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OTC Test One > Otic Disorders Lecture > Flashcards

Otic Disorders Lecture Flashcards

1
Q

What is the physiology of Otic Disorder?

A 
Excess moisture in the EAC
Local trauma
Skin disorders
Viral illnesses
Aspiration of nasopharyngeal
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2
Q

What are the self treatable otic disorders?

A

excessive/impacted cerumen

Water clogged ears

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3
Q

Exclusion criteria for self-treatment of otic disorders?

A 
Signs of infections
Pain with ear discharge
Bleeding/trauma
Ruptured tympanic membrane 
Ear surgery 6 weeks prior
Tympanostomy tubes present
Can't follow instructions
Less than 12 years old
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4
Q

What is involved with excessive/impacted cerumen?

A

Mixture of oily secretions from exocrine glands and milky, fatty fluid of apocrine glands
Lubricates ear canal, traps dust and foreign material

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5
Q

What are the risk factors with excessive/impacted cerumen?

A 
Abnormally misshapen/narrow physiology
Excessive hair growth in canal
Overactive ceruminous gland
Obstruction
Age
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6
Q

What are the signs/symptoms with excessive/impacted cerumen?

A
  • Pressure or fullness

- Gradual loss of hearing

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7
Q

What are complications with excessive/impacted cerumen?

A

Impaction: fullness/pressure in ear
Gradual hearing loss
Infection
Rare: mild pain, vertigo

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8
Q

What are the treatment goals of with excessive/impacted cerumen?

A

Soften for removal safely and effectively

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9
Q

What are treatments for with excessive/impacted cerumen?

A

Non-pharmacologic treatment: damp washcloth over finger
FDA Approved Pharmacologic treatment: carbamide peroxide
Other treatments: mineral oil, docusate sodium, olive oil, glycerin, dilute H2O2

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10
Q

What is carbamide peroxide?

A

Only FDA approved oTC product for softening loosening and removing excessive earwax in adults and 12+

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11
Q

Adverse effects of carbamide peroxide?

A

Nonirritating: may experience pain, rash, irritation, tenderness, redness, discharge, dizziness
Rash: dermatitis

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12
Q

What are predisposing factors, signs/symptoms, goals to water clogged ears?

A

Shaped of person’s ear canals, excess cerumen and moisture
Wetness or fullness in ear, gradual loss of hearing, tissue maceration
Goals: dry EAC safely and effectively

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13
Q

What is isopropyl alcohol 95% in anhydrous glycerin?

A 
Only FDA approved eardrying aid
Use 4-5 drops in ear canal
Let it remain for 1-2 minutes
Do not use in children less than 12
Don not use for more than 4 days
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14
Q

Drugs involved in water clogged ears?

A

Acetic acid + isopropyl alcohol
Acetic = batericidal and antifungal
Isopropyl alcohol is drying agent

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15
Q

Always refer if…?

A

Fever
Severe pain
Discharge
Itching

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16
Q

What are predisposing factors, signs/symptoms, goals to otitis media?

A

Viral upper respiratory infection
Bacterial infection of middle ear
Signs: sharp steady pain, fever, hearing loss, drainage from ear, dizziness, inner ear pressure

17
Q

What are predisposing factors to otitis externa?

A

“Swimmer’s Ear”
Humid air, water activities, trauma to ear
Usually involves pseudomonase aeruginosa

18
Q

What are the sign and symptoms and prevention strategies for otitis externa?

A

Acute Pain
Itching and inflammation
Foul smelling watery discharge from EAC

Mechanical barriers

19
Q

What is a ruptured tympanic membrane?

A

Short duration of severe pain followed by loss of hearing

Refer immediately

20
Q

Ruptured tempanic membrane: Pain? Itching? Hearing loss? Discharge?

A

Brief, severe
None
Abrupt
If associated with OM

21
Q

Swimmer’s ear: Pain? Itching? Hearing loss? Discharge?

A

Acute onset
Yes
Occasionally
Occasionally

22
Q

Otitis Media: Pain? Itching? Hearing loss? Discharge?

A

Sharp, steady
No
May be decreased
Possible

23
Q

Foreign object: Pain? Itching? Hearing loss? Discharge?

A

Dull to severe
Yes
Yes Possible

24
Q

Trauma: Pain? Itching? Hearing loss? Discharge?

A

Yes, varies
Rare
Varies
Seldom

25
Q

Tinnitus: Pain? Itching? Hearing loss? Discharge?

A

Possible
No
Sometimes
None

26
Q

Cerumen: Pain? Itching? Hearing loss? Discharge?

A

Rare, dull
No
Often
None

27
Q

Water logged: Pain? Itching? Hearing loss? Discharge?

A

None
No
Often
None

28
Q

Hearing loss questions to ask?

A 
How long?
Rapid onset?
Put anything in your ears?
Water activities?
Cold?
Meds currently taking?
Pressure?
29
Q

Vertigo questions to ask?

A

How long?
Any specific activities?
Meds currently taking?

30
Q

Tinnitus questions to ask?

A

Associated with pressure of ear and loss of hearing?
Exposure to high noise levels?
Meds and doses?

OTC Test One (12 decks)

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