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64 Cards in this Set
- Front
- Back
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What is Aldara (imiquimod) used for & what is the dosage?
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Warts
Apply TIW HS, wash in 6-10 hrs. |
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What is Condylox (Podofilox) used for & what is the dosage?
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Warts
Apply BID x 3 days, off 4 days, repeat PRN up to 4 times. |
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Name the 2 Rx wart medications;
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Aldara (imiquimod) 5% cream
Condylox (Podofilox) 0.5% gel |
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What is the active ingredient in OTC wart medications?
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Salicytic Acid
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What are; Allergen, Aurodex, & Auralgal?
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Otic analgesics/anesthetics
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Allergen, Aurodex, & Auralgal Indications;
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Temporary relief of pain & swelling due to OM, OE & swimmers ear, also aids in ear was removal.
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Allergen, Aurodex, & Auralgal MOA;
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Antipyrine-analgesic
Benzocaine-anesthetic Glycerin-decreases middle ear pressure. |
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Allergen, Aurodex, & Auralgal dosing;
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Fill ear w/solution, put cotton in, repeat q 1-2hrs PRN
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Allergen, Aurodex, & Auralgal Contraindication;
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Perforated tympanic membrane, hypersensitivity to ingredients.
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Allergen, Aurodex, & Auralgal adverse reactions;
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Possible allergy or irritation.
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Allergen, Aurodex, & Auralgal Precautions;
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Pregnancy Cat C (no studies done), otic use only, dc if irritation occurs.
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What are the active ingredients in Cortisporin Otic?
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Neomycin
Polymyxin b Hydrocortisone |
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Cortisporin Otic indications;
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Bacterial infection w/inflammation of ear, solution & suspension, solution used only for swimmers ear.
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Cortisporin Otic MOA;
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Neomycin-an aminoglycoside-interferes w/bacterial protein synthesis.
Polymyxin b-alters bacterial membrane. Hydrocortisone-corticosteroid, anti-inflammatory. |
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Cortisporin Otic Dosing;
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Instill 4gtts 3-4 times qd, max 10 days.
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Cortisporin Otic Contraindications;
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Hypersensitivity to ingredients.
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Cortisporin Otic Adverse Reaction;
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Burning, stinging, itching, ototoxicity.
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Cortisporin Otic precautions;
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Otic suspension prefered to solution due to risk of damage of cochlear if ear drum is perferated.
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What is Ciprodex
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Otic Anti-infevtive
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What are the active ingredients in Ciprodex?
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Ciprofloxacin-(ABX)
Dexamethasone-(corticosteroid, anti-inflammatory) |
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Ciprodex MOA;
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Ciprofloxacin-fluoroquinolone(ABX); inhibits DNA gyrase used in DNA replication.
Dexamethasone-(corticosteroid, anti-inflammatory) |
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Ciprodex Dosage;
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Instill 4 gtts bid for 7 days
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Ciprodex contraindications;
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hypersensitivity fo fluroquinolones, dexamethasone, viral infections of the ear canal
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Ciprodex ADR;
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Pain, prutitis, decreased hearing.
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Ciprodex precautions;
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Preg Cat C, detected in blood/breast milk.
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What is Cipro HC?
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Otic anti-infective
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What are the active ingredients in Cipro HC?
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Ciprofloxacin-(ABX)
Hydrocortisone-(corticosteroid, anti-inflammatory) |
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Cipro HC indications;
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swimmers ear/otitis externa >1year old.
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Cipro HC MOA;
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Ciprofloxacin-(ABX)
Hydrocortisone-(corticosteroid, anti-inflammatory) |
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Cipro HC Dosage;
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3 gtts to affected ear bid for 7 days.
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Cipro HC CI;
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hypersensitivity, viral infection in ear
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Cipro HC Precautions;
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Pre Cat C, found in blood/breast milk, not sterile, do not use w/ ruptured ear drum or tympanotomy tubes in ear.
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What is Floxin Otic?
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Otic Anti-infective
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Floxin Otic indications;
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otitis externa & media, shronic suppurative otitis media. (Last resort for resistant chronic infections)
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Floxin Otic MOA;
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Ofloxacin-flouroquinolone
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Floxin Otic Otitis media (ruptured membrane or tympanotomy tubes) dosage;
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Adults; Instill 10 gtts into affected ear bid for 14 days.
Peds; Instill 5 gtts into affected ear bid for 10 days |
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Floxin Otic Otitis externa dosage;
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Adults; Instill 10 gtts into affected ear bid for 7 days.
Peds (6mos-13yrs); Instill 5 gtts qd for 7 days. |
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Floxin Otic CI;
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Hypersensitivity to fluoroquinolones, viral ear infections.
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Floxin Otic ADR;
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Pain, dizziness, pruritis, taste perversion.
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Floxin Otic Precautions;
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Preg Cat C, found in blood/breast milk.
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What is Debrox?
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Cerumen softener.
It is OTC and covered by medical. |
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Debrox Indication;
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emulsify and disperse ear wax
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Debrox MOA;
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Carbamide peroxide- releases O2 bubbles.
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Debrox dosage;
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Adults; Instill 5-10 gtts in ear bid for up to 4 days, put cotton in.
Peds; Instill 3 gtts in ear bid for up to 4 days, put cotton in. |
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Debrox CI;
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Hypersensitivity, perforated tympanic membrane, ear drainage, pain or rash.
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Debrox ADR;
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Rash, irritation, redness.
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Debrox precautions;
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Preg cat c, do not use >4 days due to risk of super infection.
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What is Neosynephrine (phenylephrine)?
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OTC Nasal Spray
Alpha Adrenergic Agonist |
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Neosynephrine (phenylephrine) indications;
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adjunctive tx for OM, acute or chronic rhinitis, sinusitis or hay fever.
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Neosynephrine (phenylephrine) MOA;
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Nasal decongestant, causes vasoconstriction of arterioles in nasal mucosa.
(can cause vasoconstriction in other parts of the body, HTN or tachycardia) |
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Neosynephrine (phenylephrine) Dosage;
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=>6y/o, 2-3 sprays into each nostril bid.
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Neosynephrine (phenylephrine) CI;
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Hypersensitivity
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Neosynephrine (phenylephrine) ADR;
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Burning, HTN, palpitations.
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Neosynephrine (phenylephrine) precaution;
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rebound congestion if used >3 days, caution w/HTN, heart dz, or hyperthyroidism or glaucoma.
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What are the first generation antihistimines available?
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Benedryl (Diphenhydramine)
Clortrimeton(Chlorpheneramine) Atarax (hydroxyzine) Phenergan (promethazine)Rx Antivert (meclizine) |
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First generation antihistimines Indication;
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rhinitis, allergic rxn, motion sickness, nausea & sleep aids.
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First generation antihistimines MOA;
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Bind to H1 receptors block histamine, also bind cholinergic, adrenergic & serotonin receptors.
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Diphenhydramine Dosage;
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25-50mg q 6-8 hrs.
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Chlorpheneramine Dosage;
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4mg q 4-6 hrs.
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Astelin (azelastine) Dosage;
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1-2 sprays each nostril bid
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Tavist (clemastine) Dosage;
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1mg bid
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First Generation Antihistamines CI;
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Hypersensitivity, acute asthma attacks, neonates & premature infants, nursing.
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First Generation Antihistamines ADR;
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Drowsiness, dry mouth, urinary retention, sinus tach, hypotension, dizziness, increased appitite, bronchospasm, children paradoxical excitation.
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First Generation Antihistamines Precautions;
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Narrow angle glaucoma, bladder neck obstruction, prostatic hyperplasia, gastric effects, hyperthyroidism, cardiovascular dz, preg cat B except nursing contraindicated, death in overdose, caution in peds <2y/o respiratory depression, death.
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