OA: Eyes & Ears Flashcards

1
Q

Signs of sensorineural hearing loss

A
  • loss of high-frequency tones

- speech discrimination difficult

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2
Q

signs of conductive hearing loss

A

-loss of hearing at all sound frequencies

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3
Q

signs of prebycsis

A
  • gradual
  • unsociable
  • paranoid
  • normal aging hearing loss
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4
Q

Early signs of AMB

A
  • shadowy areas in central vision
  • unusual fuzzy or distorted vision
  • wavy, blurred lines with dark center on Amsler grid
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5
Q

Amsler Grid

A

diagnostic tool for AMB

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6
Q

Wet AMB on Amsler Grid

A

report same symptoms as dry AMD with addition of visual distortions

  • lines crooked, bent, or irregular
  • difference in apperance of the size of objects between eyes
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7
Q

vision & retinal exams

A
  • pupillary dilation
  • fluorescein angiogram
  • OCT
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8
Q

pupillary dilation

A

unsettling for patient

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9
Q

fluorescein angiogram

A

if wet AMD treatment is planned

fluorescent dye is injected into the bloodstream. The dye highlights the blood vessels in the back of the eye so they can be photographed. This test is often used to manage eye disorders.

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10
Q

OCT

A

optical coherence tomography

  • noninvasive
  • relatively new
  • involves taking cross-sectional images of retina to measure thickness
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11
Q

What do you do before speaking to a patient with hearing loss?

A

wave hand, tap shoulder

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12
Q

Ensure patient is using _________

A

corrective lenses and that they are clean

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13
Q

When speaking to a patient with hearing loss….

A

face the patient and keep hands away from face

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14
Q

When speaking to a patient with hearing loss, what tone should you use?

A

normal tone, slowly

do not over articulate

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15
Q

Keep your face in ______ when speaking to a hearing loss patient

A

full light

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16
Q

Reduce _____ in their environment before speaking to a hearing loss patient

A

noise

17
Q

What type of sentences should you use when speaking to a patient with hearing loss?

A

short sentences and pause at the end of each sentence

18
Q

Use ________ when speaking with a hearing loss patient

A

facial expressions and gestures

19
Q

Provide _______ for written communication

A

magic slate

20
Q

Where do you place an IV cath on a hearing loss patient?

A

non-dominant hand

21
Q

If patient with hearing loss is having difficulty understanding you, you should….

A

rephrase the sentence

22
Q

You should always….

A

repeat important information

23
Q

Inform other staff of…

A

patient’s hearing deficit

24
Q

Open-angle glaucoma

A
  • anterior chamber angle of the eye is normal (open)

- flow is obstructed, unknown cause

25
Q

What percentage of all glaucoma patients are open-angle?

A

90%

26
Q

Chronic, gradually progressive, bilateral (may not be symmetric) type of glaucoma

A

open-angle glaucoma

27
Q

Closed-angle glaucoma

A
  • less common, 1-4 per 1,000 americans
  • IOP rises abruptly
  • episodes typically unilateral
  • pupil dilation blocks aqueous outflow
  • narrowing of anterior chamber
28
Q

What type of medications do you want to avoid with closed-angle glaucoma?

A

medications that cause mydriasis

29
Q

mydriasis

A

dilation of the pupil

30
Q

Clinical manifestations of open-angle glaucoma

A
  • none at first
  • gradual loss of peripheral vision
  • frequent lens change
  • halos around lights
  • mild to severe increased IOP
31
Q

Clinical manifestations of close-angle glaucoma

A
  • severe eye/facial pain
  • headache
  • general malaise
  • nausea
  • vomiting
  • rapid increase in IOP
  • red conjunctiva
  • cloudy cornea
  • fixed pupil
32
Q

Patient teaching for glaucoma

A
  • provide instructions related to unilateral loss of vision and depth perception
  • adaptations at home
  • verbalize feelings
  • discuss patient’s perception of eye condition
  • adapt coping strategies to present situation
  • orient patient environment
33
Q

Disorders of the inner ear

A
  • tumors
  • vascular disorders
  • degenerative disease
  • vertigo
  • Meniere disease
34
Q

Meniere disease

A

An inner ear disorder that causes episodes of vertigo (spinning).

35
Q

loud explosion/noises

A

hair cell damage of the Corti

36
Q

oxotoxic drugs

A

hair cell damage of the Corti

37
Q

disorders of the inner ear, auditory nerve, and auditory pathway may lead to…

A

sensorineural hearing loss

38
Q

Cataract surgery pre-op and post-op

A

teach patient about:

  • limitations
  • do not disturb eye dressing
  • rx meds and side effects
  • followup appts
  • complications
  • eye drops, eye patch
  • care of contact lenses
  • visual changes with glasses