ear drugs Flashcards
ear disorders
-bacterial and fungal infections: in canal (externa) and behind ear drum (otitis media)
-inflammatory disorders
-cerumen build up (wax)
-dermatitis of external ear\
external ear infections: antibiotics
-neomycin, polymyxin B, often in combo with hydrocortisone (cortisporin b)
-ciprofloxin
-ofloxacin
external ear infections: antifungal
cortic: combo of hydrocortisone and chloroxylenol
acetasol HC: combo of hydrocortisone and acetic acid (vinegar)
antibacterial/antifungal ear drugs MAO
bacterial cidal or static, fungal cidal or static
antibacterial/antifungal ear drug dose
vary by product
antibacterial/antifungal ear drug indication
bacterial or fungal infections of the EXTERNAL ear canal
antibacterial/antifungal ear drug pregnancy category
C
antibacterial/antifungal ear drug side effects
usually localized reactions because only a small amount is absorbed
can have allergic reaction if an allergy exist
antibacterial/antifungal ear drug interactions
rare since its locally acting
antibacterial/antifungal ear drug nursing considerations
teach patient how to administer ear drops
ear wax emulsifiers MAO
soften ear wax to facilitate removal
ear wax emulsifiers trade/generic name
debrox (carbamide peroxide)
ear wax emulsifiers dose
fill ear canal, place a cotton ball in canal, leave over night
ear wax emulsifiers indication
treatment and prevention of ear wax build up
ear wax emulsifiers contraindication
ear pain
ear infection
perforated ear drum
ear wax emulsifiers interactions
RARE
nursing considerations for ear drugs
-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
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
tip the head to the side to remove water from ears after showering
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”
“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
