thera - otic

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Author:
Anonymous
ID:
134264
Filename:
thera - otic
Updated:
2012-02-10 10:08:08
Tags:
thera
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Description:
otic disorders
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  1. common otic disorders 3
    • piercings
    • wax
    • water
  2. what are is self treatment restricted to
    external ear disorders
  3. external ear disorders 5
    • excessive/impacted cerumen
    • water clogged ears
    • contact dermatitis
    • seborrhea
    • psoriasis
  4. reasons to exclude self treatment "refer" 9
    • sign of infection
    • pain associated with ear discharge
    • bleeding or signs of trauma
    • presence of ruptured tympanic membrane
    • ear surgery within prior 6 weeks
    • tympanostomy tubes present
    • incapable of following proper instructions
    • hypersensitivity to recommended agents
    • under 12 years of age
  5. what is the only FDA approved otc cerumen softening agent, how does it work
    • carbamide peroxide 6.5% in anhydrous glycerin
    • urea breaks down and loosens cerumen
    • hydrogen peroxide effervescence breaks down cerumen and acts as a weak antimicrobial
    • anhydrous glycerin softens cerumen


    • dose - bid up to 4 days
    • 5-10 gtt into ear canal leave for 15 min
  6. 2 cerumen softening agents
    • auro ear drops
    • debrox earwas removal aid kit
  7. treatment goal of impacted cerumen
    • soften and remove cerumen
    • non-pharm - gentle irrigation using an otic bulb and 8 oz of warm water
    • remove cerumen from EAC with a wer warm cloth as daily aural hygiene
    • pharm - cerumen softening products
  8. what is the difference btween administering ear drops to an adult vs child
    • adult pull the ear backward and upward
    • child <3, pull ear backwark and downward
  9. water clogged ear drying agents 2
    • isopropyl alcohol 95% in anhydrous glycerin 5% - only FDA approved
    • 50:50 mixture of acetic acid 5% and isopropyl alcohol 95%
  10. ear drying products
    • auro-dri drops
    • swim ear drops
  11. 3 dermatologic disorder of the ear
    • contact dermatitis
    • seborrhea
    • psoriasis
  12. contact dermatitis pathophysiology
    • allergic - drugs, nickel (earings), poison ive, rubber or plastic (hearing aids)
    • irritant - soaps/detergents
  13. signs and symptoms of contact drematitis 5
    • maculopapular rash
    • formation of vesicles
    • pruritus
    • erythema
    • edema
  14. astringent for contact dermatitis
    • burrow's solution - precipitates proteins and dries the affected area by decreasing secretory function of the skin glands.
    • apply wet compress of solution several times per day
  15. signs of seborrhea
    • pruritus
    • flaking of the skin
    • skin fissures
    • usually requires dermatologist intervention
  16. signs of psoriasis
    • thickening
    • erythematous
    • silvery scaling lesions
    • scalp can extend to external ear
    • mostly appears at pressure point)knees and elbow)
  17. treatments for seborrhea and psoriasis
    • anti-seborrheic shampoos
    • emollients
    • topical hydrocortisone

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