Idis--Pulm Treatments Questions & Answers

IDIS--Pulm Treatments Questions & Answers Swimmer's ear Tx - ANS-Mild: Acetic acid, propylene glycol, and hydrocortisone Mod: Abx/antifungal and hydrocortisone Chronic: Abx/Antifunal, hydrocortisone, and selenium sulfide Analgesics for pain Malignant/Necrotizing Otitis Externa (MOE) Tx - ANS-Pseudomonas: Ciprofloxacin, beta-lactams are first line Aspergillus: Voriconazole, AmB DM: glycemic control Debridement and abscess drainage Correction of immunosuppression if possible Otitis Media Tx - ANS-AOM: Clean ear, analgesics for pain, Abx if appropriate, watch and wait---Amoxicillin or Amoxicillin/clavulanate Tympanocentesis and tube placement if recurrent OME: Tubes (NO Abx) Chronic Suppurative OM: Abx, Mastoidectoy, myringoplasty, tympanoplasty Adhesive OM: Tubes Vaccination to prevent (PCV 13/23, Hib, Influenza) Mastoiditis Tx - ANS-Vancomycin, add ceftriaxone or cefepime Mastoidectomy if tx failure or abscessCommon cold and summer grippe tx - ANS-Supportive care Rhinosinusitis Tx - ANS-Symptomatic therapy for viral Abx for bacterial Drainage if needed Rhinocerebral Mucormycosis Tx - ANS-DM: glycemic control Aggressive surgical debridement ***High dose antifungal--AmB*** Pharyngitis Tx - ANS-Viral: Supportive care (cough drops, acetaminophen, saline gargles) Bacteria: Antibiotics Diptheria Tx - ANS-Hospitalize ---> Antitoxin Antibody---> Antibiotics ---> Vaccinate Croup Tx - ANS-Maintain airway, humidify air, oxygen, calm, racemic epinephrine Severe: intubation or tracheostomy, Steroids Epiglottisis tx - ANS-Intubation in surgery Sedation Antibiotics Hib Vaccine Unimmunized--add RifampinAcute