HEENT Emergency Pharm Flashcards
1
Q
Impetigo tx
A
- Topical mupirocin 2% TID
- oral bad for more diffuse infx
2
Q
Erysipelas tx
A
- beta lactam abx (96% effective)–> cephalosporin, carbapenems, monobactam
3
Q
Facial Cellulitis tx
A
- MIld: oral beta-lactam abx and 24 hour follow-up
- DM, severe infx, or failed outpt. Tx–> IV beta-lactam abx and inpatient hospitalization
- Purulent cellulitis: IV Vanc for MRSA coverage
4
Q
Mastication Abscess tx
A
- inpatient hospitalization
- airway stabilization if compromised
- IV abx and HEENT consult
5
Q
Mumps aka Viral Parotitis tx
A
Supportive
6
Q
Supportive parotitis tx
A
Mild: oral abx
- warm compresses, sour lemon drops, milk of duct, and hydration
Severe: failed outpt. Tx, DM, inability for PO–>
- IV abx and hospitalization
7
Q
Giant Cell Arteritis tx
A
High dose Steroids ASAP (do not wait for bc results)- can be IV/PO
- opth. Consult
- admit to hospital
8
Q
Bell’s Palsy tx
A
- steroids alone show benefits
- steroid + ART-> beneficial (not ART alone)
- neuro consult
9
Q
Bell’s Palsy ass. Exposure keratitis tx
A
- saline drops and eyelid taping
10
Q
Horner’s Syndrome tx
A
- depends on etiology
11
Q
Malignant Otitis External tx
A
- IV abx + pseudo coverage; inpatient bc life-threatening
- HEENT consult
12
Q
Mastoiditis tx
A
- IV abx, hospital admission, HEENT consult
13
Q
Lateral Sinus Thrombosis tx
A
- IV abx, hospital admission, HEENT consult
- Mastoidectomy
14
Q
Ear hematoma tx
A
- immediate incision and drainage of hematoma on ear + compressive wrapping may prevent “cauliflower ear”
15
Q
Ear laceration tx
A
- prophylactic abx
- perform a field block–> auricular field block; rq. 2-3 mL of anesthesia (Marcaine)
— diamond shape pattern around ear - irrigate and explore the wound
- consider plastic closure; only skin should be sutured
- ## pressure dressing
