Exam (elaborations)
NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 with complete solution
- Course
- Institution
NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 with complete solution
[Show more]
Content preview
NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 with complete solutionNon-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with psoriasis, seborrhea, eczema, allergies and lice. Chemical and environmental irritants contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the eyelid.May be pustules at the base of the hair follicle that crust & bleed.Lashes break easy. Answer - Blepharitis
Blepharitis treatment Answer - TX: Warm compress; daily lid scrubs; erythromycin, quinolone or bacitracin ophthalmic ointment for anterior blepharitis. Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group? Answer - More common in children and adolescents
hordeolum s/s? Answer - Localized tenderness, erythema, edema of eyelids; internal lesions pointing to external or internal eyelid surface; external lesions pointing to eyelid margin
Pain
Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis, Answer - differentials of hordeolum
differentials of hordeolum Answer - blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
blepharitis Answer - Ocular burning, eyelid margins red w/ scaling or crusting Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin, broken or absent eyelashes
hordeolum Answer - (stye) red, painful pustule that is a localized infection of hair follicle
at eyelid margin. The most common associated organism is Staphylococcus aureus
TX: Warm compress; lid scrubs for recurrent lesions Answer - Hordeolum tx
chalazion Answer - a nodule or cyst, usually on the upper eyelid, caused by an obstruction in a sebaceous gland A granulomatous infection of a Meibomian gland
Nontender chronic lesions; bump Answer - Chalazion is More common in adults and S?
S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection Answer - Chalazion
Conjunctivitis Answer - Refer to ophthalmology for viral herpetic conjunctivitis w/RED FLAGS
Inflammation of the conjunctiva covering the front of the eye from a causative agent (bacteria, virus, allergen) Answer - Conjunctivitis
Conjunctivitis Answer - Allergic conjunctivitis is seen more in Spring and Summer.
Bacterial is seen more in pediatric population.
Conjunctivitis Answer - ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery or stringy discharge
BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash mattering; edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
VIRAL: Acute onset often A/W systemic illness; photophobia or foreign body sensation; preauricular adenopathy; hyperemia; chemosis; watery discharge; classic dendritic corneal lesion present w/ herpes simplex; periocular lesions present w/ herpes zoster opthalmicus
ALLERGIC: Conjunctivitis Answer - Pruritus; conjunctival hyperemia, chemosis; watery or stringy discharge
Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant antihistamine (OTC) drops: o Naphazoline hydrochloride 0.025% (Naphcon-A) o Naphazoline- antazoline 0.3% (Vasocon-A) o Levocabastine hydrochloride 0.05% (Livostin) o Emedastine 0.05% (Emadine) mast cell stabilizers: o Olopatadine 0.1% (Palatal) o Azelastine 0.05% (Optivar) 1st line = prevention; avoid whatever allergen is triggering conjunctivitis
BACTERIAL:Conjunctivitis Answer - Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash mattering; edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers), gonorrhea ****Staph aureus (more common in adults)
Eye drops or ointment:
o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o Sodium
sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o Ointment over drops for children
VIRAL:conjunctivitis Answer - the second eye usually infected after 24-48 hrs
itchy eyes.
Tearing.
Redness.
Discharge.
Sandy, gritty
Light sensitivity (when corneal involvement is present)
TX: Antihistamine/decongestant drops o Trifluridine (herpes conjunctivitis)
enlarged or tender preauricular node; initially unilateral, then bilateral caused from adenoviruses, coxsackie virus, varicella, herpes, and herpes zoster § fluorescein stain= dendrites-----****Referral to opthamologist
Red flags in conjunctivitis: Answer - Diminished visual acuity, photophobia, severe foreign body sensation preventing pt from keeping eye open, corneal opacity, fixed pupil, or severe HA with nausea
corneal abrasion Answer - Partial or complete defect in the epithelial layer of cells after traumatic event or overexposure to sunlight
Corneal Abrasion
Fluorescein stain, C&S for Answer - Overexposure to sunlight, sports, failure to wear eye protection
Urgent referral to ophthalmology for erosions and emergent for ulcers
corneal abrasion tx Answer - Pain, redness, tearing, photophobia, foreign body sensation
Abx ointment or drops for 5-7 days -Traumatic/foreign body/recurrent abrasions= erythromycin ointment OR sulfacetamide o Contact lens abrasion= ofloxacin, cipro OR tobramycin drops/ointment
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Wiseman. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75391 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now