Alterations in sensory perceptions/disorder of the eyes and ears Flashcards
When is eye color determined?
By 6-12 months
When do tears appear?
The first 2-4 weeks of life
Physical examination of the eye
-Position
-Symetry
-Discharge
-Tearing
-PERLA
-Redness
Inspection of the eye
Ophthalmoscope
Lab and diagnostic tests?
Culture of the eye discharge
What is conjunctivitis?
Inflammation of the bulbar
What are some causes of conjunctivitis?
Infection, allergy or chemicals
Signs of BACTERIAL conjunctivitis?
Inflamed, purulent discharge
Treatment for bacterial conjunctivitis?
Antibiotics or ointment
Signs of VIRAL conjunctivitis?
Inflamed, watery discharge, tearing
Treatment for viral conjunctivitis?
Relieve symptoms
Is conjunctivitis contagious?
VERY
Risk factors for conjunctivitis
-Under 2
-Daycare, school
-Ear infections
-Upper resp infections
Conjunctivitis teaching
-Apply drops/ointment
-Warm compresses
-Washing hands
When can children go back to school with viral conjunctivitis?
When symptoms decrease
When can children go back to school with bacterial conjunctivitis?
24-48 hours after beginning of treatment
What is a nasal duct obstruction?
Build-up of tears in the lacrimal sac causing obstruction
Nasal duct teaching
Clean eyes frequently with moist cloth
Teach nasolacrimal duct massage
What is myopia?
Doesn’t see well from far
What is nearsightedness?
MYOPIA
What is hyperopia?
Sees from far but not well from close
What is farsightedness?
Hyperopia
What is an astigmatism?
Blurred vision causing dizziness, headaches, eye fatigue
What is strabismus?
Misalignment of the eye (lazy eye)
What is exotropia?
The eye turns outwards
What is esotropia?
The eye turns inwards
What is treatment for strabismus
Eye patches
Glasses
Surgery
What is nystagmus?
Very rapid, irregular eye movements
What to be alert for?
If child does not fix and follow, no eye contact, unaffected by bright light
Rubbing, covering the eye, frequent blinking
What is acute otitis media?
Virus or bacteria
Where is a AOM located?
The middle ear
What usually proceed’s AOM?
Upper respiratory infections
Which children are less at risk for AOM?
Breastfed children
How are the Eustachian tubes in younger children?
Short and horizontal
What are the outcomes of short and horizontal Eustachian tubes?
Trouble draining = risk of infection
Signs and symptoms of AOM?
Fever, irritability, unexplained cries
What should be #1 healing?
Natural healing because of ATB resistance
When should you watchful wait?
Over 6 months with temp under 39
When should you not watchful wait?
Under 6 months and temp over 39
When should ATB be given immediately?
Under 3 months
Risk factors for AOM?
-Young age
-Previous AOM or OME
-Absent breastfeeding
-2nd hand tobacco smoke