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NSG 6420 REAL EXAM QUESTIONS AND CORRECT ANSWERS / NSG 6420 STUDY GUIDE FINAL REVIEW 2023/2024 LATEST UPDATE $19.69   Add to cart
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NSG 6420 REAL EXAM QUESTIONS AND CORRECT ANSWERS / NSG 6420 STUDY GUIDE FINAL REVIEW 2023/2024 LATEST UPDATE

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  • Course
  • NSG 6420
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  • NSG 6420

OTITIS EXTERNA- cellulitis of external auditory canal “Swimmer’s ear” Malignant (necrotizing) seen immunocompromised and diabetes mellitus. Organisms Pseudomonas aeruginosa and Staphylococcus aureus. Fungi- Candida and Aspergillus (chronic) Clinical presentation- acute pain on outside with...

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  • January 8, 2024
  • 20
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nsg 6420 real exam
  • nsg 6420 real exam questions and correct answers

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  • NSG 6420
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NSG 6420 REAL EXAM QUESTIONS AND

CORRECT ANSWERS / NSG 6420 STUDY GUIDE

FINAL REVIEW 2023/2024 LATEST UPDATE


OTITIS EXTERNA- cellulitis of external auditory canal “Swimmer’s ear” Malignant

(necrotizing) seen immunocompromised and diabetes mellitus. Organisms Pseudomonas

aeruginosa and Staphylococcus aureus. Fungi- Candida and Aspergillus (chronic)

Clinical presentation- acute pain on outside with 48 hours

With feelings fullness, itching, drainage, hearing loss

Physical exam- tenderness palpation to tragus, canal

erythematous and oedematous enlarged periauricular lymph nodes.

Chronic externa- Dry Cerumen absent,

LABS- culture and sensitivity, KOH prep on drainage

TREATMENT-

1- gently remove debris

2- NSAIDS

3- Topical anesthetic (IF TM IS INTACT)

a. Benzocaine otic solution (re-check 2 daysish)

4- Topical antibiotics cover to cover both P. aeruginosa & S. aureus

a. Fluoroquinolone ofloxacin, ciprofloxacin BID x 7 days

b. combo ciprofloxacin & hydrocortisone

c. Aminoglycoside neomycin (S. aures not P ) combine w/polymyxin (ototoxicity

INTACT TM) Fungal- acetic acid (white vinegar) vinegar to alcohol is effective 1:1 or 1:2

P. aeruginosa-> Malignant otitis externa older adults immunocompromised and diabetes

,BACTERIAL CONJUNCTIVITIS- “PINK EYE”

1- Thick, purulent discharge

2- History- both eyes “sticky or glued shut”

3- Worse in morning but seen throughout the day

Causative agents- Haemophilus influenzae & Streptococcus pneumoniae (CHILDREN)

S. aureus (ADULTS) lasts 7-10 days

Hyper acute onset- Neisseria Gonorrhoeae (sexually active adults mother to newborn) (Seen

in CHILD-> CHILD ABUSE)



RAPID PROGRESSISON -> PRMNENT VIS LOST

TREATMENT

1- may clear up on own. Self-limited in nature

2- antibiotics if no improvement

3- trimethoprim-polymyxin or fluroqun (ciproflox) gtt QID x 1 week Those that need

systemic

1- H. influenzae- augment

2- Gonococcal- Rocephin 1 gm IM & azith 1 g

(SAME day referral to ophthalmologist)

3- Chlamydial- azith 1 g one dose

EDUCATION

1- avoid touching eyes

2- Shaking hands

3- Sharing towels, bedclothes

4- No swimming pools

5- WASH hands antimicrobial soap

6- decontaminated surfaces with 1:10 bleach solution

, GROUP A STREP

Strep throat

Scarlet fever

Impetigo

Pneumonia

Necrotizing fasciitis

Otitis media (ear infections)

Sinusitis

Cellulitis

Location

Live in your nose throat, so they are spread through droplets from coughing or sneezing or by

direct contact with the mucus. Treatment

Penicillin or amoxicillin is the antibiotic of choice to treat group A strep pharyngitis. Clinical

presentation (incubation period 1-2 days)

1- fever, chills, headache, malaise, myalgia, and Loss of appetite

2- Respiratory dry cough, nasal congestion, clear discharge, sore throat

Physical

1- face is flushed

2- eyes watery and red

3- skin hot and moist

4- Cervical lymph nodes may be enlarged

5- Rare pharyngeal, erythema and exudates

Diagnosis

Gold standard- viral culture or reverse transcriptase polymerase chain reaction assay

Treatment

1- symptoms

2- rest as much as possible

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