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6 Cards in this Set

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Otitis Media

AAFP guidelines as when to
begin treatment:

_1_ or _2_ onset of signs
and sxs of _3_ & _4_

_4_ is indicated by:
*_5_ of TM
*_6_ _6_ of TM
*_7_ _7_ level behind TM
*_8_

Or distinct _9_ originating from the ear which interferes w/ _10_ or _11_
1.recent
2.abrupt
3.inflammation
4.effusion

5.bulging
6.limited mobility
7.air fluid
8.otorrhea

9.otalgia
Otitis Media

1st Line Agents
*Beta lactam (_1_), _2_ or 3
*_1_: _4_ mg/kg/day dvd 2-3x
~_5_ dose therapy: _6_ dvd
~Indications for _5_ dose:
*_7_ in last _8_ mos
*age over _9_
*_10_ _10_

*_11_:
~_12_ dvd 2-4x
~Give w/ food
1.amoxicillan
2.macrolide
3.smp/tmz
4.30-40
5.high
6.80-90
7.ABX
8. three
9. five
10. day care

11. Erythromycin
12.30-50
Otitis Media

_1_ Susp (Zithromax)
*_2_ dosing regimens
*_3_mg/kg stat dose non rep
*_4_mg/kg/day X 1 than
_5_ mg/kg/day X 4 more
(once daily dose, > 6 months)
*_6_mg/kg/day X 3 days

*_7_ (Clarithromycin)
-taste bad use alternate agents if possible
1.Azithromycin
2.Multiple
3. 30
4. 10
5. 5
6. 10

7. Biaxin
Otitis Media:
1st Generation Cephalosporin

_1_ (Cephalexin)
*_2_ dvd 2/4 x
(_3_ the trad. _4_ dose of
30-50 mg/kg)
1. 1st
2. Keflex
3. 75-100 mg/kg/day
4. double
Otitis Media 2nd line agents
if: _1_ or _2_ _2_
*_3_ dose _4_: 80-90 dvd

_5_(amoxicillan/clavulanate)
*dose based on _6_ dose 2xda
*_7_ primary SE
*Can use _8_ in _9_ risk pt
1. failure
2. special cases
3. high
4. amoxicillan
5. Augmentin
6. Amoxicillan
7. Diarrhea
8. 1st
9. high
clavulanate causes diarrhea
Otitis Media
2nd Generation Cephalosporins

_1_ (Cefeclor)
*_2_ dvd 2-3 times
*can cause _3_ _3_

_4_ (Cefuroxime)
*_5_ in 2 dvd doses

_6_ (CEFTRIAXONE) _7_
*_8_ for _9_ days
(REMEMBER!!!!!!!!!)
1. Ceclor
2. 20-20
3. serum sickness

4. Ceftin
5. 30

6. ROCEPHIN
7. IM
8. 50 mg/kg/day
9. 1-3 days