Treatments for Midterm Flashcards
What vaccines can help prevent otitis media
pneumococcal and influenza
2 primary treatments for acute otitis media if antibiotic therapy required
- amoxicillin 80-90 mg/kg/day in 2 doses
- augmentin 90 mg/kg/day with 6.4 mg/kg/day clavulanate in 2 divided doses
Alternative treatment for acute otitis media if a penicillin allergy
cephalosporins
if a patient is receiving treatment for 48-72 hours for acute otitis media and not having improvement, what are further options
Previous options but added option of Clindamycin
Duration of treatment for acute otitis media
-if severe
-if less than 2
-if 2-5 years old
-if >/= 6 years old
10 days if severe
10 days if < 2
7 days if 2-5 years old
5-7 days if >/= 6 years old
when to treat rhinosinusitis
when persistent and not improving >10 days
if severe and worsening > 3 days
first line treatment for rhiosinusitis
augmentin 45-90 mg/kg/day in 2 doses (500 mg TID or 875 mg BID if adult)
alternative treatments for rhinosinusitis
doxycycline 100 mg BID (adult only)
clindamycin + 3rd gen ceph
unasyn
duration of treatment for rhinosinusitis
-if adult
-if pediatric
-if chronic
5-7 days if adult
10-14 days for pediatric
>/= 21 days if chronic
First line treatments for Pharyngitis
Amoxicillin 1000 mg daily for 10 days
Penicillin V or G
treatment options for Pharyngitis if penicillin allergy
cephalexin 500 mg BID for 10 days
azithromycin 500mg for 1 day then 250 mg daily for 4 day
Treatment for laryngotracheobronchitis
-cool mist or steam
-nebulized racemic epinephrine 0.05-0.1 ml/kg q20 mins prn
-dexamethasone 0.6 mg/kg
Prevention methods for RSV
RSV vaccine Abrysvo or passive immunity with nirsevimab or palivizumab
Treatment for RSV
supportive care with fever and pain management and fluids
Treatment for epiglottits
-Maintain airway
-Rocephin (3rd gen ceph) + vanc or clindamycin (anti staph agent)