Otitis Media- EXAM 3 Flashcards
What is Otitis Media
A common childhood illness, known as an ear infection
What are some risk factors
Being under the age of 2
Participating in daycare, S or L
Having seasonal allergies
Exposure to poor air quality, smoking in the house
What history would you ask for when examining the patient
Any previous ear infections
Any recent respiratory infection
The medications their on
Any changes/When did it start happening
Have they been eating and drinking normally
Are they immunized up to date
How can you prevent ear infections
Breastfeed no longer then 1 year
Bottle feed in upright position
Keep children up to date with immunizations
Avoid air pollution, especially second hand smoke
If in daycare, use a smaller or private one to decrease chances of getting infections
Clinical manifestations
Mild to severe pain
Slightly elevated temperature
Diminished hearing or vitiligo
Bright red, bulging tympanic membrane, some discharge
What would you assess
Vital signs, Lungs and Throat, Ear, Tympanic membrane
Ask parents if there has been fever, fussiness or pulling of the ear
Implementations
Use of antibiotics :Amoxicillin is used but if penicillin allergy then cephalosporin or trimethorpin
Given for 5-10 days
Importance of completing antibiotic doses!!
Pain relief: Antihistamine or heat application to reduce symptoms
Elevating head
Keep ears clean, decrease swimming pool time
Avoid exposure to upper respiratory infections