Nurs 629 Exam 3 (Maryville

Otitis media pathogens - ans Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils Otitis media Symptoms: - ans Fever, Pain, discharge from ear, tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI Objective findings in otitis media - ans Red, bulging OM; Retracted with pus; no movement of TM, Inability to see landmarks; occasional hole in TM Treatment for AOM + Conjunctivitis d/t : H. Influenzae - ans Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days Treatment for AOM d/t S. Pneumoniae (most common): - ans Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose) Treatment for AOM with PCN Allergy: Non-Type 1: - ans Cefdinir, Cefuroxime Treatment for AOM with PCN Allergy: Type 1: - ans Azithromycin, clarithromycin OR Ceftriaxone 1-3 days Predisposing factors of otitis externa: - ans Frequent moisture, local trauma, aggressive cleaning, Allergies/skin conditions