Answers(RATED A)
Treatment of glaucoma- beta blockers - ANSWER -approved for topical use in treating open-angle
glaucoma are: Betaxolol, Carteolol, Levobunolol, and Timolol.
-treat by reducing IOP which can slow or even stop the disease progression
-lower IOP by decreasing production of aqueous humor
Adverse reactions of Glaucoma Beta Blockers use - ANSWER local stinging, conjunctivitis, blurred
vision, photophobia, and dry eyes
-bradycardia and AV heart block can also occur
-pulse should be monitored
-use caution with HF pts- can cause bronchospasms
treatment of otitis media - ANSWER Amoxicillin
-heating pads help (alternate with ice)
-avoid chewing (soft foods)
-lie on the affected side
-may not hear you
-avoid smoke
-May require PE (pressure equalizing) tubes to keep the middle ear drained. The ear tube (grommet)
stays in about 6 months and then falls out
How to treat someone with glaucoma and either asthma or COPD - ANSWER use only Betaxolol as
treatment of choice because its a beta 1 selective
S/S of Otitis media - ANSWER ear pain, fever, vomiting, anorexia, irritability, insomnia, and diarrhea
bulging tympanic membrane, inflammation, and swelling of the eustchian tube
, Treatment of eczema - ANSWER moisturizers and glucocosticoids (complications include skin
atrophy, hypopigmentation, permanent focal red lesions, and high doses of adrenal suppression
Treatment for Acne: mild - ANSWER Benzoyl Peroxide or topical retinoid (Vitamin A) or topical
combo therapy of benzoyl peroxide plus antibiotic or retinoid plus benzoyl peroxide
Treatment for Acne: Moderate - ANSWER topical combo
Treatment for Acne: Severe (Two agents) - ANSWER oral antibiotics (Doxycycline or minocycline) and
topical combo therapy of benozyl peroxide plus antibiotic or retiniod plus benzoyl or oral isotretinoin
(accutane)
if those do not work topical immunosuppressants (tacrolimus and pimercrolimus) can be used - they
can pose risk for skin cancer and lymphoma
avoid tanning beds and sunlight, do use in prolong treatments
Key Ingredients in sunscreen - ANSWER organic: aminobenzoic acid derivates, cinnamates,
salicylates. benzophenones
others: avobenzone, ecamsule, ensulizole, meradimate, octocrylene
inorganic: titanium dioxide, zinc oxide, avobezone to protect against UVA1 rays
need coverage for protection against UVA and UVB rays and SPF at least 15
MOA of expectorants - ANSWER increase the output of respiratory tract fluid by decreasing
adhesiveness & surface tension of respiratory tract & facilitate removal of viscous mucous
Ex. Guaifenesin (Mucinex Humibid)
max dose: 200-400mg PO every 4 hours as needed
6 doses/day 2400mg/day)
Montelukast adverse effects - ANSWER Neuropsychiatric:
-Dream abnormalities