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What is a complication of conjunctivitis?
corneal inflammation
What is otitis media?
inflammation of the middle ear caused by bacteria
What is acute otitis media?
Part of the middle ear is infected and swollen. Fluid is trapped behind the eardrum.
An incision of the tympanic membrane, performed to relieve pressure and allow drainage of serous or purulent fluid from the middle ear
myringotomy
pressure equalizing tubes placed in eardrum to allow ventilation and fluid drainage
tympanostomy
What causes conjunctivitis?
viruses
bacteria
allergies
What is the tx for bacterial conjunctivitis?
clear w/o tx
What is otitis media with effusion?
fluid trapped behind the eardrum following an ear infection
the removal of the adenoids
adenectomy
What surgeries for OM?
myringotomy
tympanostomy
adenectomy
What's the tx for viral conjunctivitis?
resolve on it's own
topical steriods
home remedies
What are the s/s of bacterial conjunctivitis?
matted eyes
purititc burning sensation foreign body in eye
irritation
redness
discomfort
What is chronic otitis media?
the fluid remains in the middle ear for a prolonged period of time or reoccurs after the infection has resolved
How is otitis media diagnosed?
otoscope exam
What are some nursing problems related to OM?
pain management
hearing loss
infection control
medication education
prevention
what are the s/s of allergic conjunctivitis?
itching eyes
watery eyes
redness
tearing
swelling of conjunctiva
What is s/s of viral conjuctivitis?
Photophobia
watery discharge
redness
feel something in the eye
What is the eustachian tube and what happens to it when infection occurs?
It connects the middle ear to the nose. Becomes blocked. Swelling & fluid occur. Adenoids prevent fluid drainage. Creates environment for viral/bacterial infections
What is the tx for otitis media?
amoxicillin
can improve w/o antibiotics
Tylenol/ibuprofen
eardrops lidocaine or benzocaine
What are some nursing interventions OM?
educate
use clean cotton swab for drainage
analgesics
antibiotics
avoid passive smoke
limit exposure to children with colds or allergies
avoid reclining position/propping bottles when bottle feeding
Avoid environmental allergens
What are some risk factors for conjunctivitis?
environment
allergens/irritants
children exposure and transmissison
contact lenses
respiratory illness
What is the tx for allergy conjunctivitis?
artificial tears
antihistamines
corticosteriods
avoid contact with known allergen
what is the s/s of otitis media in pediatrics?
Pain
fever
fussiness
ear pulling
anorexia
clinginess
tinnitus
impaired balance
hearing loss
difficulty sleeping
N/V/D
malaise
purulent or bloody ear drainage
what is the post-op care of bilateral myringotomy?
tube drain fluid 3-4 days post surgery
remain in place several mths and falls out
antibiotic ear drops post-op
call provider if yellow-green drainage or fever develops
How can you prevent otitis media?
Breastfeeding at least 6 mths boosts immunity
feeding position when bottle feeding
hand washing
discontinue pacifier after 6 mths of age