Eye/Ear Flashcards

1
Q

Otitis Media

A

Inflammation of the middle ear with the presence of fluid

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2
Q

Types of otitis media

A
  1. Acute otitis media (AOM)

2. Otitis media with effusion (OME)

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3
Q

Acute Otitis Media

A

Infected fluid in the middle ear

- Common secondary infection from an upper respiratory infection

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4
Q

Acute Otitis Media (viral or bacterial?)

A

Could be either

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5
Q

S/Sx of AOM

A
  1. Pain
  2. Fever
  3. Pressure
  4. Irritability
  5. Tugging at the ears
  6. Difficulty sleeping
  7. Loss of appetite
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6
Q

AOM Management

A
  • Bacterial: antibiotics
  • Viral: observational (let it run its course)
    1. Analgesics
    2. Hot/cool compresses
    3. Numbing eardrops
    4. Xylitol gum
    5. Flu vaccine
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7
Q

AOM Complications

A
  1. Hearing loss
  2. Speech delay
  3. Scarring of the tympanic membrane
  4. Perforation
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8
Q

Risk Factors for Acute Otitis Media

A
  1. Eustachian tube dysfunction
  2. Family history
  3. Passive smoking
  4. Absence of infant breastfeeding
  5. Presence of allergies
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9
Q

AOM Otoscopic Examination

A

The tympanic membrane will have a dull or opaque appearance and is bulging and/or red. Sometimes pus (green or yellow) may be visible.

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10
Q

AOM Positioning

A

Instruct the family to have the child lie on the affected side with the heating pad or covered ice pack in place to that ear.

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11
Q

S/Sx of perforation

A

If there is a perforation, the child may feel a decrease in pain as well as fluid draining from the site.

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12
Q

Otitis Media with Effusion

A

Fluid within the middle ear space, without signs and symptoms of infection
- Can be independent of AOM or after the infection has resolved

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13
Q

S/Sx of OME

A
  1. May be asymptomatic

2. Complaints of “popping” of the ears or fullness

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14
Q

OME Treatment

A

Resolves spontaneously (may take several months to resolve).

Persistent or problematic OME is treated with PE tubes.

Must be rechecked every 4 weeks until resolved.

** No bottle propping

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15
Q

OME Complications

A
  1. AOM
  2. Hearing loss
  3. Deafness
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16
Q

PE Tubes

A
  1. Standard treatment for OME
  2. Surgically inserted via myringotomy
  3. Stay in place for several months then fall out
17
Q

Nursing Management of PE tubes

A
  1. Post op ear drops

2. Ear plugs when they take a bath or go swimming

18
Q

Conjunctivitis

A

“Pink Eye”

Inflammation of the conjunctiva

19
Q

Types of Conjunctivitis

A
  1. Infectious (viral or bacterial)
  2. Allergic
  3. Chemical
20
Q

S/Sx of Conjunctivitis

A
  1. Redness
  2. Edema
  3. Tearing
  4. Discharge
  5. Eye pain
  6. Itching of the eyes
21
Q

Bacterial Conjunctivitis Treatment

A

Antibiotic drops, warm compresses

22
Q

Viral Conjunctivitis Treatment

A

Symptom relief or an antiherpetic

23
Q

Allergic Conjunctivitis Treatment

A

Antihistamine drops and/or oral antihistamine, avoid allergen exposure, cool compresses

24
Q

Chemical Conjunctivitis Treatment

A

Flushing of the eyes with saline

25
Q

Conjunctivitis Education

A
  1. Hand hygiene
  2. How to apply eye drops or ointments
  3. Avoid rubbing/touching eyes
  4. Rinse eyelids
  5. Shower before bedtime
  6. Contacts
  7. When to return to school (when symptoms lessen or drainage lessens)
26
Q

Strabismus

A

Misalignment of the eyes

- Should resolve by 3-6 months of age

27
Q

Exotropia

A

Outward misalignment of the eyes

28
Q

Esotropia

A

Inward misalignment of the eyes

29
Q

Nursing Management of Strabismus

A
  1. Patching the good eye to make the bad eye work harder to get stronger
  2. Eye muscle surgery
  3. Corrective lenses
30
Q

Strabismus Complications

A
  1. Amblyopia (lazy eye)

2. Visual deficits

31
Q

Amblyopia

A

“Lazy Eye”

Poor visual development in a structurally normal eye

32
Q

Amblyopia Treatment

A
  1. Patching the good eye
  2. Atropine drops in the good eye
  3. Vision therapy
  4. Eye muscle therapy
33
Q

Amblyopia Complications

A

Blindness in one or both eyes

34
Q

Indications for a Tonsillectomy

A
  1. Recurrent tonsil infections
  2. Chronic strep throat
  3. Enlarged tonsils that cause upper airway obstruction
35
Q

Nursing Management of Postop Tonsillectomy

A
  1. Side lying/prone, then elevate HOB when awake
  2. Suction carefully
  3. Monitor for bleeding
  4. Encourage hydration
  5. Control pain
  6. Discourage coughing, blowing the nose, and using straws
  7. Avoid citrus juice
  8. Avoid red/brown fluids
36
Q

Tonsillectomy Complications

A

Bleeding for up to 10 days postop and vomiting