HEENT Indications and Contraindications Flashcards
waht is used for asthma diagnosis
methacholine
neurogenic bladder, acute postop non-obstructive urinary retention, constipation are indications for
bethanechol
direct acting
Pilocarpine and carbachol are indicated in
glaucoma to reduce resistance to aqueous humor outflow
what drug is indicated for nicotine addiction
Verenicline
what is neostigmine indicated for
glaucoma
what drug is used for atropine overdose
physotigmine
what drug is indicated for mysthenia gravis diagnosis
edrophonium
indirect acting cholinomimetic
what drug is indicated for treatment of myasthenia gravis
pyridostigmine
what drugs are indicated for alzheimers and parkinsons
donepezil and rivastigmine
what drug is indicated for cholinesterase inhibitor poisoning
pralidoxime
what is brimonidine (alphagan P) indicated for
- elevated IOP (open angle glaucoma or ocular HTN)
- ocular redness OTC
What is timolol indicated for?
elevated IOP or Ocular HTN
* part of 4 drug regimen of acute angle-closure glaucoma if dr can not see pt in 1 hr
what is ophthalmic prostaglandins indicated for?
latanoprost (xalatan), Bimatoprost (latisse/lumigan)
- elevated IOP
- ocular htn
- hypotrichosis of the eyelashes (latisse)
what is pilocarpine and carbachol indicated for?
- elevated IOP
- elevated IOP in closed angle if tx is delayed
- induction of miosis
what is dorzolamide (trusopt) indicated for
ocular HTN/ glaucoma
what drug is used to product mydirasis or cyclopegia during an eye exam
atropine
what drug is indicated for young pts with allergic conjunctivitis
ketotifen (alaway)
what drug is indicated for granular conjunctivitis
azithromycin opthalmic drops
what drug is indicated for bacterial conjunctivitis
erythromycin ointment or Trimethoprim-polymyxin B drops
what is asthma a CI to
cholionomimetic agents
what are CI of beta adrenoreceptors ophthalmic solutions?
timolol/ Betaxolol
- bronchial asthma
- severe COPD
- sinus bradycardia
- av heart block
- chf
Glaucoma, open angle is a CI of what antihistamine/mast cell stabilizer
naphcon A (naphazoline-phiniramine)
what dx should you take caution when prescribing naphcon A
- CV disease
- HTN
- DM
- Prostatic hypertorphy
- UT obstruction
what is a CI of vancomycin
Renal impairment
what is initial therapy of orbital cellulitis
vancomycin IV + Ceftriaxone or Cefotaxime
what abx should be added to orbital cellulitis treatment if iintracranial spread is suspected
metronidazole
what abx are not used as initial therapy for orbital cellulitis bc of CNS side effects
ampicillin-sulbactam and piperacillin-tazobacam
in adults/children with serious allergy to penicllin/cephalosporins what is the tx for orbital cellulitis
vancomycin + fluroquinolone
