Flashcards in Eye/ Ear Deck (32)
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1
Refractive Errors
Non-surgical corrections
- Corrective lenses
- Contacts
Surgical corrections
- PRK
-LASIK
2
Infections/ Inflammatory Eye Disorders: Nursing Care
Assessment
- Symptoms: local, systemic
- Structures of the eye
- Vision/ corrective lens use (Snellen chart; Rosenbaum chart)
- Injury, exposure
3
Infections/ Inflammatory Eye Disorders: Medications
Topical anti-infectives
Antihistamines
Corticosteroids
Mydriatics
4
Infections/ Inflammatory Eye Disorders: Nursing Care
Nursing Diagnoses
- Risk for disturbed sensory perception: visual r/t diminished or absent vision
- Pain r/t irritation or infection
- Risk for injury r/t altered visual acuity
5
Infections/ Inflammatory Eye Disorders: Nursing Care
Evaluation
- Eye appearance/ vision
- Client's psychomotor skills (eyedrops, contact lens care, eye cleansing)
- Vision
- Client and/or family are able to verbalize:
Prevention
Irrigation procedure
Medications
Patches
Intraocular pressure
6
Cataracts
Opthalamoscopic exam
- Lens changes; loss of red reflex
Elective surgery
- Lens removal
- Intraocular lens implant
7
Eye Surgery - Nursing Care
Preoperative care
- Routine preop care
- Assessing vision
- Reinforcement of postop restrictions
Postoperative care
- VS, pain control
- Dressings/ patch/ shield
- Positioning
- Prevent increase in intraocular pressure
- Report sudden eye pain
8
Glaucoma
Diagnostic tests:
- Tonometry
- Gonioscopy
Drug Therapy
Surgery
- Laser trabeculoplast
- Cyclocryotherapy
- Laser iridotomy
9
Glaucoma - Nursing Care
Assessment
- Identify clients at risk
- Changes in vision
- Family Hx of glaucoma
- Inspection of eye structures
- Visual fields
10
Glaucoma: Medications
Adrenergic Agonists
- Iopidine
Beta blockers
- Betagan
- Timoptic
Prostaglandin analogs
- Xalatan
Carbonic anhydrase inhibitors
- Diamox
11
Glaucoma: Nursing Care
Diagnoses
- Ineffective Health Maintenance r/t inconvenience and side effects of medication
- Risk for injury r/t visual acuity deficits
- Anxiety r/t loss of vision
12
Detached Retina: Nursing Care
Assessment
- Sudden changes in vision
- Client knowledge level
- Treatment planned
13
Detached Reinta: Treatment
Positioning
Air into vitreous cavity
Laser or cryotherapy
Scleral buckling
14
Detached Retina: Nursing Care
Diagnoses
- Ineffective tissue perfusion: retinal
- Anxiety
15
Eye Trauma: Nursing Cre
Assessment:
- Type of trauma: corneal abrasion, burns, perforations, trauma
- Vision
- Pain
16
Eye Trauma
Eye inspection/ examination
Fluorescein staining
Opthalamoscopic examination
Facial x-rays/ CT scan
Eye irrigation
Surgery
17
Eye Trauma: Nursing Care
Diagnoses:
- Impaired tissue integrity: ocular
- Pain
- Anxiety
18
Ear Surgery: Nursing Care
Assessment:
- Symptoms: onset, duration
- URI history
- Pain: exacerbating/ alleviating factors
- Hearing
- Visual inspection: otoscope
19
Otitis Media: Pharmacology
Decongestants
Antibiotics
Analgesics
20
Otitis Media: Surgical Interventions
Tympanocentesis
Myringotomy & tympanostomy (tubes)
Mastoidectomy
21
Ear Surgery: Nursing Care
Preoperative Care
- Routine preop care
- Assess hearing
- Plan communication strategies
- Explain postop restrictions
22
Ear Surgery: Nursing Care
Postoperative care
- Assess bleeding/ drainage/ hearing
- Control nausea
- Positioning
- Safety
- Home care instructions
23
Ear Surgery: Nursing Care
Diagnoses
- Pain
- Deficient knowledge: antibiotic therapy
- Impaired tissue integrity
24
Inner Ear Disorders: Nursing Care
Assessment
- Balance/ safety
- Hearing
- Nystagmus
- Nutritional status
- Sleep/ rest/ activity
25
Inner Ear Disorders
Diagnostic testing
- Electromystagmography
- X-rays/ CT scan
- Glycerol test
Pharmacology
- Antihistamines
- Anticholinergics
- Benzodiazepines
26
Inner Ear Disorders: Treatmentq
Symptom management
Control environmental stimuli
Bed rest; decreased movement
Dietary changes, tobacco, alcohol, caffeine
Surgery
27
Inner Ear Disorders: Nursing Care
Diagnoses
- Risk for trauma
- Disturbed sleep pattern
28
Hearing Loss
Diagnostic tests:
- Rinne test; Weber test
- Audiometry
Treatment:
- Amplification (Hearing aid; pocket talkers)
Surgery:
- Cochlear implant
29
Hearing Loss
Assess:
- Obstruction of the ear canal
- Perforated eardrum
- Damage to ossicles
- Fluid/ scarring/ tumors
- Trauma/ infection
- Meniere's disease
- Ototoxic medications
- Noise exposure: major cause
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