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NR 545 Exam 1 (Answered) 100% Correct.

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NR 545 Exam 1 (Answered) 100% Correct.

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NR 545 Exam 1 (Answered) 100%
Correct.
What is otitis media?

infection of the middle ear

diagnosis of otitis media

-examination with otoscope will reveal bulging tympanic membrane
-fluid bubbles may be observed behind a reddened tympanic membrane

signs and symptoms of otitis media

-fever, pain; infant may pull at ear
-enlarged lymph nodes
-discharge from ear (if drum is ruptured)
-upper respiratory symptoms
-vomiting, diarrhea

treatment of otitis media

antibiotics like amoxicillin

What is otitis externa?

inflammation of external auditory canal aka "swimmer's ear"

diagnosis of otitis externa

Diagnosis is based on inspection - The ear canal usually appears edematous and erythematous in
external otitis. Debris or cerumen is typically yellow, brown, white, or gray.

treatment for otitis externa

Topical antibiotic drops to affected ear (fluoroquinolone or other covering pseudomonas)

What is Rhinovirus?

common cold

treatment of rhinovirus

Usually self-limited
No antiviral drugs effective
Relieve symptoms-Nasal vasoconstrictors; Nasal decongestants: eg. Pseudoephedrine, phenylephrine,
Naphazoline etc.
Inhalation of HOT STEAM

, Control:
Hand washing and disinfection practice

What is conjunctivitis?

pink eye; inflammation of the conjunctiva

signs and symptoms of bacterial conjunctivitis

Red, irritated and discomfort
No change in vision
Mucupurulent exudate
Adhesions in the morning
Erythema
Edema of the lids
Usually starts unilateral and becomes bilateral

signs and symptoms of viral conjunctivitis

Can present with or without cold symptoms, itchy, red eyes, and may have clear to no discharge

What is allergic rhinitis?

inflammation of the nasal mucosa due to exposure to allergens "hay fever"

signs and symptoms of allergic rhinitis

-Immediate and BILATERAL (both sides) symptoms
-Itching nose, eyes, mouth
-sneezing
-congestion, dry mouth from mouth breating
-rhinorrhea
-nasal pruritis / itching - allergic salute
-dark circles, photophobia, conjuctivitis
-fatigue, irritability, malaise, cognitive impairment

Treatment of allergic rhinitis

antihistamine, glucocorticoids, allergen immunotherapy such as reduction of seasonal increases of IL-4
and IgE

what is acute sinusitis

-Infection of the sinuses
often due to URI or allergy (Viral: 5 to 7 days, Bacterial: up to 4 weeks)

what is chronic sinusitis

Lasting longer then 3 weeks. A persistent infection usually associated with allergies and nasal polyps.
Usually results from repeated episodes of acute sinusitis that results in irreversible loss of the normal
ciliated epithelium lining the sinus cavity.

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