OTC otic disorders Flashcards Table View

     

Otic disorders affect which groups the most? geriatrics and pediatrics
T/F Gradual hearing loss is most commonly due to ear wax impaction. True
T/F There is a lot of fat distributed in the ear. False
If there is trauma to the ear, what will occur? Lots of pain and bleeding.  The ear is highly vascularized and innervated. 
What separates the external ear from the middle ear? tympanic membrane
All OTC otic treatments will be for which part of the ear? from the tympanic membrane to the external acoustic meatus
How does the ear of a child differ from that of an adult? shorter, straighter, and flatter EAM
When should otic problems not be treated OTC? signs of infection, pain associated with discharge, bleeding or trauma, ruptured eardrum, ear surger within the past 6 weeks, tubes, incapable of following instructions, hypersensitivity to agents in OTC products, less than 12 years of age
How old must patients be to treat otic complaints OTC? 12
What otic complaints can be treated OTC? excessive/impacted ear wax, water clogged ears, allergic dermatitis, seborrhea, and psoriasis
Why are children more prone to ear infections than adults? Their EAC is shorter and flatter, which traps moisture and earwax, which provides an optimal media for bacteria growth
What are the causes excessive/impacted cerumen? abnormally narrow, hairy, or misshapen EAM, overactive ceruminous glands, hearing aids, earplugs, sound attenuators
Why are elderly patients more prone to ear infection? Their ear wax glands start to atrophy with age, excreting a drier ear wax.  The wax is drier and harder and more difficult to remove.
What are the non-pharmacologic treatments for ear wax? Use a wet, wrug-out wash cloth draped over a finger.
What are the pharmacologic treatments for ear wax? Carbamide peroxide (6.5%)
What is the purpose of pharmacologic ear wax treatments? To soften, loosen, and remove excess ear wax.
What ages is carbamide peroxide 6.5% approved for? Ages 12 and up.
What are some names of OTC products for ear wax? Auro Ear Drops, Debrox, Murine Systems, OTIX, and Physician's Choice
T/F Mineral oil, olive oil, glycerin, docusate sodium, and dilute hydrogen peroxide are proven to be more effective than cabamide peroxide. False
What is carbamide peroxide a mixture of? hydrogen peroxide and urea
This incredient in carbamide peroxide acts as an antibacterial oxygen
What ingredient in carbamide peroxide cause tissue debridement, which mechanically breakds down and loosens cerumen. urea
This ingredient works to soften cerumen. anhydrous glycerin
Are there any FDA approved OTC treatments for swimmer's ear (otitis externa)? No
Can you treat water-clogged ears OTC? Yes
If a patient presents with a wetness or fullnes in the ear accompanied by gradual hearing loss, what do they most likely have? water-clogged ears
How would you treat water-clogged ears nonpharmacologically? tilt ear downward and manipulate auricle, use a blow dryer around the ear  
What are the pharmacologic treatments for water clogged ears? 95% isopropyl in 5% glycerine