1750: Infection: Otitis and TB.

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What are the 3 types of Otitis; explain.

Serous
AOM
COM

Serous: obstructed e.tube; unequal pressure causes fluid from caps to mid-ear.

Acute: (usually after URI) edema in e.tube as a result of fluid accumulation which doesn't drain.

Chronic: permanent perforation or damage of eardrum as a result of recurring OM & dysfunctional e.tube.
What are the assessments for OM?
- Recent URI?
- Allergies? (expose Pts to SOM)
- Age?
- Attend daycare?
Upon Otoscope, what is the appearance of the eardrum?

What if the eardrum is perforated? (Pt usually notices no more pain).
- Dull or opaque (not transparent)
- Bulging or red
- Pus (sometimes), (green or yellow) behind eardrum.
Discharge may indicate perforation of eardrum.
What testing is done for a Serous OM?

a Tympanometry which subjects the external meatus to positive, normal, and negative pressure and monitoring the energy flow.
What are the s/sx of OM?
- anxiety
- infection w/ acute pain
- fatigue
With OM, what nursing diagnoses are they at risk for?
- caregiver role strain
- delayed growth
- disturbed sensory perception
*all related to (RT) hearing loss.
What are the actions/nursing interventions (Implement) for someone with OM?

Pharmacologic for children&adults

Which ear disease is not treated with antibiotics?

What are some NON-pharmacologic therapies?
- For children/adults:
- Amoxicillin.
- Use of mild analgesics: ibu & Tyl.
Serous OM not treated w/ antibiotics.
- Interventions include:
- Heat to affected side to relieve pain.
- Position on affected side to promote drainage.
- Report sudden pain relief.
Patient teaching.

What should you teach the parents/child?

Give rationales.
- No air travel.
- Avoid water in ear, nose blowing, heavy lifting/straining.

Author

xiongav

297056

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1750: Infection: Otitis and TB.

Description

Otitis & TB

Updated

2015-03-02T23:03:50Z

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