephalosporins |
| what can you use to treat a aphathous ulcer? | Orabase with benzocaine ( Orabase -B) |
| BaaaaD breath ! what should the mouth wash contain? | Chloride dioxide/zinc chloride |
| whats "asprin burn"? | painful sloughing off of the gingival tissues |
| Distess, Dysphonis, Drooling, Dysphagia are symtoms of what? | epiglottitis |
| Bacterial Pharingitis First line and lenght of treatment | Penicillian VK for 10 days or Pen G once |
| Bacterial Pharingitis Second line and lenght of treatment | Erythromycin 10 days |
| Bacterial Pharingitis Third line and lenght of treatment | Cephs IV in 5 days or Ceftin PO 5-10 days |
| Bacterial Pharyngitis Fourth line and lenght of treatment | Azithromycin ( Zpack) 3 days |
| Bacterial Pharyngitis TX after Pen VK failure: | Amoxicillin/clavulanate |
| Antibiotic extremely effective against Salmonella,Typhi and HIB also rickettsias | Chloramphenical |
| Swelling of epigollitis pharm TX? | Dexamethasone 4-10mg initial bolus the 4 mg IV q 6hr |
| chlorpromazine what eye problem? | Corneal and conjunctival distrurbances |
| Thioridazine what eye problem? | Corneal and conjunctival distrurbances |
| Chloroquinewhat eye problem? | Corneal and conjunctival distrurbances |
| Hydroxychloroquine what eye problem? | Corneal and conjunctival distrurbances |
| Corneal and conjunctival distrurbances what 5 drugs? | 1) chlorpromazine 2Thiodazine 3)cloriquine 4) Hydroxychloroquine 5) lovastatin |
| Lovastatin what eye problem? | (progression of cataracts) |
| Methanol what eye problem? | Retinopathy |
| chloroquine what eye problem? | Retinopathy |
| Indmethacin what eye problem? | Retinopathy |
| Tamoxifen what eye problem? | Retinopathy |
| Phenothiazines what eye problem? | Retinopathy |
| Ethambutol what eye problem? | Neuropathy |
| Quinine what eye problem? | Neuropathy |
| Quinidine what eye problem? | Neuropathy |
| Eye Neuropathy what drugs (4) | 1)Ethambutol, 2) Chloroquinw 3) Quinine 4) Quinidine |
| Color Visual disturbances 3 drugs | 1)Viagra 2)O.C. 3)Digoxin |
| Blepharitis what antiBiotics? | Bacitracin opth oint. Erythromycin oint |
| what drug for ocular ithching caused by seasonal allergic conjunctivitis? | Acular (ketorolac) |
| Acular (Ketorolac) what? | Non-Steroidal antiinflammatory Eye drops |
| Patanol (olopatadine) 0.1% soln What is it? | Ophthalmic Antihistamine |
| Prevention of itching due to allergic conjunctivitis | Patanol (olopatadine) 0.1% soln |
| Murine,Murine Plus, Clear eyes, Naphcon-A, Opcon-a .... What are they? | OTC antihistamines/ decongestants |
| Lens opacity is a side effect of Miotics True or false? | True ! this includes Cholinesterase inhibitor Echotiophate iodide + miotics :pilpcarpine and carbachol |
| Travatan (travoprost) what class? what's it treat? How often ? | Prostanoid, to treat Open angle glaucoma, 1 drop in PM |
| Xalatan ( Lantanoprost) what class? what's it treat? How often ? | Prostanoid, to treat Open angle glaucoma, 1 drop in PM |
| Lumigan ( bimatroprost) what class? what's it treat? How often ? | Prostanoid, to treat Open angle glaucoma, 1 drop in PM |
| Glycerol, to treat acute closed angle glaucoma how is it administered? | Orally! Mannitol and Urea are IV |
Created by:
pnelson
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