Otitis Media- EXAM 3 Flashcards

1
Q

What is Otitis Media

A

A common childhood illness, known as an ear infection

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2
Q

What are some risk factors

A

Being under the age of 2
Participating in daycare, S or L
Having seasonal allergies
Exposure to poor air quality, smoking in the house

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3
Q

What history would you ask for when examining the patient

A

Any previous ear infections
Any recent respiratory infection
The medications their on
Any changes/When did it start happening
Have they been eating and drinking normally
Are they immunized up to date

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4
Q

How can you prevent ear infections

A

Breastfeed no longer then 1 year
Bottle feed in upright position
Keep children up to date with immunizations
Avoid air pollution, especially second hand smoke
If in daycare, use a smaller or private one to decrease chances of getting infections

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5
Q

Clinical manifestations

A

Mild to severe pain
Slightly elevated temperature
Diminished hearing or vitiligo
Bright red, bulging tympanic membrane, some discharge

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6
Q

What would you assess

A

Vital signs, Lungs and Throat, Ear, Tympanic membrane
Ask parents if there has been fever, fussiness or pulling of the ear

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7
Q

Implementations

A

Use of antibiotics :Amoxicillin is used but if penicillin allergy then cephalosporin or trimethorpin
Given for 5-10 days
Importance of completing antibiotic doses!!
Pain relief: Antihistamine or heat application to reduce symptoms
Elevating head
Keep ears clean, decrease swimming pool time
Avoid exposure to upper respiratory infections

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