NURS 5335 family 2 Study Guide EENT Family

NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 Actual Exam Explore New (Latest / Update) Real Questions and Verified Answers | 100% Correct | Already Graded A+ Save Terms in this set (164)

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 rosacea Contact dermatitis, Atopic Kerato- conjunctivitis, Herpes simplex infection, Preseptal cellulitis, Acute dacryocystitis, differentials of hordeolum 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