Heads or Tails (Lice, Pin worms, Mono, Tonsilectomy, Otitis media) Flashcards
What is Head Lice ?
Common problem in which the main symptom is itching
Can lice spread to other parts of the body beside the head ?
Yes
can go anywhere
How are Lice spread ?
Direct contact
with lice or nits
What is the Treatment for Head Lice ?
Antiparasitic medications
- will often need re-treatment (if missed any)
What is the primary symptom of Pin worms ?
Intense Rectal Itching, often manifested by…
- general irritability
- restlessness
- poor sleep
- bed wetting
- distractibility
- short attention span
How are Pin worms spread ?
Hand to mouth
True or False:
Pin worm eggs live in dirt and dust ?
True
Pin worm eggs can be everywhere, therefore what should be done ?
The whole family should be treated
With Pin worms, how do you collect a specimen for diagnosis ?
Tape test
to rectum in morning before BM, d/t eggs coming out at night
What is the Tx for Pin Worms ?
- Mebendazole (Vermox)
- Good handwashing
- Keep fingernails short
What is Infectious Mononucleosis ?
Infectious disease commonly known as the “kissing disease”
What are the signs and symptoms of Mononucleosis ?
- Sore throat
- Fatigue
- Swollen lymph nodes
- Liver and/or spleen enlargement
What is the name of the virus that causes infectious mononucleosis ?
Epstein Barr Virus
How is infectious mononucleosis spread ?
Direct intimate contact
or with objects like a water fountain
What is the Tx for Infectious Mononucleosis ?
- Rest
- Analgesics
- Increased fluids
- Good nutrition
- Limit participation in contact sports to prevent injury
(b/c the spleen will be enlarged)
What are a Tonsilectomy and Adenoidectomy ?
Surgical procedures frequently performed for children with recurrent URI’s or obstructive sleep issues
How should a client be positioned after a Tonsilectomy ?
Place on their side and elevate the HOB…… (blue post-it in book. pg 253)
Why are brown and red fluids avoided post-op after Tonsilectomies and Adenoidectomies ?
Don’t want anything to be confused with blood
What would indicate that hemorrhaging is occurring post-op Tonsilectomies and Adenoidectomies ?
Frequent Swallowing
How many days post-op Tonsilectomies and Adenoidectomies is the client at risk for hemorrhage ?
Why ?
up to 10 days
B/c the scabs on the surgical sites will begin to slough off at 7 to 10 days
What types fo foods should be avoided for several days post Tonsilectomies and Adenoidectomies ?
No chips or rough foods for several days
What are common complaints post-op Tonsilectomies and Adenoidectomies ?
Sore throat and slight ear pain
too much ear pain = assume infection
Could there be a Low grade temp with Tonsilectomies and Adenoidectomies ?
Yes
Could bad breath be associated with Tonsilectomies and Adenoidectomies ?
Yes
What could be the causes of the bad breath that might be associated with Tonsilectomies and Adenoidectomies ?
- Old blood in throat
- may also be a sign of a foreign body in the nose
(the bad breath is caused from infection in the area. infection is what smells)
(tx is to remove the foreign body)
What is Otitis Media ?
Infection of the middle ear
What is Otitis Media characterized by ?
- A bulging, bright red, tympanic membrane
usually preceded by an URI
What are the Treatments for Otitis Media ?
- Careful use of Antibiotics
- Avoid chewing (need soft foods)
- Teach parent that the child may not be able to hear them well
(d/t fluid build up) - Avoid smoke of any kind
- May require tympanostomy tubes or PE (pressure equalizing) tubes
What do Tympanostomy tubes or PE (pressure equalizing) tubes do ?
They keep the middle ear drained
Are Tympanostomy tubes or PE (pressure equalizing) tubes temporary ?
Yes!
Tympanostomy tubes or PE (pressure equalizing) tubes are Temporary. How are they removed ?
Fall out, usually after 1 year
If a child has PE tubes in the ears, what must they do ?
They must wear earplugs in the bathtub or when swimming
anytime there is a risk of getting water n the ears
How do you Prevent Otitis Media ?
- Have baby sitting up for feedings
- No bottle propping
- Gentle nose blowing
(hard blowing can push germs into the Eustachian tubes) - Play “blowing” games
(helps keep middle ear open & to get air) - Avoid smoke of any kind
