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*Summative Evaluation > Lab 1/17 > Flashcards

Lab 1/17 Flashcards

0
Q

Signs of cerumen impaction

A 
Ear pruritis
Ear discomfort 
Dizziness 
Recurrent otitis external 
Vertigo
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1
Q

What are potential complications of cerumen removal?

A

Bleeding
Mild dizziness
TM perf

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2
Q

What temp should the water be at for cerumen removal

A

Body temp

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3
Q

How long should a patient sit or lay down following cerumen removal

A

5-10 min

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4
Q

Contraindications to cerumen removal using curettage

A 
High risk of bleeding
Inability to cooperate 
Excess cough reflex 
Thrombocytopenia 
Otitis externa
Suspected TM perf
Otitis furnucle/  pustule 
Inability to visualize
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5
Q

When should you look in the ear when doing cerumen removal

A

Before and after removal

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6
Q

What is a big potential complication of FB removal of the nose

A

Aspiration

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7
Q

What should you do before and after when doing a procedure to the eyes

A

Visual acuity

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8
Q

C/I to irrigation for cerumen removal

A 
Prior recent ruptured TM
Hx of tympanostomy tubes 
acute otitis media 
acute, chronic or recurrent otitis externa 
DM 
Immunocomprimised
Bloody discharge from ear (refer) 
recurrent vertigo 
recent ear pain
failure after 5 attempts to remove significant amounts
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9
Q

What meds should you not prescribe fore patients to take home with an eye complaint

A

Anesthesia drops or topical steroids

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10
Q

Can only do removal of eye FB if it has been there for less than …..

A

24 hours

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11
Q

If a patient has ______ in their eye it may form rust rings

A

Iron

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12
Q

How should first attempt to removal an eye FB

A

Irrigation

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13
Q

Contraindications to treating epistaxis

A

Facial fracture (basilar)

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15
Q

Nasal packing for epistaxis needs to have what on it

A

Petroleum jelly on it

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16
Q

potential complications with irrigation technique for cerumen removal

A 
Perforated tympanic membrane (1 in 1,000 incidence)
Minor bleeding from the ear canal
Ear canal laceration
Otitis media
External otitis
Vertigo
Tinnitus
Hemotympanum
Malignant external otitis (in diabetics)
17
Q

potential complication with currettage technique for cerumen removal

A

Perforated tympanic membrane
Minor bleeding from the ear canal
Ear canal laceration

18
Q

what should patients be instructed to immediately report after cerumen removal

A 
pain
tinnitus
fever
vertigo
drainage of blood
19
Q

contraindications to FB removal in ear or nose

A 
uncooperative patient
marked bleeding
limited visualization
distal location of displacement of FB
trauma induced disorientation of normal anatomy
previous ear surgery (risk of perf)
known/ suspected cholesteatoma
20
Q

potential complications of FB removal in ear or nose

A 
Bleeding
Abrasion
Infection
Perforation
Aspiration
Nausea or vomiting with removal of an object in the ear
21
Q

if mucous membrane injury occurs w/ FB removal from nose what should you recommend?

A

Follow up visit in 1-2 days
saline irrigation TID for 2 week
potentially refer to ENT

22
Q

If ear canal trauma or TM perf occurs what should you instruct the patient to do

A

three drops of abx drop in ear TID for 7 days

audiometry and tympanometry testing

23
Q

indications for referral for removal of an object from the eye

A 
intraocular presence of an object
large corneal epithelial defect
corneal infiltrate or white spot
corneal opacity
purulent discharge
24
Q

what are some topical ophthalmic anesthetics?

A

tetracine

proparacaine

25
Q

what are some topical abx ointments for the eyes

A

erythromycin
bacitracin
sulfacetamide

26
Q

indications for FB removal from conjunctiva/ cornea

A

Small, conjunctival or corneal foreign bodies embedded < 24 hours

27
Q

Contraindications for FB removal from conjunctiva/ corena

A 
iron based FB
deeply embededd
>24 hours
possible acid or alkali contamination
rupture globe
hyphema
lens opacification
irregularity of pupil
signs/ symptoms of infection
28
Q

potential complications of FB revmoal from conjunctiva/ cornea

A 
Infection
Perforation of the cornea
Scarring
Visual impairment
Corneal ulceration
29
Q

when is followup necessary for FB removal from conjunctiva or cornea

A

abraision is >3mm w/ decreasing vision

contact lens related abrasion

30
Q

who are at greatest risk of epistaxis?

A

diagnosed HTN

blood thinners

31
Q

potential complications of epistaxis

A

bleeding

toxic shock syndrome

32
Q

patient education regarding epistaxis (after packing)

A

don’t remove packing yourself
don’t blow your nose
sneeze w/ mouth open
head elevated and dont’ bend forward for 2-3 days

*Summative Evaluation (7 decks)

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