PHAR 454 Lecture Notes - Lecture 8: Cefixime, Macrolide, Sepsis
12 Feb 2017
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Otitis media = inflammation of the middle ear. >75% of all children have an episode by 2 years of age. Also the most common reason children visit physicians and are prescribed antibiotics. The size of the eustachian tube is smaller any inflammation will block it and cause pressure/fluid build-up = pain. You have to look inside the ear to diagnose it will be red and swollen. Behind tympanic membrane, there will be white fluid = pus. Tympanic membrane will be swollen = muffled hearing. Formula fed in 1st 3-6 months do(cid:374)"t get the passi(cid:448)e i(cid:373)(cid:373)u(cid:374)it(cid:455) fro(cid:373) bm. Ear pain, irritability, +/- fever (degree of fever has no i(cid:374)di(cid:272)atio(cid:374) of (cid:449)hether it"s (cid:271)a(cid:272)terial or (cid:448)iral(cid:895), (cid:374)asal congestion, coughi(cid:374)g, appetite, ear discharge (means that the tympanic membrane has ruptured) Tympanic membrane: bulging, poorly mobile, red/inflammed, opaque or yellow. Eliminate symptoms: temperature 36. 5 to 37. 5 c, no cough, restore mood, eliminate ear tugging.
