Student.Handout.HEENT (2)

Nodules that persist after 1 week require referral

Info icon This preview shows pages 30–38. Sign up to view the full content.

View Full Document Right Arrow Icon
Nodules that persist after 1 week require referral Persistent hordeolum External: topical antibiotics Internal: oral antibiotics May require surgical drainage OTC homeopathic Syte ® Photographs from:
Image of page 30

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
31 Contact Lenses > 36 million Americans use contact lenses > 100 OTC products are on the market Regulated by ophthalmic devices division of the FDA Photo adopted from: Types of lenses: Soft Rigid Glass Permeable (RGP) Hard
Image of page 31
32 Varying Factors of Contact Lens Solutions Buffers to maintain pH Viscosity Isotonicity with tears Stability Sterility Bactericidal preservatives Newer less toxic products: polyquaternium-1, polyaminopropyl biguanide, amidoamine Do NOT mix products from different manufacturers! If their properties differ, a precipitate may form
Image of page 32

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
33 Soft Lens Care Surface-active cleaners are lens specific Contents: nonionic detergent, wetting agent, chelating agent, buffers, preservatives Use daily or every time contacts are removed Enzymatic cleaners Liquid pancreatin or subtilisin Most are weekly products, some are daily Not needed for disposable lenses worn ≤ 2 weeks
Image of page 33
34 Soft Lens Care Chemical disinfecting solutions Apply after lens is cleaned, prior to insertion Soak overnight (≥ 4 to 6 hours) Hydrogen peroxide 3% AO Sept ® , Oxysept UltraCare ® Multipurpose solution Cleans, removes proteins, disinfects ReNu MultiPlus MultiPurpose Solution ® OptiFree Express ® Adopted from:
Image of page 34

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
35 Complications of Improper Use Hypoxia Corneal edema Corneal abrasion Corneal infection Corneal ulcers Most complications are reversible if attended to promptly Patients complaining of eye pain or changes in vision should be referred to an eye care practitioner ASAP Photo adopted from:
Image of page 35
36 Patient Case Patient Case A mother brings her 12 month old son into your pharmacy A mother brings her 12 month old son into your pharmacy and asks if you can recommend a product for her sons and asks if you can recommend a product for her sons eye. There is a purulent discharge from the left eye and eye. There is a purulent discharge from the left eye and the child is rubbing his eyes in obvious discomfort. the child is rubbing his eyes in obvious discomfort.
Image of page 36

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
37 Your answer is: Your answer is: 1. 1. It is likely viral conjunctivitis. The infection should resolve It is likely viral conjunctivitis. The infection should resolve in about 1 week – in the meantime recommend artificial in about 1 week – in the meantime recommend artificial tears and cold compresses.
Image of page 37
Image of page 38
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern