Otitis Media
Proper procedure for examining a child's eardrum
Pull pinna down and back
Clinical manifestations of meningitis
positive Kernig's or Brudzinski's
nuchal rigidity
photophobia
sudden fever
severe headache
This is how RSV is diagnosed.
nasopharyngeal swab
Type of pneumonia causing by mycoplasma
Primary atypical or "walking pneumonia"
A side effect of this antifungal is hepatotoxicity
fluconazole
Potential complications that can occur from recurrent or chronic otitis media
hearing loss, brain infections (meningitis, abcesses), facial nerve paralysis
Type of isolation for bacterial meningitis during the first 24 hours of antibiotic treatment; list the required items needed for this type of isolation
droplet; gown, goggles, mask, gloves
RSV S&S
fever, wheezing, cough, tachypnea
Medications used to treat pneumonia
Antibiotics
Bronchodilators
Expectorant
Oxygen
Best prevention measure for influenza and pneumonia to reduce risk of complications in elderly clients
Vaccination
Macrolide antibiotic used to treat otitis media if the patient is allergic to penicillin
azithromycin, erythromycin, clindamycin
Used to diagnose meningitis
lumbar puncture
oxygen, suction, hydration, antipyretics
Priority intervention for treatment of pneumonia
administration of antibiotics promptly
Steps to remove PPE
Gloves
Goggles
Gown
Mask
or
Gown and Gloves
Goggles
Mask
Signs and symptoms of a spontaneous rupture of the tympanic membrane
sudden severe pain that subsides, N&V, hearing loss, drainage
rest, fluids, analgesics, antiviral (if true cause is known)
Complications of RSV
pneumonia
mechanical ventilation
Nonpharmacologic therapy for Pneumonia
Increase fluids, Incentive spirometry, Chest physiotherapy, TCDB
Precautions for NSAIDs such as Naproxen
GI bleed, avoid alcohol, avoid other NSADIS or ASA unless told by MD, Can increase risk of heart attack and stroke, use in caution with patients that have asthma
Important postoperative teaching for a myringotomy w/ tubes
avoid getting water directly in the ear, some drainage may be normal (foul smelling is not), do not blow nose forcefully
Meningitis S&S in an infant
bulging fontanels
shrill, high pitched cry
inconsolable
poor feeding
lethargy
rash
Ways to prevent RSV
hand hygiene, avoid people who are sick, immunizations (pregnant women, infants, older adults)
signs and symptoms of respiratory distress
retractions, nasal flaring, tachypnea, grunting, cyanosis
Best preventative measure to prevent cross contamination in clients
Hand Hygiene