sinusitis Flashcards
symptoms of sinusitis
nasal congestion, facial pain, loss of smell, nasal blockage/discharge
what are the three types of sinus
ethmoid, frontal and maxillary
what suggests bacterial sinusitis
more than 10 days
unilateral pains, jaw/tooth
second sickening, starts to recover then gets worse
purulent nasal discharge
high fever
how many sinusitis cases are bacterial
2 in 100
1st line corticos in bacterial, how long to use
fluticasone/mometasone - symptom relief
14 days
what does off label mean
using the medication in a way thats not specified in official guidelines, but informed by clinical evidence
which antibiotics used in sinus
pen v
pen allergy - dox/clarithro
pregnant - erthro
complications of sinus
orbital abscess (cellulitis)
meningitis - spinal cord - headache, bright light issues, fever
calculate NEWS2
level of consciousness, blood pressure, oxy sat, temp, respiratory rate
when are antibiotics given after steroid spray
when sprays been used for 14 days
when is clarithromycin not given sinusitis
qt prolongation issues
bradycardia
SIMVASTATIN
coronary artery disease
consider doxycycline or refer to prescriber
