otitis media

Question 1

acute otitis media (AOM)

Answer 1

-rapid onset of fever and ear pain (otalgia)
-occurs mainly within the 1st 24 months of life

Question 2

otitis media with effusion (OME)

Answer 2

-collection of fluid in middle ear space w/o s/s of infection
-chronic = lasting longer than 3 months

Question 3

why are young children most at risk for OM?

Answer 3

the Eustachian tube does not curve up so fluid will sit in there and cause infection

Question 4

nursing assessment of OM

Answer 4

-fever
-complaints of otalgia
-fussiness or irritability
-crying inconsolably, particularly when lying down
-tugging at ear
-rolling head from side to side
-poor feeding or loss of appetite
-lethargy
-difficulty sleeping
-fluid draining from ear

Question 5

risk factors

Answer 5

-young age
-first episode of AOM before 3 months of age
-absence of infant breast feeding
-day care attendance
-passive smoking
-previous hx of AOM or OME
-antecedent or concurrent URI
-other risk factors

Question 6

what kind of tympanic membrane does AOM present with?

Answer 6

red & bulging

Question 7

complications of AOM

Answer 7

-perforation of tympanic membrane
-tympanosclerosis
-mastoiditis
-bacterial meningitis
-hearing loss
-expressive speech delay