NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 with complete solution
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NURS 5335
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NURS 5335
NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 with complete solution
Non-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 l...
nurs 5335 family 2 study guide eent family nursing ii modules 1amp2 with complete solution non ulcerative aw seborrhea seen commonly with trisomy 21 affects those with psoriasis
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NURS 5335 family 2 Study Guide EENT Family Nursing II
Modules 1&2 with complete solution
Non-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.
Blepharitis
Blepharitis treatment
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?
More common in children and adolescents
hordeolum s/s?
Localized tenderness, erythema, edema of eyelids; internal lesions pointing to external
or internal eyelid surface; external lesions pointing to eyelid margin
Pain
differentials of hordeolum
blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
,Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
blepharitis
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
(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
Hordeolum tx
chalazion
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
Chalazion is More common in adults and S?S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection
Chalazion
Conjunctivitis
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)
, Conjunctivitis
Conjunctivitis
Allergic conjunctivitis is seen more in Spring and Summer.
Bacterial is seen more in pediatric population.
Conjunctivitis
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
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
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
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)
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