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What are the 3 types of Otitis; explain.
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)
- 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?
- infection w/ acute pain
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:
- 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.
What should you teach the parents/child?
- No air travel.
- Avoid water in ear, nose blowing, heavy lifting/straining.