Cerumen Impaction: A Case Study

Azithromycin (Zithromax) 500 mg IVPB q24h for~ 2 days then 500 mg PO for~ 7 days

American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides

The patient stated suffering several ear infections during her childhood. As a result, she states she has developed occasional ringing in her ears, but she reports that it does not distract her hearing.

McCracken, G. H. (1998). Treatment of Acute Otitis Media in an Era of Increasing Microbial Resistance.

The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it establishes diagnosis and management guidelines for the treatment of AOM. In addition the article recommends treatment options for the symptoms of AOM and addresses the concept of watchful waiting. The is an evidence based guideline as it provides recommendations for practice and was created a systematic review and best clinical research in clinical literature. The Block article, Causative Pathogens,

Cephalexin and Gentamicin would be effective since they are equally sensitive to the pseudomonas aeruginosa microbe which implies they will kill the microbe and work against the bacteria.

Acute Otitis Media (AOM), inflammation or infection of the middle ear, is an illness most parents have had experience with. Countless hours of lost sleep and worry secondary to their child’s pain and distress can keep even the most seasoned parents awake at night. Before the age of 36 months, 83% of children will experience 1 or more ear infections and AOM is the most common reason for office visits of preschoolers in the United States (Zhou, Shefer, Kong & Nuorti, 2008). The graphic below serves as a review of evidence and explores the usefulness of the information in relation to the option of watchful waiting in the management of AOM.

Treat with Amoxicillin 875 mg BID or Amoxicillin 500 mg TID x 5-7 days. Instruct client to take the medication as directed, and to complete all doses even if symptoms improve (Natal,

Colin Beavan’s journey throughout his No Impact Project not only taught him how we as people can make a difference to save the planet, but also pulls back the curtain on a lot of the commodities into today’s society that makes us question whether these things truly make us happy. Colin has these moments during the story where he asks these questions about society and the way that we live. These are the moments that I feel truly capture the books spirit. The first moment comes earlier in the story when he questions the convince of food packaging.

Swimmers ear needs to be diagnosed by your local doctor, and it can be treated by antibiotics. However, when you have repeated instances of swimmers ear over the years, scar tissue begins to build up in the ear canal. This is a dual edge sword because the more scar tissue you have, the more narrow the ear canal becomes. This gives even less room for trapped water to escape, and you end up with a vicious cycle of continued infections. A build-up of scar tissue will also decrease your hearing abilities.

The patient is an eight-year old girl who is taking hydrocortisone, neomycin, and polymyxin eardrops for the diagnosis of a bacterial ear infection. The dose is 10mg (1%)/3.5mg (0.35%)/10000 units/10ml and was instructed to take this medication every six to eight hours with three drops in the affected ear. The medication has multiple classes since this medication contains multiple drugs. Hydrocortisone is a corticosteroid medication that works to decrease inflammation within the ear. Neomycin and polymyxin are within the antibacterial class and work to combat infection. The combination of the drug helps to eliminate the bacteria within the ear; decrease pain, redness, and itching that were accompanying her bacterial

*Ear Infections - Fluid trapped in a child’s ears can cause them pain and lead to a fever. This causes great discomfort to the child and parents can feel helpless in not knowing what to do.

When removing this patient’s cerumen, there are two factors that influence my decision to use suction as my method of removal. First of all, his cerumen is soft and near the entrance of the canal, which is ideally removed with suction. Secondly, this patient has diabetes. Diabetic patients’ cerumen has a significantly higher pH than patients without diabetes who have more acidic cerumen. Because of this, using irrigation can lead to external otitis, which can develop into pseudomonas osteomyelitis. To avoid this, it is best to avoid irrigation as a means of cerumen removal in this population.

The purpose of this study was to assess the effectiveness of transtympanic injections of N-acetylcysteine for the prevention of Cisplatin-induced ototoxicity. The study originally involved 24 patients, only twenty of which were eligible for participation, who were all going through some from of cancer treatment involving Cisplatin. The investigators main goals of the study were to evaluate the “feasibility of the transtympanic effusion of an otoprotective medicament, such as N-acetylcysteine, in a cohort of adult patients treated with cisplatin in terms of both patient compliance and middle ear reaction to the infusion of the agent (Riga, M. et al., 2013). They also wanted to, “evaluate the otoprotective efficacy of this manipulation in cisplatin-treated humans” (Riga, M. et al., 2013). Cisplatin has long been known as a drug that can cause detrimental problems to the auditory system. After the each round of Cisplatin, the patients were also treated

In case of clearly established bacterial infection to otorhinolaryngological evaluation or in the event of persistence of fever with painful symptomatology after the first 72 hours the antibiotic is necessary. Generally they use broad-spectrum antibiotics properly administered daily dose and duration. In the event of repeated infections, and in close suspicion of insufficient efficacy, sensitivity testing provides information useful sull'antibiotico to which the beat is sensitive or sull'antibiotico more effective for therapeutic treatment.