AOM + vision screening Flashcards
If your doing a vision exam using the Snellen chart, what is it important to make sure the child can do before starting the exam?
be sure they know their letters
Which eye chart has shapes on it for pre-k/ kindergarteners + first graders to examine their vision?
the Allen shape chart
Are girls or boys more likely to be color blind?
boys
true or false?
when using the Allen shape chart, ask the children to name the shapes what they call them prior to the exam to ensure appropriate diagnosis/ outcome.
true
Auditory skill is monitored by assessing the reaction to sound. What question would you ask the parent to assess auditory skill?
do they react appropriately to the parent raising their voice or loud noises?
Developmental surveillance is a continuous and flexible process used by healthcare professionals to monitor a child’s development over time. For hearing specifically, what would you look for in newborn/infant to assess whether hearing is developing properly?
if the child is trying to vocalize
sign that hearing is an issue - delayed speech + language development
AOM is an infection of the ear due to fluid in the _______ ear.
middle
Why are infants and young children so much more prone to developing AOM?
their Eustachian tubes are short and horizontal - this leads to improper drainage + the fluid accumulation
what are the 2 most common complications of AOM?
hearing loss + expressive speech delay
If an 8 month old infant presented to the ER with a mildly bulging tympanic membrane, a fever of 99.2 and they’re mildly irritable, would the dr. most likely prescribe an antibiotic right away or “watchful wait”?
watchful wait
If a 3 month old infant came into the ER screaming/ crying, with a temperature of 102, upon assessment their TM is red + bulging and they haven’t slept for more than hour increments, what is the first line antibiotic that will most likely be started right away?
Amoxicillin
does Amoxicillin treat bacterial or viral infections?
bacterial
what are the S+S of AOM that help with diagnosing?
EAR PAIN
E- ear tugging
A- agitation
R- red + bulging TM
P- pain of the ear
A- accumulation of fluid
I- increased temperature
N- no hearing (hearing loss)
if the dr. decides to watchful wait with an infant who has AOM, how long do we wait to see if symptoms improve or get worse and give antibiotics?
48 hours
What are some ways we can educate the parents on preventing AOM?
-breastfeeding if able
-avoid second hand smoke
-good hygiene + handwashing to prevent URTIs - also keep them away from people w/ URTIs
