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Pharm SFU PA HEENT

Pharm III SFU PA prog spring 2006 HEENT Krekel

HEENT QuestionAnswer
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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