EENT- Red info #2 Flashcards
Ocular and medical emergency
Orbital cellulitis
In what condition should aminoglycosides as an ophthalmic abx be AVOIDED as tx?
What is the exception to this rule?
Aminoglycosides (gentamicin/tobramycin) should be avoided in Corneal abrasions since they can be toxic to the epithelium
EXCEPT in the case of contact lens-related abrasions
- Preparations containing steroids are contraindicated– slows epithelial healing and reduce host resistance to superinfection
–Inpatient treatment: empiric with vancomycin plus - ceftriaxone or cefotaxime
Orbital cellulitis
Tx: Ophthalmic Fluroquinolones
Tx for corneal ulcer
Tx:
–Topical antivirals
- Ganciclovir ophth gel
- Trifluridine ophth solution
- Acyclovir ophth ointment
–Corticosteroids ONLY by ophthalmologist
“TAG”
Tx for HSV keratitis
•Treatment:
–Ophthalmic antivirals, and antibiotics
–Corticosteroids-ONLY by ophthalmologist
Treatment for Herpes zoster involving the eye
•Patients with Bacterial conjunctivitis should respond in ___ to ___ days with a decrease in discharge, redness, and irritation
one to two days
•There is no specific therapy for _________, although patients may receive symptomatic benefit from topical antihistamine/decongestants or from lubricating agents like those used for noninfectious conjunctivitis
viral conjunctivitis
Used to treat bacterial/fungal infection in which ear condition:
- Fluoroquinolones (cipro)
OE
What is first line tx for AOM in adults
Amoxicillin- clavulanate
(dose: amoxicillin 875mg w/ clavulanate 125mg orally twice daily)
Is sinusitis normally bacterial or viral?
viral
Ophthalmic preparations containing______are contraindicated– slows epithelial healing and reduce host resistance to superinfection
steroids
How do you treat AOM in children >3 months and <40kg?
Amoxicillin is 1st line
Oral: 80-90mg/kg/day divided every 12hrs
Max: 3 grams per day
