Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin.
Full Answer
Should the nurse question the antibiotic administration in otitis media?
Concern in the medical community has grown over the increasing appearance of drug-resistant bacteria as causative agents in otitis media. Therefore, the nurse should question the antibiotic administration.
What are the treatment options for otitis media?
Treatment of serous otitis media may include an anti-inflammatory drug (for example, oral prednisone for 7 days) to reduce mucosal edema of the eustachian tube. The nurse is caring for an adult client with acute otitis media and plans to develop a teaching plan on the prevention of further infections.
When should I see an audiologist for otitis media?
Ear pain, purulent drainage, and dizziness are all symptoms that should be addressed by the healthcare provider, not the audiologist. Audiology testing is recommended for a patient upon completion of antibiotic therapy for otitis media. The patient asks the nurse why this has to be done.
What is the role of tympanostomy in the treatment of otitis media?
Following myringotomy, a tympanostomy tube (pressure-equalizing tube) is inserted to promote ventilation and drainage of the middle ear to the external environment during healing.
What is the best treatment for otitis media?
High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin.
What is the basic course of treatment for otitis media?
High-dosage amoxicillin (80 to 90 mg per kg per day, divided into two daily doses for 10 days) is recommended as first-line antibiotic therapy in children with acute otitis media. In children older than six years with mild to moderate disease, a five- to seven-day course is adequate.
Which of the following treatments is appropriate for a patient who has acute otitis media and has an allergy to penicillin?
Patients who are allergic to penicillin show 10-15% cross-reactivity when treated with cephalosporins. Levofloxacin has demonstrated higher efficacy in the treatment of AOM than amoxicillin-clavulanate has and can be used in patients who are allergic to penicillin.
What is the first-line treatment for otitis media in adults?
Choice of initial antibiotic — Our choice for first-line therapy is amoxicillin-clavulanate. In most adults, the dose is amoxicillin 875 mg with clavulanate 125 mg orally twice daily.
How is otitis media treated in adults?
A middle ear infection may be treated with:Antibiotics, taken by mouth or as ear drops.Medication for pain.Decongestants, antihistamines, or nasal steroids.For chronic otitis media with effusion, an ear tube (tympanostomy tube) may help (see below)
What medications treat otitis media?
Amoxicillin is the first-line drug for otitis media. Effective second-line drugs for resistant beta-lactamase-producing bacterial strains include trimethoprim-sulfamethoxazole, erythromycin-sulfisoxazole, cefaclor, cefuroxime axetil and cefixime.
Which of the following treatments is appropriate for a patient who has acute otitis media and has an allergy to penicillin quizlet?
Amoxicillin has good efficacy in the treatment of otitis media due to its high concentration in the middle ear. In cases of penicillin allergy, the American Academy of Pediatrics (AAP) recommends azithromycin as a single dose of 10 mg/kg or clarithromycin (15 mg/kg per day in 2 divided doses).
When do you give antibiotics for otitis media?
Antibiotics are sometimes not needed for middle ear infections. However, severe middle ear infections or infections that last longer than 2–3 days need antibiotics right away. For mild middle ear infection, your doctor might recommend watchful waiting or delayed antibiotic prescribing.
What are the outcomes of Tamiflu?
Predict which of the following would be outcomes of treatment with Tamiflu. an increase in the ability of the immune system to combat the infection. overall decrease in the replication rate of influenza. a decrease in the release of viral particles from the cell.
Can microbes be treated with antimicrobials?
The infection caused by the microbes cannot be easily be treated with available antimicrobials. The microbe can easily infect a human. It is disseminated by aerosol. Correctly identify the mode of transmission with each of the listed microbes that have been used as biological weapons.
Is the bronchial tube sterile?
The ciliary escalator in the bronchial tubes keeps the lower respiratory tract nearly sterile. The trachea normally may contain a few bacteria. Potentially pathogenic microorganisms are present in nonsterile portions of the respiratory tract but usually do not cause disease. The upper respiratory tract is mostly sterile.