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9 Cards in this Set
- Front
- Back
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What are "severe" signs and symptoms of AOM anyhow? Name 3 of them. |
1. Moderate or severe pain. 2. Otalgia lasting over 48 hrs. 3. Fever equal to or greater than 102.2 degrees F (39 deg.C) |
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Name 8 risk factors for AOM. |
1. Exposure to smoke or other respiratory irritants 2. Exposure to group day care 3. Family history of recurrent OM 4. GERD 5. Immunodeficiency 6. No breast feeding 7. Pacifiers 8. URI's |
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1. Which class of antibiotics would be the best choice for treating AOM in the presence of penicillin allergy?
2. Name 2 of them with their dosages. |
1. Third generation cephalosporins
2. Examples: a. cefdinir (Omnicef): 14 mg/kg/24 hrs, divided into 2 doses with the max dose at 600 mg/24 hrs. b. cefuroxime (Ceftin): 30 mg/kg/24 hrs, divided q 12 hrs with the max dose at 1 gm/24 hrs. |
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Under the right conditions, name an alternate management to prescribing antibiotics for acute otitis media. |
With the advice and consent of the parents, antibiotics might be withheld, pain control given, and the child be "followed closely" for 49-72 hours to see if the symptoms not improve or worsen. |
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Among children aged 6-24 months with acute otitis media, which 2 conditions must exist before considering withholding antibiotics? |
1. Unilateral otitis only 2. Absence of "severe" symptoms |
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For children 2 years of age and older with acute otitis media, what is the condition that might allow withholding antibiotics and observing for 48-72 hrs? |
"Non-severe" symptoms regardless whether one or both sides involved. |
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For acute otitis media, amoxicillin is generally the drug of choice. Name 3 situations where another drug ought to be tried. |
1. Penicillin allergy
2. The patient received amoxicillin already within 30 days of date (beta-lactamase coverage needed)
3. Concurrent purulent conjunctivitis (better beta-lactase coverage also needed) |
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Name 2 situations where a clinician ought to prescribe an antibiotic with better activity against beta-lactamase producing bacteria causing acute otitis media. |
1. A prior use of amoxicillin less that 30 days before. 2. The concurrent presence of acute purulent conjunctivitis with the otitis. |
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Name 4 antibiotics with decent coverage against beta-lactamase producers. |
1. Augmentin (amoxicillin-clavulanate) 2. Trimethoprim-sulfamethoxazole 3. Cefuroxime (Ceftin), 2nd generation cephalosporin 4. Cefdinir (Omnicef) |
