Reduction Of Risk Flashcards
Drug of choice for trigeminal neuralgia
Carbamazepine along with analgesics
Trigeminal neuralgia affects the ___th cranial nerve, and Bell’s Palsy affects the ___th cranial nerve
5; 7
What virus is associated with Bell’s Palsy?
HSV (antivirals frequently prescribed for this condition)
Bell’s Palsy nursing consideration
Teach client about eye protection, especially when sleeping (d/t inability to close eye)
Benign tumor of the 8th cranial nerve that is typically unilateral
Acoustic neuroma
S/S of acoustic neuroma
- Unilateral, progressive sensorineural hearing loss
- unilateral tinnitus
- dizziness
Definitive treatment for acoustic neuroma
Posterior fossa craniotomy to excise the tumor
NOTE: if tumor >3 cm, there is a chance the client will have permanent hearing loss and experience facial paralysis
S/S of meningitis in infants
Bulging fontanels, shrill, high-pitched cry, refuse to food, vomiting and diarrhea
Early sign of increasing intracranial pressure
Diminished level of consciousness
The client with bacterial meningitis is at risk for developing
SIADH & dilutional hyponatremia
Meningitis prevention
Hib vaccination (infants), meningococcal vaccine
Intervention for nonpenetrating abrasion of the eye
Instruct patient to patch the affected eye to allow it to heal for 24 hours
Interventions for nonpenetrating contusion/blunt injury to the eye
Cold compress for edema and discomfort, prescribe analgesics
Intervention for penetrating eye wound
Cover the eye with dry, sterile patch immediately, do NOT attempt to remove penetrating/foreign object
Post-operative complication related to cataract surgery characterized by sudden, intense eye pain
Hemorrhage
NOTE: client should experience little to no pain post-operatively. Any pain should be relieved by analgesic
Cataract post-operative patient education
Wear night shield, sleep on unaffected side, avoid straining/heavy lifting
Retinal detachment post-op patient education
- Avoid strenuous activity for 3 months
- avoid work that is close up such as reading, writing, sewing for the first week
- avoid stooping, straining
What are the 5 danger signs of glaucoma?
- Brow arching
- Halos around lights
- Blurring vision
- Diminished peripheral vision
- Headache or eye pain
Hearing loss characterized by a physical obstruction of sound wave transmission
Conductive
Permanent hearing loss resulting from inner ear damage
Sensorineural
Instilling ear drops in adults and children
Adult: pull ear up and back
Child 3 or younger: pull ear down and back
Three features of Meniere’s Disease
Tinnitus, sensorineural hearing loss, and vertigo
Ménière’s disease lifestyle modifications
Follow low-sodium diet <2000 mg/day, avoid alcohol, nicotine, and caffeine — These measures prevent endolymphatic fluid accumulation
Medications that can lead to diabetes
Corticosteroids, thiazides, phenytoin, and atypical antipsychotics such as clozapine