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81 Cards in this Set
- Front
- Back
ptosis |
decrease eyelid tone |
|
vitreous shrinks |
floaters, flashers, blurred vision |
|
floaters are usually |
harmless |
|
flashers require |
attention |
|
presbyopia |
loss of ability to focus on close objects |
|
dry eye syndrome tears |
viscous, burning, scratchiness, stringy mucus |
|
dry eye from |
arthritis, post menopause, meds |
|
dry eye tx |
humidifier, wrap around sunglasses, OTC tear replacement |
|
blepharitis |
chronic eyelid inflammation |
|
blepharitis care |
wash eyes, topical antibiotics, replace eye make up q 3-6 months |
|
glaucoma |
inability of aqueous humor to leave the eye |
|
glaucoma major cause of |
blindness |
|
glaucoma pressure |
increases on optic nerve |
|
common glaucoma |
open angle |
|
rare glaucoma |
angle closure |
|
glaucoma risk factors |
60+yo, fam hx of glaucoma, black, myopia, DM, HTN, migraines |
|
open angle glaucoma develops |
slowly |
|
glaucoma tx |
lower IOP |
|
main med for glaucoma |
beta blocker |
|
angle closure aka |
acute glaucoma |
|
acute glaucoma requires |
immediate attention |
|
acute glaucoma considered |
medical emergency |
|
acute glaucoma tx |
surgery |
|
acute glaucoma s/s |
severe eye pain, clouded or blurred vision |
|
what can be a cause of cataracts |
cumulative sun damage |
|
cataracts s/s |
film |
|
cataract tx |
surgery (#1) or contact lenses or glasses |
|
cataract post op |
avoid heavy lifting and bending |
|
macular degernation two types |
wet and dry |
|
dry macular deg |
most common |
|
macular deg almost exclusively in |
whites |
|
wet macular deg |
rapid, severe, abn vessels with hemorrhage |
|
wet macular deg tx |
laser or photodynamic therapy |
|
dry macular deg |
gradual loss of vision breakdown |
|
macular deg s/s |
difficulty with tasks needing close vision, dec color vision, printed words appear blurred |
|
macular deg nurse should encourage |
pt to do rehab for vision |
|
pt should use what to check vision and how often |
ambler's grid, daily |
|
DM retinopathy can lead to |
blindness |
|
DM retinopathy is the |
development of tiny vessels in eye causing eye edema |
|
DM retinopathy eye exam |
q 6 months |
|
retinal detachment |
flashes of light followed by floaters, curtain over eyes |
|
emergency tx of retinal detachment |
bedrest, eye patches, surgery |
|
bed rest for retinal detachment |
to dec IOP |
|
assess visual acuity using what |
snellen chart |
|
blindness in OA increases |
65+yo |
|
hearing loss is |
abnormal and should be investigated |
|
cerumen impaction is |
reversible and common cause of conductive hearing loss |
|
hearing loss can cause |
depression |
|
cerumen impaction can cause |
tinnitus |
|
cerumen tx |
remove impaction |
|
cerumen impaction - otoscopic exam |
can see wax blocking canal |
|
cerumen removal |
manually by MD or NP or irrigation |
|
soften cerumen impaction with |
ceruminolytic |
|
do not use a |
Q-tip to remove cerumen |
|
hearing loss in OA is |
never normal |
|
conductive hearing loss |
interrupted sound transmission |
|
sensorineural hearing loss |
sounds interpreted incorrectly |
|
presbycusis is which hearing loss |
sensory |
|
most common type of hearing loss in OA |
presbycusis |
|
presbycusis is |
loss of ability to discriminate among sibilant consosants |
|
presbycusis is usually |
bilateral |
|
presbycusis loss of |
high pitched and conversational tones |
|
aural rehab |
auditory training, lip reading, speech training, assistive listening devices (stethoscope, microphones), hearing aids |
|
menieres disease s/s |
vertigo, tinnitus, hearing loss |
|
menieres disease is |
increased pressure in labyrinth of inner ear |
|
menieres disease tx |
anti vertiginous drugs |
|
anti vertiginous drugs ie |
meclizine (antivert) |
|
meclizine affect |
anticholinergic affect |
|
menieres disease - things to help remove excess ear fluid |
diuretics, low sodium diet |
|
menieres disease do surgery to |
prevent further hearing loss |
|
preventing injuries with vertigo |
move slowly, lie down and hold head still if occurs when walking |
|
what tastes are most severely affected |
sweet and salt |
|
smell cahnges |
dec sensitive and dec odor recognition |
|
xerostomia |
dry mouth |
|
xerostomia caused by |
disease, conditions, meds |
|
disease cause of xerostomia |
alzheimers, depression, sjorens |
|
conditions cause of xerostomia |
mouth breathing, radiation of head/neck/mouth |
|
meds cause of xerostomia |
sedatives, diuretics, antihistamines, antidepressants |
|
xerostomia can result in |
inc resp infection, impaired nutrition, aspiration, impaired communication, periodontal disease |
|
xerostomia s/s |
dry cracked lips and tongue, thin oral mucosa, thick white coating on tongue, dec saliva |
|
xerostomia management |
keep oral mucosa intact, good oral hygiene, inc fluids, avoid stimulates that dehydrate, teach measures to inc saliva, regular dental checks |