Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
Ear has
|
-two major sensory functions
-three structural areas (external, middle, and inner) |
|
|
Nursing implications for otic medications
|
assess for baseline hearing, symptoms and current medical conditions
|
|
|
Otitis Media
|
inflamation of the inner ear
-most common ear infection 70% of infants during first year 93% by age 7 |
|
|
Otitis media & breast feeding
|
breast feeding appears to be protective, increased incidents with pacifiers
|
|
|
otitis media & eustachian tube
|
related to eustachian tube dysfunction
|
|
|
what often precedes otitis media?
|
upper respiratory infection
|
|
|
what is otitis media diagnosis based on?
|
otoscopic examination
|
|
|
other nursing responsibilities for otic medication
|
check for hypersensitivity to hydrocortisone, neomycin, polymyxin B, chloramphenicol and other meds
|
|
|
When instilling otic meds..
|
cleanse the ear thoroughly and remove the cerumen through gentle irrigation
-otic drugs should be warmed to body temp |
|
|
Nursing diagnoses for otic
|
Risk for imbalanced body temp: hyperthermia r/t infectious process
-Fatigue r/t sleep deprivation -Sensory/perceptual alteration auditory r/t chronic ear infections and altered sensory reception |
|
|
anoids
|
A mass of enlarged lymphatic tissue between the back of the nose and the throat, often hindering speaking and breathing in young children
|
|
|
clinical manifestations of tonsillitis and adenoiditis
|
-sore throat, fever, snoring, hard swallowing
|
|
|
enlarged anoids can cause
|
-mouth-breathing, earache, draining ears, head colds, bronchitis, bad breath, voice impairment & noisy respirations
-fill the space behind the posterior nares |
|
|
assessment of tonsillitis and adenoiditis
|
-physical exam & history
-tonsillar culture to determine type of bacteria |
|
|
if cytomegalovirus is present..
|
then HIV, hepatitis A, and rubella should be checked also
|
|
|
management of tonsillitis and adenoiditis
|
1. supportive measures-increased fluid intake, analgesics, salt water gargles, rest
2.penicillin or other antibiotics 3. surgical removal if needed (repeated episodes) |
|
|
complications of surgery for tonsillitis and adenoiditis
|
fever, throat pain, ear pain, bleeding
|
|
|
post op tonsillitis and adenoiditis for nurses
|
-encourage fluids (except citrus)
-give acetaminiophen elixir as ordered -ice collar around neck -gargle with half teaspoon baking soda and salt in water -rinse mouth with viscous lidocaine then swallow the solution |
|
|
Nursing dx for tonsillitis and adenoiditis
|
-Pain r/t inflammation of the pharynx
-risk for deficient fluid volume related to inadequate intake -risk ineffective breathing pattern r/t obstruction by large tonsils -impaired swallowing r/t inflammation and pain |
