Prescription for Antibiotics Flashcards
What would a soft, oedematous swelling be in line with?
Inflamed lymph node
What would a firm or fluctuant swelling in line with?
A possible collection of pus
What would you unable to do in true submandibular space swelling?
Unable to palpate the lower border of the mandible
What to check for if suspect pericoronitis?
Mouth opening
Soft and hard tissues
Operculum/ opposing tooth
What is pericoronitis?
Inflammation of soft tissues, or operculum surrounding crown of PE teeth
How to explain pericoronitis to pt?
Due to a flap of gum sitting over the tooth, this forms a pocket in which food and bacteria can become trapped causing infection
Mx of acute pericoronitis?
Irrigation - saline (under LA)
CHX mouthwash
Analgesia advice
Referral
When refer pericoronitis?
Severe episode w/ systemic symptoms
Refactory having used multiple courses ab
What is first line ab for pericoronitis?
Metronidazol 500mg TDS 5 days
If unsure on ab and dosing - where look?
BNF - DPF
What instructions to give to pt taking ab?
Take 3 tablets a day for 5 days
Avoid alcohol while taking and for 48 hours post to avoid nausea/ vomit/ abdominal pain
What must be included on prescription?
Pt details: name, address, DOB, age
Name medication, dose, days prescribed
Warnings or CI
Stamped, signed and dated
