sensory: ears

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Author:
Michelle25
ID:
71327
Filename:
sensory: ears
Updated:
2011-03-07 16:28:48
Tags:
med surg
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Description:
med surg
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  1. Surgical perforation of tympanic membrane to allow for drainage of middle ear fluids and alleviate pain
    Myringotomy
  2. Surgery performed to reconstruct a perforated tympanic membrane (eardrum) or the small
    bones of the middle ear. Eardrum perforation may result from chronic infection.
    Tympanoplasty
  3. _________: surgery on inner ear bones/tympanic membrane
    Tympanoplasty
  4. Surgery on inner ear bones
    Ossiculoplasty
  5. Preop teaching for surgical treatments for ears?
    • Avoid colds
    • Adequate rest
    • Balanced diet
    • Adequate fluids
    • Antibiotic drops
    • Teach deep breathing but avoid harsh coughing
  6. Post op teaching for surgical ear treatments
    • initial hearing diminished due to packing
    • keep dressing clean & dry
    • keep client flat with operative ear up for at least 12 hours
    • antibiotics
    • may return to work in 3 weeks
  7. * Acute or chronic usually results from untreated or inadequately treated acute or chronic otitis media
    * Swelling behind ear and pain with movement of head
    * Cellulitis on skin or over mastoid process
    * Red, dull, thick, immobile tympanic membrane
    * Tender or enlarged postauricular lymph glands
    * Low fever, malaise, anorexia
    Mastoiditis
  8. - Simple or radial often done with a tympanoplasty& ossiculoplasty
    - Complications: cranial nerve damage to 6 and 7, meningitis, brain absceses, chronic purulent otitis media, wound infections and vertigo
    Mastoidectomy
  9. Hearing post op
    • If stapes removed or dislodged = heairng lost
    • Stapes or cochlea not removed or disturbed= hearing is regained
    • Hearing aid may be required
    • Normal to hear popping and crackling sound in ear for 3-5 weeks
  10. _________: examination of anterior ocular structures under a microscope (narrow beam of light illuminates small segments of eye, advise client about brightness of the light)
    slit lamp

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