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PEDS > EENT 2 > Flashcards

EENT 2 Flashcards

1
Q

meds for ear infections

A

amoxicillin
amoxicillin and clarulanate K
cefuroxime

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2
Q

nursing diagnoses for ear infections

A
  • risk for imbalanced body temp
  • fatigue
  • disturbed sensory (auditory)
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3
Q

expected outcome of ear infections

A
  • maintain normal hearing/speech
  • maintain normal sleep and eating
  • effective pain and temp management
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4
Q

children with fever will have a _____ ear

A

red

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5
Q

air into eardrum, if red ear drum moves back and forth…

A

no infection

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6
Q

ear infections can lead to what if not corrected

A

irreversible hearing loss

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7
Q

what do infant do that may indicate ear infection

A

pull at ear, or put things in ear
have fever
*all these may indicate infection

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8
Q

ear infections usually follow

A

URI or cold

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9
Q

do you give antibiotics for all ear infections

A

no

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10
Q

what are the disorders of the nose and throat

A

nasopharyngitis
pharyngitis
tonsillitis and adenoids

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11
Q

describe nasopharyngitis

A

URI or common cold

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12
Q

how long do s/s of nasopharyngitis last

A

**may las 4-10 days (typical for viral)

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13
Q

when are you concerned about nasal secretions

A

when they are thick , yellow and green

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14
Q

symptoms of nasopharyngitis for infants <3 mos

A
  • lethargy
  • irritability
  • feeding poorly
  • fever
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15
Q

symptoms of nasopharyngitis for infants >3 mos

A

-fever
-V/D
sneezing
-anorexia
-irritability
-restlessness

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16
Q

symptoms of older children

A
  • dry irritated nose
  • chills/fever
  • generalized muscle aches
  • headaches
  • malaise
  • anorexia
  • sneezing and nasal discharge
17
Q

treatment for nasopharyngitis

A
  • room humidification may help/prevent nasal secretions
  • antipyretics (acetaminophen) decrease fever and give comfort
  • ibuprofen if >6 mos
  • no cure: no nose drops, but saline are okay
  • saline drops may be used every 3-4 hrs for infants esp before feeding
18
Q

when do you start to feel better after nasopharyngitis

A

need to start feeling better after 4 days
concerned if s/s for 10+ days, still have fever and not feeling better
(some type of infection ie/ ear, sinus, throat)

19
Q

when is pharyngitis viral or bacterial

A

** do throat culture (quick strep) to determine if viral or bacterial
sore throat is viral
strep throat is bacterial
-if negative quick strep, send out to be cultured to ensure no strep

20
Q

s/s of pharyngitis

A
  • enlarged red tonsils (exudate)
  • sore throat
  • headache
  • fever
  • abdominal pain
  • lymphadenopathy
21
Q

possible complications of pharyngitis

A

airway obstruction

peritonsillar abscess

22
Q

strep can lead to what if not treated

A

rheumatic fever

23
Q

treatment of strep

A

antibiotic (ensure takes full dose)

24
Q

treatment for pharyngitis

A
  • analgesic/antipyretic (acetaminophen and ibuprofen if >6 mos)
  • easy to swallow liquid (not citrus or will burn throat)
  • saltwater gargle, throat lozenges/spray
  • tonsillectomy
25
Q

describe post op control for tonsillectomy

A
  • sore throat 1 wk
  • observe bleeding (excessive swallowing)
  • do not cough/clear throat
  • avoid red fluids (do not give as you cannot determine if blood or juice)
26
Q

what is tonsillitis

A

infection of inflammation of palatine tonsils

27
Q

what are the adenoids

A

lymphatic tissue located on the psterior pharyngeal wall

28
Q

tonsillitis and adenoiditis is ____ or _____

A

viral or bacterial

29
Q

what is the treatment of tonsillitis and adenoiditis

A

symptomatic treatment, same as pharyngitis

30
Q

when are tonsillectomies recommended

A

if child has recurrent throat infections

31
Q

when do you do adenoidectomy

A

only if excessive snoring or sleep problems

32
Q

what are the expected outcomes of tonsillitis and adenoiditis

A
  • adequate food/fluids
  • pain/fever management
  • no postoperative care
  • complete healing
33
Q

what are the tonsil grade

A 
0: removed
\+1: barely visible
\+2: normal
\+3: large, almost touching
\+4: ginormous tonsils
34
Q

nursing diagnosis of tonsillitis and adenoiditis

A
  • acute pain
  • risk for deficit fluid volume
  • risk for ineffective breathing
  • impaired swallowing
  • deficit knowledge (parents)

PEDS (24 decks)

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