After class P week 15 PDF

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Pharmacology formulary...

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After-Class P-Formulary (Week 15) Each entry is worth 10 points. Complaint: Ear pain and itching for 2 days History Matt is a 13-year-old who returned home from Boy Scout camp with a painful right ear. He said that his ear has hurt for the past 2 days and hurts “really bad” when you touch the ear. He says he swam daily in a freshwater lake while at camp. Assessment: Matt is afebrile and his examination is negative except for a swollen right ear canal with whitish green debris in the canal. He has pain with manipulation of the tragus. He is diagnosed with external otitis. He has no known allergies. Complete the chart below for the top three drugs of choice and highlight your selected personal formulary drug for this common diagnosis. STEPS framework (American Academy of Family Physicians)

DRUG* Cipro HC Ciprofloxacin Hydrocortisone

SAFETY The ear canal should be clean and dry before using this medication. Avoid contamination, have another person insert the drops if possible. Before using, hold the container in your hand for a few minutes in order to warm it. This will minimize dizziness.

TOLERABILITY Easy to tolerate may experience some minor dizziness after administration of ear drops

EFFECTIVENESS It works by killing the bacteria and preventing their growth while reducing ear swelling and discomfort Most effecting in reducing Matt’s “really bad pain for a 13-year-old.

PRICE The lowest GoodRx price for the most common version of Cipro HC is around $291.83, 28% off the average retail price of $406.62. With insurance copay will be lessen with out

SIMPLICITY Easy to use, follow prescribers’ directions and recommendations

Straighten the ear canal. drop the (Fluocinolone) medicine into the ear canal. Keep the ear facing up for several (about 5) minutes to allow the medicine to run to the bottom of the ear canal. A sterile cotton plug may be gently inserted into the ear opening to prevent the medicine from leaking out. Acetasol HC or avoid touching the dropper or applicator Earsol-HC tip to any surface as much as possible including the ear. Dermotic

Minor side effect, stinging, itching, irritation, or burning of the ear- warm the bottle with the palm of the hand before application of ear drops t is important that you keep the infected ear(s) clean and dry. When bathing, try not to get

Easy to tolerate may experience some minor dizziness after administration of ear drops

This is a corticosteroid. It is used to reduce swelling, redness, and itching of the ear.

Tolerate well, may have some discomfort when solution has entered the ear canal

Help decrease inflammation of the ear and or resolution of the infection pain control and prevention or recurrence

of pocket. Most effectiveness The lowest GoodRx price for the most common version of generic Dermotic is around $48.52, 76% off the average retail price of $203.07.

Acetasol HC is around $51.36, 69% off the average retail price of $169.86

Easy to use follow prescribers’ directions and recommendations

Easy to use follow direction from OTC instructions

the infected ear(s) wet. Do not go swimming *include initial prescribing dosage F = favorable; SF = strongly favorable; V = varies in safety and price depending on specific patient characteristics and local costs; U = unfavorable. Source: Pollock, M., Bazaldua, O., & Dobbie, A. (2007). Appropriate prescribing of medications: An eight-step approach. American Family Physician, 75(2), 231-236.

Possible Treatment: Matt is a 13-year-old to be treated for his external otitis, the medication of choices is an antibiotic/steroid with a combination of an anti-inflammatory solution eardrops. Cipro HC...