ear drugs

Question 1

ear disorders

Answer 1

-bacterial and fungal infections: in canal (externa) and behind ear drum (otitis media)
-inflammatory disorders
-cerumen build up (wax)
-dermatitis of external ear\

Question 2

external ear infections: antibiotics

Answer 2

-neomycin, polymyxin B, often in combo with hydrocortisone (cortisporin b)
-ciprofloxin
-ofloxacin

Question 3

external ear infections: antifungal

Answer 3

cortic: combo of hydrocortisone and chloroxylenol
acetasol HC: combo of hydrocortisone and acetic acid (vinegar)

Question 4

antibacterial/antifungal ear drugs MAO

Answer 4

bacterial cidal or static, fungal cidal or static

Question 5

antibacterial/antifungal ear drug dose

Answer 5

vary by product

Question 6

antibacterial/antifungal ear drug indication

Answer 6

bacterial or fungal infections of the EXTERNAL ear canal

Question 7

antibacterial/antifungal ear drug pregnancy category

Answer 7

C

Question 8

antibacterial/antifungal ear drug side effects

Answer 8

usually localized reactions because only a small amount is absorbed

can have allergic reaction if an allergy exist

Question 9

antibacterial/antifungal ear drug interactions

Answer 9

rare since its locally acting

Question 10

antibacterial/antifungal ear drug nursing considerations

Answer 10

teach patient how to administer ear drops

Question 11

ear wax emulsifiers MAO

Answer 11

soften ear wax to facilitate removal

Question 12

ear wax emulsifiers trade/generic name

Answer 12

debrox (carbamide peroxide)

Question 13

ear wax emulsifiers dose

Answer 13

fill ear canal, place a cotton ball in canal, leave over night

Question 14

ear wax emulsifiers indication

Answer 14

treatment and prevention of ear wax build up

Question 15

ear wax emulsifiers contraindication

Answer 15

ear pain
ear infection
perforated ear drum

Question 16

ear wax emulsifiers interactions

Answer 16

RARE

Question 17

nursing considerations for ear drugs

Answer 17

-baseline hearing assessment
-evaluate the symptoms: pain, drainage, hearing loss
-allergy history
-ear drum perforations make topical meds a contraindication with exception of ciprofloxacin and olfaxacin
-cerumen can be removed by irrigation as a nursing function
-teach patients not to use q-tips, limit use of ear buds, have ear hair trimmed
-use ear wax softening drops on a weekly basis to prevent ear wax build up in those who wear hearing aids
-warm ear drops (room temp) before instilling to prevent dizziness and N/V
-teach patient/parent administration technique

Question 18

a nurse is teaching a client about preventing otitis externa. which of the following instructions should the nurse include?

clean the ear with a cotton tipped swab daily

place earplugs in ear when sleeping

use a cool water irrigation solution to remove ear wax

tip the head to the side to remove water from ears after showering

Answer 18

tip the head to the side to remove water from ears after showering

Question 19

a nurse in a provider’s office is instructing a guardian of a toddler how to administer ear drops. which of the following instructions should the nurse include? (select all that apply)

“place the child on the unaffected side when you are ready to administer the medication”

“warm the medication by gently rolling it between your hands for a few minutes”

“gently shake the medication that is in suspension form”

“keep the child on their side for 5 minutes after instillation of ear drops”

“tightly back the ear with cotton after instillation of ear drops”

Answer 19

“place the child on the unaffected side when you are ready to administer the medication”

-allows access to affected ear and promotes drainage of medication by gravity

“warm the medication by gently rolling it between your hands for a few minutes”

-administering medication cold could cause dizziness

“gently shake the medication that is in suspension form”

-this evenly disperses the medication

“keep the child on their side for 5 minutes after instillation of ear drops”

-promotes drainage of medication by gravity into the ear