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Med-Surg I
Eyes and Ears Test 6
| Question | Answer |
|---|---|
| Otitis Media Teachings | no swimming; no showers; DO NOT PUT COTTON BALL IN EAR...let it drain on its own |
| Otitis Media (chronic, acute, serous)= | red eardrum; hearing loss; headaches, malaise; purulent exudate |
| Otitis Media.. tell mothers this | Mothers SHOULD NOT have their baby lying down while propping a bottle up for feeding; chilren are more prone to developing an ear infection than adults |
| chronic otitis media= | speech problems=speech therapy; children have straight eustasian tubes...leads to more earinfections; thick, red, bulging membrane; causes greater middle-ear injury |
| Lasix kills which cranial nerve?? | CN VIII 8 |
| Menier's Disease | unknown cause; possibly due to lymph imbalance; s/s= tinnitus, vergigo, one sided sensornueral hearing loss; teaching= LOW SODIUM, FLUID RESTRICITCTION, move head slowly, mild diuretics, no smoking, larbynthectomy |
| vertigo= | staggering, disorientation, OBJECTS ARE SPINNING, sense of falling, N&V, visual blurring, shakiness, headache, loss of hearing |
| Retnal detachment S/S | flashes of light or curtins comming down |
| Retnal detachment treatment | buckle= dr. repairs wrinkles or folds in the retina, a small piece of silicone is placed against the sclera and held in place by an encircling band; bubble= a gas or silicone oil is placed inside the eye, bubble floats up against retina to hold it there |
| Retnal detachment treatment bubbling pt placement | pt lays with head on table, affected eye side up, as bubble holds retina in place |
| What colors are older people less likely to see?? | Blues and Greens |
| What sitiuation would not allow an MRI to take place? | Pt comes in with a metal hook in his/her eye |
| Fluorescein Angiogrpahy | assesses ciruclation of eye, takes rapid sequence pictures; will have GREEN PEE, protective UV clothing, drink plenty of fluids to flush dye out of kidneys |
| OPEN angle glaucoma= | type of glaucoma where fluid doesn't move because it's kinda backed up; typically no pain |
| CLOSED angle glaucoma= | EMERGENCY; pain, NO FLUID, EYE PAIN, retnal detachment can occur!!! NO EPI eye drops! |
| Trabeculectomy | Glaucoma procedure where the back of the eye is scarred on purpose |
| Bacterial Conjunctivitis "PINK EYE"; IT'S CONTAGIOUS | eye infection of sebacious gland, usually caused by a staphyloccus aureus, haemophius influenze, or psudomonas aeruginosa; Treatment: warm compresses, topical antibiotics |
| Red Reflex | reflextion of the retina...If you don't see it SUSPECT CATARACTS! |
| Looking thru opthalmoscope u see: thick copper wire veins in eyes and cotton wool | Hypertension causes this inside of the eye |
| Looking thru opthalmoscope u see:Burst vessels in the eye | Diabetes is the cause of this inside of the eye |
| Macular Degeneration; two types (Nonexudative=dry and calcification; Exudative=wet and metaporphopsia) | Central Vision Loss; Age 65 & up, EAT GREEN LEAFY VEGGIES |
| What's the first thing you do when there is an insect in a pt's ear? | kill the insect |
| Recovery from ear surgery do this | avoid straining when you have a bowel movement; do not drink through a straw for 2-3 weeks; avoid air travel for 2-3 weeks; avoid excess coughing 2-3 weeks; stay away from peps with colds |
| Recovery from ear surgery do this | if you need to blow your nose, blow gently, one side at a time, w/ mouth open; avoid a wet head for 1 week; keep ear dry for 6 weeks by placing a cotton ball coated with vaseline in ear, change it daily |
| Recovery from ear surgery do this | avoid rapid head movement, bouncing, and bending for 3 weeks; change ear dressing every 24 hrs, report excessive drainage |
Created by:
prettydee1908
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