Term
| How should you dose orals to children? |
|
Definition
First, follow manufacturer guidelines. Otherwise:
Dose = Adult dose x (weight in lbs / 150) |
|
|
Term
|
Definition
|
|
Term
| What other medication may no longer work if the patient is prescribed doxycycline? |
|
Definition
|
|
Term
| What are the adult dosages of acyclovir? |
|
Definition
HSK: 400mg PO 5x/day for seven days
HSV: 800mg PO 5x/day for ten days
400mg PO BID x 1-2 year for prophylaxis |
|
|
Term
| What are the adult dosages of cephalexin (Keflex)? |
|
Definition
|
|
Term
| What are the adult dosages of fexofenadine (Allegra)? |
|
Definition
| 60mg BID for ages 12 and up, 30mg BID down to 6 years. |
|
|
Term
| What are the adult dosages of acetazolamide (Diamox)? |
|
Definition
| Two 250mg tablets, either at the same time or separated by a few hours. |
|
|
Term
| What are the adult dosages of azithromycin (Zithromax)? |
|
Definition
Z-PAK = Two 250mg tablets, then 1 tablet a day for four days.
= First-line chlamydia treatment |
|
|
Term
| When do you typically use Vicodin (acetaminophen + hydrocodone)? |
|
Definition
| 1 tablet right after LASIK is fairly common. |
|
|
Term
| What's a typical dose of prednisone? How and when should you take it? |
|
Definition
| 40-60mg/day (0.5 mg/kg). Take in the morning with food. |
|
|
Term
| An oral steroid can worsen what very significant optic nerve issue? |
|
Definition
|
|
Term
| Tapers should be (faster / slower) with oral steroids than topical steroids. |
|
Definition
|
|
Term
| What's pretty much guaranteed after a cataract surgery? |
|
Definition
|
|
Term
| What are we looking for in a 1-day cataract post-op? |
|
Definition
| Cells and flare, but really just cells. (Flare is often just from chronic issues.) |
|
|
Term
| What's the only drop FDA approved for post-op cataract surgery? Which drop are we more likely to use? If you're concerned about IOP? |
|
Definition
FDA: Vexol
Go-to: Pred Forte
IOP: Lotemax |
|
|
Term
| Why not use cycloplegics on a post-op iritis? |
|
Definition
| Because it's the flare part of a given iritis that indicates cycloplegia. Don't use cycloplegics for post-op cataract surgery induced iritis. |
|
|
Term
| For a steroid responder, could use NSAIDs. Why don't patients like those? And what could you maybe still do with steroids? |
|
Definition
NSAIDs sting.
Also, you could always still do Pred for the first few days to kick the bulk of the inflammation before moving on to NSAIDs. Plus, I guess it tends to take steroid responders like 2-3 weeks to actually 'respond'. |
|
|
Term
| Blood (hyphema) should resolve quick. What's it usually due to? Why is it a concern at all? |
|
Definition
Due to bleeding at the site of incision.
RBCs can plug up the TM. |
|
|
Term
| If the patient has oddly low IOP, what might you want to check for? |
|
Definition
|
|
Term
| Why not use prostaglandins if the patient has elevated IOP? |
|
Definition
1. May cause or perpetuate inflammation
2. Don't work fast enough for this |
|
|
Term
| Why shouldn't you worry about IOP spikes per trabecular inflammation? |
|
Definition
| Because inflammation is what you're already treating. |
|
|
Term
| CAIs are a decent choice for (short-term / long-term). |
|
Definition
Short-term.
Long-term could end up with aplastic anemia or something? |
|
|
Term
| 1-day corneal edema is expected, but… |
|
Definition
| …you still need to figure out why it's there. |
|
|
Term
| What's really the only reasonable choice in treatment of an endophthalmitis? |
|
Definition
Refer to a retinal specialist right the heck now.
Oral antibiotics don't penetrate well enough, and deciding whether it's sterile or not is a pretty huge gamble. |
|
|
Term
| Post-op CME is more common in what type of patient? |
|
Definition
| Diabetics or folks who had really dense cataracts. |
|
|
Term
| Why do topical NSAIDs help with CME? |
|
Definition
| Because post-op CME is caused by inflammation. Knocking out the inflammation will help resolve the CME. |
|
|
Term
If a PCO looks kind of bubbly, like your windshield after an ice storm, what is the cause?
What if it looks like wax paper? |
|
Definition
Bubbly = leftover capsule
Wax paper = the bag |
|
|
Term
| How important is it to stop Flomax or filter out folks with Pseudoexfoliation syndrome? |
|
Definition
| It's not such a big deal anymore. |
|
|
Term
| What should you do with a post-op IOP between 21 and 25? |
|
Definition
| Nothing really. Should normalize in a few days. |
|
|
Term
| What should you do with a post-op IOP between 25 and 30? |
|
Definition
|
|
Term
| What should you do with a post-op IOP above 30? |
|
Definition
| Probably orals in addition to topicals |
|
|
Term
| When should you treat post-op CME more aggressively or consider a retinal referral? |
|
Definition
| When VAs are worse than 20/80. |
|
|
Term
| If IOP is over 40, there's no point in using Pilocarpine to try to open that angle closure. Why? |
|
Definition
| Because the ciliary muscle is sort of pinned down at that point. |
|
|
Term
| Why isn't Dr. Y a fan of Bactrim (trimethoprim/sulfamethoxazole)? |
|
Definition
| Because it carries the highest risk for SJS. |
|
|
Term
| What's the safest pain killer? What's maybe a superior pain killer? |
|
Definition
Safest: Acetaminophen
Superior: Ibuprophine |
|
|
Term
| What are the Famous 5 risks that you need to educate a foreign body patient about? |
|
Definition
Scar
VA loss
RCE
Uveitis
Infection |
|
|
