release) on the first day, followed by 5 mg/kg/day for 4 days; or 10 mg/kg/day orally (immediate-release) for 3 days; or 30 mg/kg/day orally (immediate- release) as a single dose; or 60 mg/kg/day orally (extended-release) as a single dose ii. ceftriaxone : children: 50 mg/kg/day intramuscularly/intravenously for 3 days 97. Method to remove ear wax at various ages ○ Symptoms of Earwax Buildup i. Too much earwax can cause rubbing of the ear or poking in the canal. ii. A piece of earwax can become dry and hard in the ear canal. This creates a feeling that an object is in the ear. iii. Complete blockage (plugging) of the ear canal by wax causes more symptoms. These include decreased or muffled hearing.
Peds Midterm Study Guide iv. A large piece of earwax may be seen inside the ear canal. ○ Causes of Earwax Buildup i. Cotton Swabs. Earwax buildup is usually from using cotton swabs. They push the wax back in and pack it down. ii. Fingers. A few children (perhaps 5%) normally produce more wax than others. It usually will come out if it's not pushed back by fingers. iii. Ear Plugs. Wearing ear plugs of any type can also push wax back. ○ Age 6 Years and Older - Ear Canal Flushing with Water: Under age 6, use only if advised by your child's doctor. i. Buy a soft rubber ear syringe or bulb from the pharmacy. No prescription is needed. ii. Have your child lean over the sink. Reason: To catch the water. iii. Use lukewarm water (body temperature). Reason: To prevent dizziness. iv. Gently squirt the water into the ear canal. Then tilt your child's head and let the water run out. You may need to do this several (3-4) times. v. If the earwax does not seem to be coming out, tilt the head. Then, flush it with the head tilted. Have the ear with the wax in it facing downward. Gravity will help the water wash it out (the waterfall effect). vi. Endpoint: Flush until the water that comes out is clear of wax. Also, the ear canal should be open when you look in with a light. vii. Afterwards dry the ear thoroughly. You can do this by putting a drop of rubbing alcohol in the ear canal. Or you can set a hair dryer on low. Hold it a foot away from the ear for 10 seconds. ○ Ear Drops - Use for 4 Days to Soften the Earwax: i. If the earwax is hard, soften it before flushing the ear canal. Use ear drops to break up the earwax. ii. Homemade ear drops: 15% baking soda solution. Make it by adding ¼ teaspoon (1.25 mL) of baking soda to 2 teaspoons (10 mL) of water. iii. Other option for homemade ear drops: hydrogen peroxide and water solution. Mix equal parts of each. iv. Drug store option: Earwax removal ear drops (such as Debrox). No prescription is needed. v. Use 5 drops in affected ear, 2 times daily, for 4 days. ○ How to Put in Ear Drops: i. Lie on the side with blocked ear upward. ii. Place 5 drops into the ear canal. Pull the ear down and back to open the ear canal iii. Keep drops in ear for 10 minutes by continuing to lie down. iv. Then lie with the blocked side down. Let the ear drops run out onto some tissue. v. Use twice daily for up to four days. vi. Then flushing should be able to get everything out.
You've reached the end of your free preview.
Want to read all 46 pages?