Sensory: Cataract, glaucoma & peripheral neuropathy

Question 1

sensation

Answer 1

a feeling experienced from stimulation

Question 2

ototoxicity

Answer 2

damage to hearing

Question 3

Risk factors for sensory impairment

Answer 3

old age; congenital & genetics; lifestyle & occupation; adverse Rx & med side effects

Question 4

cataracts

Answer 4

lens opacity that distorts image on the retina

Question 5

Diagnostics for cataracts

Answer 5

visual acuity: Snellen, Rosenbaum; dilated eye exam

Question 6

cataract surgery

Answer 6

removal by phacoemulsification: ultrasound vibrations break up cataracts

Question 7

Postop care for cataracts

Answer 7

prevent/report infection; best vision in 4-6 weeks; No ASA! Blood clots

Question 8

Pathophysiology of Glaucoma

Answer 8

the proper balance of aqueous production needed in order to maintain normal IOP;increased pressure damages optic nerve; Primary open-angle glaucoma is the most common type

Question 9

Ophthalmoscopy

Answer 9

optic disc cupping may be one of the first signs of chronic open-angle glaucoma; optic disc becomes wider

Question 10

Tx for acute angle-closure glaucoma

Answer 10

requires immediate intervention; surgical iridectomy to create an outflow

Question 11

Diabetic Nephropathy

Answer 11

Albumin in urine: tx with ACE inhibitors, angiotensin 2 receptor antagonists

Question 12

Foot Complications

Answer 12

microvascular disease increases risk for injury; sensory neuropathy leads to loss of protective sensation which leads to unawareness of injury

Question 13

s/s of opioid overdose and necessary actions by healthcare staff

Answer 13

s/s- unusual snoring, seizures, dizziness

Call a code blue, administer naloxone, support the person’s breathing, monitor the person’s response