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(ISS MED/3A - ALL/FIN) Page 1 of 6 pages
21 AUG 00
NOTE
Contact Surgeon before giving any medication marked with an asterisk. In an emergency or during Loss of Signal, begin appropriate treatment; then call Surgeon as soon as possible.
SYMPTOMS
Facial pain Ear pain Tooth pain Congestion
CAUSES Pressure changes Respiratory infection-congestion or sinus infection
DIAGNOSIS AMP 1. Examine ear with Otoscope (Physical Exam-9). (blue) √For redness, fluid, bubbles, movement, or perforation
AMP 2. Record body temperature: ________with Oral Disposable (blue) Thermometers (P3-A2).
- Contact Surgeon with results and for treatment recommendations.
(ISS MED/3A - ALL/FIN) Page 2 of 6 pages
21 AUG 00
TREATMENT
- Decongestants
DRUG HELP
- Sudafed has a more rapid onset of effect and is shorter acting than Entex LA. It is a simple and effective decongestant, and may also be used prior to any pressure changes (such as EVA) after consultation with Surgeon. Sudafed’s main possible side effects are rapid heart rate and “jitteriness.” For sinus problems, it is recommended to start with Sudafed, then consult with Surgeon.
- Afrin Nasal Spray and Galasolin Nasal Drops are topical nasal decongestants and useful for nasal and ear congestion. These are good agents if mildly congested and any pressure changes are anticipated. Use only as needed, and do not use either agent for more than 3 days.
- Entex LA contains a decongestant and a medication to loosen secretions. Entex LA is longer acting and milder, and is a good choice for mild but persistent symptoms.
AMP Afrin Nasal Spray (P2-B1) - Topical nasal decongestant (blue) Dose: 1-2 sprays every 12 hours as needed
Possible side effects Burning, stinging, dryness, sneezing, or increased nasal discharge Usage more frequently than directed can produce chronic nasal congestion.
__-2 Galasolin Nasal Drops - Topical nasal decongestant
Dose: 1-2 drops in each nostril, 1 to 3 times/day
Possible side effects Tachycardia (rapid heart rate greater than 100 beats per minute), increased blood pressure
(ISS MED/3A - ALL/FIN) Page 4 of 6 pages
21 AUG 00
__-1 ∗Ampioks (Penicillin/Oxacillin)
Dose: 2 capsules 4 to 6 times/day for 7 days
WARNING
Do not use if there is a history of Penicillin allergy.
Possible side effects Nausea, vomiting, diarrhea
-OR-
___ ∗Bispetol (Trimethoprim/Sulfamethoxasole)
Dose: 1-2 tablets 2 times/day for 7 days
WARNING
Do not use if allergy to Sulfa or Trimethoprim exists. Give with caution to patients with severe allergy or asthma.
Possible side effects Skin rash, headache, stomach upset
-OR-
AMP ∗Bactrim DS (Trimethoprim/Sulfamethoxasole) (P1-A4,5)
(blue) Dose: 1 tablet 2 times/day for 10 to 14 days
WARNING
Do not use if allergy to Sulfa or Trimethoprim exists. Give with caution to patients with severe allergy or asthma.
Possible side effects Skin rash, headache, stomach upset, photosensitivity
(ISS MED/3A - ALL/FIN) Page 5 of 6 pages
21 AUG 00
AMP ∗Duricef (Cefadroxil) (P1-A18,19)
(blue) Dose: 1-2 capsule every 12 hours for 10 to 14 days
WARNING
Do not use if there is history of Penicillin or Cephalosporin allergy.
Possible side effects Diarrhea, nausea, vomiting, abdominal pain, rash
__-4 ∗Tarivid (Ofloxacin)
Dose: 1 tablet 1 to 2 times/day for 7 days
Possible side effects Nausea, vomiting, headhache, dizziness, insomnia, allergic reactions, decreased field of vision
-OR-
__-2 ∗Ciprolet (Ciprofloxacin)
Dose: 1 tablet 2 times/day for 7 days
Possible side effects Nausea, diarrhea, vomiting, abdominal pain
AMP ∗Zithromax (Azithromycin) (P1-B7)
(blue) Dose: 2 capsules first day followed by 1 capsule 1 time/day for 4 days
Possible side effects Diarrhea, nausea, abdominal pain, vomiting
