OTC - community Flashcards
What are some typical symptoms of meningitis in children
stiff neck severe hadache photophobia bulging fontanelle floppy and refusing feeds rapid breeathing unusual crying
What are some red flag referral points for eye conditions
eye pain vision affected photophobia contact lenses trauma surgery in last 6 M inflammation ALSO symptoms of acute angle glaucoma e.g. vomiting, cloudy eye, halo/blurry vision
If a patient presents with visual problems and nausea/vomiting, cloudy eye and headache, severe pain - what is action?
refer - angle closure glaucoma
what are some ear referral criteria
Discharge in externa systemically unwell/immunocompromiseed no impovement in 72hrs Child <2 in media, child <12 in externa deaf, ringing in ears, blocked ears
what must you check in pts before recommending ear drops for ear wax
allergies -contains arachis oil
What is the age licensing for chlorphenamine otc
1 year
What is the age licensing for cetirizine otc
6+ (but liquid is 2+ )
What is the age licensing for promethazine otc
6 +
what is the age licensing for loratadine otc
2+
what is the age licensing for fexofenadine otc (allevia)- recent POM to P switch
12+
what are some cautions of sedating antihistamines
BPH / glaucoma / epilepsy
Contraindication with MAOIs and up to 14 days after stopping
Name some referral criteria for mouth ulcers
Painless >3 weeks >5 ulcers / lots of them together large (>10mm) weight loss, diarrhoea, IBD symptoms on any NASID, sulfasalazine, mtx, immunosuppressants, clozapine, carbimazole
what is the OTC licensing for steroids topical
15g pack size max
7 days use
not for broken, infected, face, genital, pregnancy
What are the age restrictions for topical CCS otc
Hydrocortisone 10+
clobetasone 12+ (eumovate)
if applying steroids and emollients-which is applied first
emollient first then steroid after 30mins
