We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byCarlos Brining
Modified about 1 year ago
Chapter 58 Otic Drugs Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Bacterial and fungal infections Inflammatory disorders that cause pain Earwax accumulation External ear Physical trauma Dermatitis Middle ear Otitis media Ear Disorders Copyright © 2014 by Mosby, an imprint of Elsevier Inc.3
Otitis media: middle ear infection Most often afflicts children and follows an upper respiratory tract infection In adults, usually results from foreign objects or water sports Ear Disorders (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.4
Otitis media: middle ear infection (cont’d) Symptoms include pain, fever, malaise, pressure, sensation of fullness in the ears, hearing loss If untreated, tinnitus, nausea, vertigo, mastoiditis may occur Hearing deficits and hearing loss may result if prompt therapy is not started Ear Disorders (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.5
Classroom Response Question A 2-year-old is seen in the pediatrician’s office with a bacterial middle ear infection. Which medication does the nurse anticipate being prescribed for the child? A.amoxicillin B.Cortic C.carbamide peroxide (Debrox) D.Acetasol HC Copyright © 2014 by Mosby, an imprint of Elsevier Inc.6
Antibiotics Antifungals Antiinflammatories Local analgesics Local anesthetics Corticosteroids Earwax emulsifiers Otic Drugs for External and Middle Ear Disorders Copyright © 2014 by Mosby, an imprint of Elsevier Inc.7
Topical formulations applied to the external ear Often combined with steroids for antiinflammatory, antipruritic, and antiallergic drug effects Middle ear infections generally require systemically administered antibiotics Antibacterial and Antifungal Otic Drugs Copyright © 2014 by Mosby, an imprint of Elsevier Inc.8
Antibiotics neomycin and polymyxin B plus hydrocortisone combination (Cortisporin Otic) Others containing ciprofloxacin ofloxacin Antifungals Cortic (combination of antifungal drugs and hydrocortisone) Antibacterial and Antifungal Otic Drugs (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.9
carbamide peroxide (Debrox) Combined with other drugs, such as glycerin, to loosen and help remove cerumen Ear canal irrigation with water may be needed Earwax Emulsifiers Copyright © 2014 by Mosby, an imprint of Elsevier Inc.10
Classroom Response Question When teaching an adult patient about eardrops, which statement will the nurse include? A.“Hold your ear down and back to instill the drops.” B.“If you feel dizzy after instilling the ear drops, stand up and walk around the room.” C.“Warm the ear drops up for 30 seconds in the microwave before using them.” D.“Lie on the opposite side of that of your affected ear for about 5 minutes after instilling the drug.” Copyright © 2014 by Mosby, an imprint of Elsevier Inc.11
Assess baseline hearing or auditory status Evaluate patient’s symptoms Assess drug and food allergies Assess for contraindications Keep in mind that perforated eardrum(s) may be a contraindication to these drugs Ciprofloxacin and ofloxacin can be used with perforated eardrums. Nursing Implications Copyright © 2014 by Mosby, an imprint of Elsevier Inc.12
If necessary or if ordered, remove cerumen by irrigation before instilling eardrops Cleanse outer ear thoroughly Nursing Implications (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.13
Warm eardrops to approximately body temperature before instillation Allow refrigerated solutions to warm to room temperature Keep in mind that cold eardrops may cause vomiting and dizziness Nursing Implications (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.14
Classroom Response Question While administering medications, the nurse finds a patient’s eardrops in the medication refrigerator. If the nurse gives the eardrops immediately, what response might the patient have? A.No unusual response B.Immediate relief of ear discomfort C.A vestibular-type reaction D.Increased ear pain Copyright © 2014 by Mosby, an imprint of Elsevier Inc.15
When administering eardrops to adults Hold the pinna up and back When administering eardrops to children younger than 3 years Hold the pinna down and back Nursing Implications (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.16
Allow time for eardrops to flow down into the ear canal Have patients lie on the side opposite to the side of the affected ear for about 5 minutes after instilling eardrops Nursing Implications (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.17
A small cotton ball may be gently inserted into the ear canal to keep the drug in, but do not force the cotton into the ear canal Gently massage the tragus of the ear to encourage flow of medication Nursing Implications (cont’d) Copyright © 2014 by Mosby, an imprint of Elsevier Inc.18
Classroom Response Question Gentle massage of the tragus area of the ear after administering eardrops results in A.decreased absorption of the medication. B.softening of the cerumen in the ear canal. C.increased coverage of the medication in the ear canal. D.reduced pain in the ear. Copyright © 2014 by Mosby, an imprint of Elsevier Inc.19
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. CHAPTER 59 Otic Drugs.
Chapter 42 Agents Used in the Treatment of Ear Disorders.
Ms. RIFFAT YASMIN. Contents Ear Preparations: Anti infective Anti inflammatory Analgesics 2.
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chapter 51 Care of Patients with Ear and Hearing Problems.
Drugs for the Ear. Anatomy of the Ear The external ear Auricle or pinna External auditory canal (EAC) The middle ear Malleus, incus, and stapes.
Otic Products (2). Treatment of Ear disorders General Guidelines: Infection of the auricle or external ear canal is a skin infection and should be treated.
Chapter 5 Diseases and Disorders of the Eye and Ear.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Timby/Smith: Introductory Medical- Surgical Nursing, 10/e 01/16 Pg 625 Unit 10 Chapter.
3.03 Remember the Structures, Functions, & Disorders of the Ears.
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Mosby items and derived items © 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. CHAPTER 45 Immunosuppressant Drugs.
By: Sarah Nicole Ramirez and Margarita Hughes. There are three types of Otis Media 1. Acute otitis media 2. Otitis media with effusion 3. Otitis externa.
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. CHAPTER 45 Immunosuppressant Drugs.
For more information: NHS Choices /Otitis- externa/Pages/Treatment.aspx /Otitis- externa/Pages/Treatment.aspx.
PYRAMID POINTS CHAPTER 64: OPHTHALMIC AND OTIC MEDICATIONS.
Anatomy physiology disorders outer ear. pinna anatomy.
The Ear Terminology chapter 13. Function To hear To provide the sense of balance.
Ear Wax Lawrence Pike.
1 Health Promotion of the Preschooler and Family Copyright © 2015, 2011, 2007, 2003, 1999 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
Copyright © 2008 Lippincott Williams & Wilkins. Introductory Clinical Pharmacology Chapter 10 Fluoroquinolones and Aminoglycosides.
Ear Disorders Presented by Muhammad H. Shamim Doctor of Pharmacy Candidate 2005.
EYE, EAR, NOSE, AND THROAT OJO, OREJA, NARIZ, Y GARGANTA GLOBAL MEDICAL TRAINING AT UCLA POORVA VAIDYA & TJ NGUYEN.
3.04 Functions and disorders of the ear 3.04 Understand the functions and disorders of the sensory system 1.
1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Nutritional Problems Chapter 40.
Done By: Yacoub Zayadin. Anatomy of the outer ear.
Copyright © 2008 Lippincott Williams & Wilkins. Introductory Clinical Pharmacology Chapter 8 Cephalosporins.
Disorders Friday!!!! Or Fear & Loathing in the Outer Ear.
Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Introduction to Clinical Pharmacology Chapter 9 Antibacterial Drugs That Interfere.
Lecture Notes 15 Special Senses: Ears Classroom Activity to Accompany Medical Terminology Systems, Sixth Edition Barbara A. Gylys ∙ Mary Ellen Wedding.
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 13 Ear.
Nursing Management: Visual and Auditory Problems Chapter 22 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. 50 Chapter 50 Assessment of the Ear and Hearing.
Ear Examination Heather Nelson, RN. Ears Inspect auricles for size, shape, symmetry, landmarks, color, and position on head. Inspect external auditory.
Chapter 12 Skin Medications. Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Skin Medications Skin is largest organ of the body Many.
MNA Mosby ’ s Long Term Care Assistant Chapter 37 Hearing, Vision and Speech Problems.
Pediatric Problems Otitis Media Foreign bodies -beads, pencil erasers, insects Treatment -carefully remove foreign body (if able) -seek medical care.
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 34 Hearing, Speech, and Vision Problems.
Medication Assistant Training Module 5 Eyes Ears Nose.
16 Special Senses: Ears Lecture Notes A PowerPoint Presentation Classroom Activity to Accompany Medical Terminology Systems, Seventh Edition Barbara A.
Chapter 59 Assessment and Management of Patients With Hearing and Balance Disorders.
Elsevier Inc. items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Chapter 90 Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole,
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
1 Second semester Chapter 33 Topical and Inhalant Medications Bader A. EL Safadi BSN, MSc Fundamental of Nursing – B Topical and Inhalant.
TOPICAL MEDICATION SHARON HARVEY. LEARNING OUTCOMES THE STUDENT WILL BE ABLE TO: UNDERSTAND INDICATIONS, AND PREPARATIONS USED, FOR THE TOPICAL ROUTE.
Topical Medications PN 1 Nursing Skill Labs. Routes of Administration Skin application = inunction Eye instillation Ear instillation Nasal instillation.
Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chapter 58 Care of Patients with Stomach Disorders.
Discussion Otitis media is an infection of the middle section of the ear, as compared to external otitis (also known as swimmer's ear), which is an infection.
Otitis media Latin for "Middle otitis" It is one of the two categories of ear inflammation that can underlie what is commonly called an earache, the.
© 2017 SlidePlayer.com Inc. All rights reserved.