NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 ,Questions with Complete Solutions
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NURS 5335 EENT Family Nursing
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NURS 5335 EENT Family Nursing
NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 ,Questions with Complete Solutions
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:Invo...
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NURS 5335 family 2 Study Guide EENT Family Nursing II
Modules 1&2 ,Questions with Complete Solutions
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
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
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)
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:
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
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