DISORDERS
MEDICATIONS
ASSESSMENT
NURSING MANAGEMENT
DISCHARGE MANAGMENT
100
Central loss of vision
What is MACULAR DENGERATION
100
An Ocular steroid used to DECREASE inflammation
What is PREDNISOLONE ACETATE
100
RISK FACTORS: Recurrent colds and otitis media, enlarged adenoids, trauma, changes in air pressure
What is MIDDLE EAR DISORDERS
100
Used to measure IOP
What is TONOMETRY
100
S/S to report after Glaucoma surgery
What is SIGNS OF INFECTION, SUCH AS YELLOW OR GREEN DISCHARGE, ANY CHANGES SUCH AS, LID SWELLING, DECREASED VISION, BLEEDING OR DISCHARGE, A SHARP, SUDDEN PAIN IN THE EYE OR FLASHES OF LIGHT OR FLOATING SHAPES
200
Opacity in the lens of the eye that impairs vision
What is CATARACTS
200
Osmotic diuretic used in the ER treatment for angle-CLOSURE glaucoma to QUICKLY decrease IOP
What is IV MANNITOL
200
RISK FACTORS: viral or bacterial infection, damage due to ototoxic medications
What is INNER EAR DISORDERS
200
Cataracts can be determined upon examination of the lens
What is OPHTALMOSCOPE
200
Education about; avoid caffeine and alcohol, rest in a quiet, darkened room, use assistive devices, maintain safe clutter free enviroment, take DIURETICS, if prescribed, to DECREASE the amount of fluid in the semicircular canals, SPACE intake of FLUIDS evenly throughout the day, DECREASE intake of salt and sodium-containing foods(PROCESSED MEATS)
What is VERTIGO-REDUCING ACTIVITIES
300
Middle ear infection, that causes inflammation of ossicles and purulent drainage
What is OTISIS MEDIA
300
A Miotic, which CONSTRICTS the pupil and allow for better circulation of the aqueous humor
What is PILOCARPINE (Miotics can cause blurred vision)
300
Loss of central vision, blindness, lack of depth perception, objects appear distorted, blurred vision, smokes, hypertension, female, diet lacking carotene and vitamin A
What is MACULAR DENGERATION
300
Check the hearing of pt receiving ototoxic medications or more than 5 days. REDUCED renal function that occurs with aging INCREASES the risk for OTOTOXICITY. Ototoxic medications include:
What is MUTIPLE ANTIBIOTICS(gentamicin, amikacin or metronidazole), DIURETICS(furosemide), NSAIDS(aspirin), CHEMOTHERPERUTIC AGENTS(cisplatin)
300
Hearing is initially worse, but will improve as healing occurs, avoid straining, coughing, sneezing with mouth CLOSED, air travel, and rapid head movement, hair can be washed IF the ear is covered with a dressing. NO water should enter the ear
What is PT EDUCATION AFTER STAPEDECTOMY
400
The disturbance of the functional or structural integrity of the optic nerve. Decreased fluid drainage or increased secretion increases IOP and can cause atrophic changes of the optic nerve and visual defects.
What is GLAUCOMA
400
Beta-blockers and carbonic anhydrase inhibitors decreased IOP by REDUCING aqueous humor PRODUCTION
What is TIMOLOL(beta-blocker) & ACTAZOLAMIDE(oral-med; carbonic anhydrase inhibitor)
400
Progressive and painless loss of vision, visible opacity, absent red reflex, halo around lights, diplopia(double vision), diabetes, heredity, smoking, eye trauma, excessive exposure to sun, chronic corticosteriod use
What is CATARACTS
400
Priority intervention for treating glaucoma
What is DRUG THERAPY
400
S/S TO REPORT AFTER GLAUCOMA DX
What is PAIN WITH N&V(indicatation of INCREASED IOP or hemorrhage) FINAL BEST VISION IS NOT EXPECTED UNTIL 4-6 WEEKS AFTER SURGERY
500
Vestibular disease characterized by a triad of manifestations, tinnitus, unilateral sensorineural hearing loss and vertigo
What is MENIERE'S DISEASE
500
Administered PREoperatively to REDUCE IOP, to DILATE pupiles, and to create eye paralysis to prevent lens movement
What is ACETAZOLAMIDE (***ALWAYS ask pt whether they are allegeric to SULFA, acetazolamide is a sulfa-based med)
500
Rapid onset of evevated IOP, decreased or blurred vision, seeing halos around lights, pupils are NONreactive to light, SEVERE PAIN and nausea, photophobia
What is ANGLE-CLOSURE GLAUCOMA
500
Steps for pt teaching to include for drug therapy for glaucoma
What is 1. PRESCRIBED EYE MEDS ARE BENEIFICIAL IF USED EVERY 12 HOURS 2. INSTILL ONE DROP IN EACH EYE TWICE DAILY 3.WAIT 10 TO 15 MINUTES IN BETWEEN EYE DROPS IF MORE THAN ONE IS PRESCRIBED BY THE PROVIDER 4.AVOID TOUCHING TIP OF THE APPLICATOR TO EYE 5.ALWAYS WASH HANDS BEFORE AND AFTER USE 6.ONCE EYEDROP IS INSTALLED, APPLY PRESSURE USING THE PUNCTAL OCCLUSION TECHNIQUE(placing pressure on the inner corner of eye)
500
Avoid tilting head back to wash hair, limit cooking and housekeeping, avoid rapid, jerky movements(vacuuming), avoid driving or operating machinery, avoid sports
What is PT EDUCATION TO FOR GLAUCOMA SURGERY