NR 566 Midterm (Week 3
Content)Questions & Answers
100% Correct!!
Excessive cerumen in the ear - ANSWER can lead to conductive hearing loss.
Causes: - ANSWER impactions are often caused by patients pushing excessive cerumen further into
the ear canal while cleaning.
Treatment: - ANSWER Irrigation of the ear canal with warm water or saline is the recommended
intervention.
Debrox an OTC medication of carbide peroxide can also be used to soften ear wax forays removal. It
does not prevent acute otitis external-AOE.
DO NOT REMOVE the cerumen
Otomycosis - ANSWER Fungal infection caused by aspergillum or candida.
symptoms of otomycosis - ANSWER intense pruritus and erythema
treatment of otomycosis - ANSWER thorough cleansing and application of acidifying drops. 2% acetic
acid solution must be applied 3-4 times a day for 7 days.
if this doesn't work, a solution containing an anti fungal drug (1% clotrimazole/Lotrimin) can be
applied twice daily for 7 days. Oral anti fungal medication may then be added such as Itraconazole
and Fluconazole
Acute Otitis Media - ANSWER 2 months-12 years if AOM confirmed:
amoxicillin - 90 mg/kg/day
clavulanate - 6.4 mg/kd/day divided into 2 dose (12 hrs)
Ceftriaxone 50 mg IM for 3 days
, < 6 months - ANSWER antibacterial therapy for certain and uncertain diagnosis.
6 months - 2 years - ANSWER observation for unilateral AOM with mild symptoms and without
otorrhea (certain)
antibacterial therapy if illness is severe/observation if not severe (uncertain)
2 years + - ANSWER antibacterial therapy if severe/observation if not (certain)
observation regardless (uncertain)
allergic Rhinitis - ANSWER Inflammatory disorder of the upper airway, lower airway, and eyes.
sneezing, rhinorrhea, pruritus, and nasal congestion caused by dilation and increase permeability of
nasal blood vessels.
Season Rhinits - ANSWER hay fever, occurs in the spring and fall in reaction to outdoor allergens
such as fungi and pollens from weeds, grasses and trees.
Perennial (nonseasonal) rhinitis - ANSWER is triggered by indoor allergens, especially the house dust
mite and pet dander.
Treatment of rhinitis - ANSWER glucocorticoids (intranasal), antihistamines (oral and intranasal),
sympathomimetics (oral and intranasal)
Monoclonal antibody-drug treatment - ANSWER Omalizumab (Xolair) - directed against IgE, an
immunoglobulin antibody that plays a central role int he allergic release of inflammatory mediators
from mast cells and basophils.
approved only for allergy-mediated asthma.
Glucocorticoids Intranasal - ANSWER therapeutic action in allergic reactions.
prevent inflammatory response to allergens and thus reduce all symptoms. These drugs can prevent
or suppress the major symptoms of allergic rhinitis: congestion, rhinorrhea, sneezing, nasal itching,
and erythema in 90% of patients.
Budesonide
Content)Questions & Answers
100% Correct!!
Excessive cerumen in the ear - ANSWER can lead to conductive hearing loss.
Causes: - ANSWER impactions are often caused by patients pushing excessive cerumen further into
the ear canal while cleaning.
Treatment: - ANSWER Irrigation of the ear canal with warm water or saline is the recommended
intervention.
Debrox an OTC medication of carbide peroxide can also be used to soften ear wax forays removal. It
does not prevent acute otitis external-AOE.
DO NOT REMOVE the cerumen
Otomycosis - ANSWER Fungal infection caused by aspergillum or candida.
symptoms of otomycosis - ANSWER intense pruritus and erythema
treatment of otomycosis - ANSWER thorough cleansing and application of acidifying drops. 2% acetic
acid solution must be applied 3-4 times a day for 7 days.
if this doesn't work, a solution containing an anti fungal drug (1% clotrimazole/Lotrimin) can be
applied twice daily for 7 days. Oral anti fungal medication may then be added such as Itraconazole
and Fluconazole
Acute Otitis Media - ANSWER 2 months-12 years if AOM confirmed:
amoxicillin - 90 mg/kg/day
clavulanate - 6.4 mg/kd/day divided into 2 dose (12 hrs)
Ceftriaxone 50 mg IM for 3 days
, < 6 months - ANSWER antibacterial therapy for certain and uncertain diagnosis.
6 months - 2 years - ANSWER observation for unilateral AOM with mild symptoms and without
otorrhea (certain)
antibacterial therapy if illness is severe/observation if not severe (uncertain)
2 years + - ANSWER antibacterial therapy if severe/observation if not (certain)
observation regardless (uncertain)
allergic Rhinitis - ANSWER Inflammatory disorder of the upper airway, lower airway, and eyes.
sneezing, rhinorrhea, pruritus, and nasal congestion caused by dilation and increase permeability of
nasal blood vessels.
Season Rhinits - ANSWER hay fever, occurs in the spring and fall in reaction to outdoor allergens
such as fungi and pollens from weeds, grasses and trees.
Perennial (nonseasonal) rhinitis - ANSWER is triggered by indoor allergens, especially the house dust
mite and pet dander.
Treatment of rhinitis - ANSWER glucocorticoids (intranasal), antihistamines (oral and intranasal),
sympathomimetics (oral and intranasal)
Monoclonal antibody-drug treatment - ANSWER Omalizumab (Xolair) - directed against IgE, an
immunoglobulin antibody that plays a central role int he allergic release of inflammatory mediators
from mast cells and basophils.
approved only for allergy-mediated asthma.
Glucocorticoids Intranasal - ANSWER therapeutic action in allergic reactions.
prevent inflammatory response to allergens and thus reduce all symptoms. These drugs can prevent
or suppress the major symptoms of allergic rhinitis: congestion, rhinorrhea, sneezing, nasal itching,
and erythema in 90% of patients.
Budesonide
