UC Pharm - EENT

Question 1

Strep pharyngitis - Adults

Answer 1

• 1st: PCN-VK 500mg BID-TID x10d
• 2nd: Amoxicillin 500mg BID-TID x10d
• Allergy/Alt: Azithro “ZPAK” 500mg QD x5d

Question 2

Strep pharyngitis - Peds

Answer 2

1st: Amoxicillin 25-50mg/kg x10d (split daily, BID, or TID)

Allergy/Alt:

• Azithro 12mg/kg PO QD x5d
• Clindamycin 10mg/kg PO q8h x10d (max dose: 300mg/dose)

Question 3

Acute Otitis Media - Adults

Answer 3

1st: Augmentin 875mg BID x5-7d
2nd: Azithro**

Allergy/Alt: Cefdinir 300mg BID

Question 4

Acute Otitis Media - Peds

Answer 4

1st: Amoxicillin 90mg/kg/day divided BID-TID (or 45mg/kg/day?)
2nd: Augmentin 45mg/kg PO BID x5d

Allergy/Alt:

• Cefdinir 14mg/kg BID
• Bactrim or Azithro

Question 5

Otitis Externa - Adults & Peds

Answer 5

1st: Ofloxacin 0.3% otic solution 10 drops QD x7d (5 drops Peds)

2nd/Alt:

• Polymyxin B/neomycin/hydrocortisone 4 drops q6h x7d
• Cipro+Dexamethasone
• Fungal: Acetic acid wash
• *NO aminoglycosides if suspected/confirmed TM rupture

Question 6

Acute Sinusitis - Adults

Answer 6

1st: Augmentin 875mg PO BID x10-14d

2nd/Alt: Doxy 100mg BID x10-14d

Question 7

Acute Sinusitis - Peds

Answer 7

1st: Augmentin 90mg/kg x10-14d

Allergy:

• Levo 10mg/kg PO q12h x10-14d
• Clindamycin

Question 8

Bacterial Conjunctivitis

Answer 8

+Contacts:

• Moxifloxacin 0.5% sol. 1-2 drops q8h while awake x7d
• Levo 0.5% sol. 1-2 drops q2-3h while awake x2d, then q4h x5d

No Contacts: erythromycin 0.5% opth ointment 1/2 inch paste 4-6 times daily x5-7d

Question 9

Stye/Hordeolum

Answer 9

1st: Supportive & warm compress

Alt: I&D + Topical Erythromycin; bacitracin