Week 6: Insomnia, Anorectal Disorders, Pinworms Flashcards
when to refer for insomnia?
patient under 12 or over 65
pregnancy
occurring longer than 3 weeks
what’s the dose range for melatonin? how effective is it for insomnia?
0.3-5mg, not significantly effective for insomnia
what’s a helpful drug for acute insomnia but not chronic insomnia?
diphenhydramine
do not use diphenhydramine more than ____ consecutive nights for insomnia
7-10
if self-treating insomnia, when should pt see Dr if there’s no improvement?
after 10 days
should a patient with an anorectal disorder take NSAIDs/aspirin to help treat the pain?
No, they may promote bleeding
diosmin and hespiridin may help in what way for an anorectal disorder?
reduce or stop bleeding
what symptoms would topical anesthetics help with for anorectal disorder?
relieve itching, irritation, burning, and pain
how often can dibucaine be applied to the anorectal area?
up to 4 times daily
how often can pramoxine be applied to the anorectal area?
up to 5 times daily
how often can benzo/lido/tetracaine, benzyl alcohol, and dyclonine be applied to the anorectal area?
up to 6 times daily
list the vasoconstrictors:
ephedrine sulfate, phenylephrine hydrochloride, and epinephrine hydrochloride
which vasoconstrictor is for external use only?
epinephrine hydrochloride
how often can vasoconstrictors be used?
qid
how to apply protectants to anorectal area?
6 times daily or after bowel movements
