Final 47 Flashcards Preview

Med Surge 2 > Final 47 > Flashcards

Flashcards in Final 47 Deck (30):
1

Entropion

Turning inward of the lashes
Spasm
Scarring
Deformity
Trauma

2

Ectropion

Turning outward and sagging of the eyelid
Aging
Drying, ulcers

3

Hordeolum

Stye
Infection of eyelid sweat glands-internal or external
Warm compress
Ointment, opens and drains
More painful

4

Chalazion

Inflammation of sebaceous glands in eyelid
Eye fatigue
Light sensitivity excessive tears
Warm compress 4 times a day
Ointment
Less painful

5

Keratoconjuncitivits sicca

Dry eye syndrome
Drugs-antihistamine, anticholenergic, beta adrenergic
Diseases- RA, leukemia, sojourns

6

Conjunctival hemorrhage

Small well defined area of bright red hemorrhage under conjunctiva
No pain
No visual impairment
Resolved in 14 days without treatment

7

Conjunctival hemorrhage causes

HTN, trauma, clotting problem, increased pressure

8

Alllergic conjunctivitis treatment

Vasoconstrictors
Corticosteroids

9

Allergic or infectious conjunctivitis?

Culture drainage

10

Trachoma

Chronic conjunctivitis caused by chlamydia trachmatis
Scars conjunctiva- preventable blindness

11

Corneal abrasion

Scrape or scratch injury of the cornea

12

Corneal ulceration

Infection of corneal abrasion
Emergency! Can permanently impair vision

13

Keratoconus

Degeneration of corneal tissue, result abnormal shape.
Corneal transplant

14

Keratoplasty

Corneal transplant
Antibiotic injections in eye
Protective pressure patch
Check vitals, report BP
Lay on operative side
Check dressing
Prevent activities that increase IOP

15

Eye donors

Must be free of infectious disease or cancer at time of death

16

Care of potential eye donors

Elevate HOB 30 degrees
Apply antibiotic eye drops
Close eyelids, small ice pack

17

Cataract

Lens looses h2o
Increased density
Becomes opaque

18

Cataract image

Distorted image on retina
Early- slightly blurred and decreased color perception

19

Cataract surgery

Affects ADLs
Drops several times per day for 2-4 weeks
No anticoagulants
Eye drops instilled prior to surgery for paralysis

20

Phacoemulsification

Sound waves break up lens, then suction out
New intraoccular lens

21

Postoperative

Antibiotics given subconjunctivally
Unpatched
Normal discharge within 1 hour
Dark glasses
Mild itching normal
PAIN indicates complications
Reduce IOP
Prevent infection
Bleeding?

22

Glaucoma

Increased ocular pressure
Cupping and atrophy of optic disc

23

Glaucoma symptoms

Headache
Brow pain
N&V
Colored halos around lights
Sudden blurred vision with decreased light perception

24

Types of glaucoma

Primary open- angle (common)
Angle-closure glaucoma (emergency)

25

Tonometry

Measures IOP

26

Perimetry

Screen visual fields

27

Gonioscopy

Differentiates between open or closed glaucoma

28

Optic nerve imaging

3-D view of back of eye
Used for those with increased risk for glaucoma

29

Glaucoma teaching

Only benefit from drugs with scheduled dosing. Do not miss!!!

30

Macular degeneration

Impairment of central vision