Page 317 - ATP-P 11th Ed
P. 317

Other notes:

        •   Store under refrigeration at 36° F to 46° F (2° C to 8° C). The product should not
          be stored at room temperature for more than 48hr.

        •   Vials that develop particulate matter or are discolored should not be used.
        •  Because the full antiepileptic effect of phenytoin, whether given as Cerebyx or paren-
          teral phenytoin, is not immediate, other measures, including concomitant administration
          of an IV benzodiazepine, will usually be necessary for the control of status epilepticus.
        TMEP use:
        •  Seizure Protocol
        •  Tactical Trauma Protocols
        Gatifloxacin 0.3% Ophthalmic Liquid (Zymar )
                                         ®
              Aviation personnel are grounded for the initial 24hr of antibiotic therapy and until
        the medical condition no longer interferes with safely performing aviation duties and the
        patient is free of side-effects.
        Description: Ocular fluoroquinolone
        Indications: Eye infections                                           SECTION 3
        Adult dose:
        •  Days 1 and 2: Instill 1 drop in affected eye(s) every 2hr while awake, up to 8 times/day.
        •  Days 3 to 7: Instill 1 drop in affected eye(s) up to 4 times/day while awake.
        Pediatric dose:
        •  Safety and efficacy in infants <1 year not established.
        •  Pediatric dosing is like adult dosing.
        Contraindications: Hypersensitivity to any component of product
        Pregnancy Category C
        Side-effects:
        •  Upon instillation, may cause temporary blurring of vision or stinging.
        •  If stinging, burning, or itching becomes pronounced, or redness, irritation, swelling, de-
          creasing vision, or pain persists or worsens, discontinue and consider alternative therapy.
        •  Lid margin crusting, white crystalline precipitates and foreign body sensation in the eye
          have been reported.
        •  Bad/bitter taste in mouth
        •  Nausea
        Adverse reactions:
        •  Discontinue at first sign of skin rash or other allergic reaction.
        •  Corneal staining
        •  Tearing and photophobia
        Other notes:
        •   To instill in eye, tilt head back, place medication in conjunctival sac and close eye(s).


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