EENT 2 Flashcards
meds for ear infections
amoxicillin
amoxicillin and clarulanate K
cefuroxime
nursing diagnoses for ear infections
- risk for imbalanced body temp
- fatigue
- disturbed sensory (auditory)
expected outcome of ear infections
- maintain normal hearing/speech
- maintain normal sleep and eating
- effective pain and temp management
children with fever will have a _____ ear
red
air into eardrum, if red ear drum moves back and forth…
no infection
ear infections can lead to what if not corrected
irreversible hearing loss
what do infant do that may indicate ear infection
pull at ear, or put things in ear
have fever
*all these may indicate infection
ear infections usually follow
URI or cold
do you give antibiotics for all ear infections
no
what are the disorders of the nose and throat
nasopharyngitis
pharyngitis
tonsillitis and adenoids
describe nasopharyngitis
URI or common cold
how long do s/s of nasopharyngitis last
**may las 4-10 days (typical for viral)
when are you concerned about nasal secretions
when they are thick , yellow and green
symptoms of nasopharyngitis for infants <3 mos
- lethargy
- irritability
- feeding poorly
- fever
symptoms of nasopharyngitis for infants >3 mos
-fever
-V/D
sneezing
-anorexia
-irritability
-restlessness
symptoms of older children
- dry irritated nose
- chills/fever
- generalized muscle aches
- headaches
- malaise
- anorexia
- sneezing and nasal discharge
treatment for nasopharyngitis
- room humidification may help/prevent nasal secretions
- antipyretics (acetaminophen) decrease fever and give comfort
- ibuprofen if >6 mos
- no cure: no nose drops, but saline are okay
- saline drops may be used every 3-4 hrs for infants esp before feeding
when do you start to feel better after nasopharyngitis
need to start feeling better after 4 days
concerned if s/s for 10+ days, still have fever and not feeling better
(some type of infection ie/ ear, sinus, throat)
when is pharyngitis viral or bacterial
** do throat culture (quick strep) to determine if viral or bacterial
sore throat is viral
strep throat is bacterial
-if negative quick strep, send out to be cultured to ensure no strep
s/s of pharyngitis
- enlarged red tonsils (exudate)
- sore throat
- headache
- fever
- abdominal pain
- lymphadenopathy
possible complications of pharyngitis
airway obstruction
peritonsillar abscess
strep can lead to what if not treated
rheumatic fever
treatment of strep
antibiotic (ensure takes full dose)
treatment for pharyngitis
- analgesic/antipyretic (acetaminophen and ibuprofen if >6 mos)
- easy to swallow liquid (not citrus or will burn throat)
- saltwater gargle, throat lozenges/spray
- tonsillectomy
describe post op control for tonsillectomy
- sore throat 1 wk
- observe bleeding (excessive swallowing)
- do not cough/clear throat
- avoid red fluids (do not give as you cannot determine if blood or juice)
what is tonsillitis
infection of inflammation of palatine tonsils
what are the adenoids
lymphatic tissue located on the psterior pharyngeal wall
tonsillitis and adenoiditis is ____ or _____
viral or bacterial
what is the treatment of tonsillitis and adenoiditis
symptomatic treatment, same as pharyngitis
when are tonsillectomies recommended
if child has recurrent throat infections
when do you do adenoidectomy
only if excessive snoring or sleep problems
what are the expected outcomes of tonsillitis and adenoiditis
- adequate food/fluids
- pain/fever management
- no postoperative care
- complete healing
what are the tonsil grade
0: removed \+1: barely visible \+2: normal \+3: large, almost touching \+4: ginormous tonsils
nursing diagnosis of tonsillitis and adenoiditis
- acute pain
- risk for deficit fluid volume
- risk for ineffective breathing
- impaired swallowing
- deficit knowledge (parents)
