NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with psoriasis,
seborrhea, eczema, allergies and lice. Chemical and environmental irritants contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the eyelid.May be pustules at
the base of the hair follicle that crust & bleed.Lashes break easy. - correct answer Blepharitis
Blepharitis treatment - correct answer TX: Warm compress; daily lid scrubs; erythromycin,
quinolone or bacitracin ophthalmic ointment for anterior blepharitis.
Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group? - correct answer More common in children and adolescents
hordeolum s/s? - correct answer Localized tenderness, erythema, edema of eyelids; internal
lesions pointing to external or internal eyelid surface; external lesions pointing to eyelid margin
Pain
Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis, - correct answer differentials of hordeolum
differentials of hordeolum - correct answer blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
,NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
blepharitis - correct answer Ocular burning, eyelid margins red w/ scaling or crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin,
broken or absent eyelashes
hordeolum - correct answer (stye) red, painful pustule that is a localized infection of hair
follicle at eyelid margin. The most common associated organism is Staphylococcus aureus
TX: Warm compress; lid scrubs for recurrent lesions - correct answer Hordeolum tx
chalazion - correct answer a nodule or cyst, usually on the upper eyelid, caused by an
obstruction in a sebaceous gland A granulomatous infection of a Meibomian gland
Nontender chronic lesions; bump - correct answer Chalazion is More common in adults and
S?S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection - correct
answer Chalazion
Conjunctivitis - correct answer Refer to ophthalmology for
viral herpetic conjunctivitis w/RED FLAGS
Inflammation of the conjunctiva covering the front of the eye from a causative agent (bacteria,
virus, allergen) - correct answer Conjunctivitis
Conjunctivitis - correct answer Allergic conjunctivitis is seen more in Spring and Summer.
Bacterial is seen more in pediatric population.
Conjunctivitis - correct answer ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery
or stringy discharge
BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash mattering;
edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
VIRAL: Acute onset often A/W systemic illness; photophobia or foreign body sensation;
preauricular adenopathy; hyperemia; chemosis; watery discharge; classic dendritic corneal
lesion present w/ herpes simplex; periocular lesions present w/ herpes zoster opthalmicus
, NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
ALLERGIC: Conjunctivitis - correct answer Pruritus; conjunctival hyperemia, chemosis; watery
or stringy discharge
Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant antihistamine
(OTC) drops: o Naphazoline hydrochloride 0.025% (Naphcon-A) o Naphazoline- antazoline 0.3%
(Vasocon-A) o Levocabastine hydrochloride 0.05% (Livostin) o Emedastine 0.05% (Emadine)
mast cell stabilizers: o Olopatadine 0.1% (Palatal) o Azelastine 0.05% (Optivar) 1st line =
prevention; avoid whatever allergen is triggering conjunctivitis
BACTERIAL:Conjunctivitis - correct answer Photophobia w/ blepharospasm; mucopurulent
discharge w/ eyelash mattering; edema; hyperemia; preauricular adenopathy only w/
hyperacute disorder
Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers),
gonorrhea ****Staph aureus (more common in adults)
Eye drops or ointment:
o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o Sodium
sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o Ointment over
drops for children
VIRAL:conjunctivitis - correct answer the second eye usually infected after 24-48 hrs
itchy eyes.
Tearing.
Redness.
Discharge.
Sandy, gritty
Light sensitivity (when corneal involvement is present)
TX: Antihistamine/decongestant drops o Trifluridine (herpes conjunctivitis)
enlarged or tender preauricular node; initially unilateral, then bilateral caused from
adenoviruses, coxsackie virus, varicella, herpes, and herpes zoster § fluorescein stain=
dendrites-----****Referral to opthamologist
Red flags in conjunctivitis: - correct answer Diminished visual acuity, photophobia, severe
foreign body sensation preventing pt from keeping eye open, corneal opacity, fixed pupil, or
severe HA with nausea
Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with psoriasis,
seborrhea, eczema, allergies and lice. Chemical and environmental irritants contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the eyelid.May be pustules at
the base of the hair follicle that crust & bleed.Lashes break easy. - correct answer Blepharitis
Blepharitis treatment - correct answer TX: Warm compress; daily lid scrubs; erythromycin,
quinolone or bacitracin ophthalmic ointment for anterior blepharitis.
Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group? - correct answer More common in children and adolescents
hordeolum s/s? - correct answer Localized tenderness, erythema, edema of eyelids; internal
lesions pointing to external or internal eyelid surface; external lesions pointing to eyelid margin
Pain
Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis, - correct answer differentials of hordeolum
differentials of hordeolum - correct answer blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
,NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
blepharitis - correct answer Ocular burning, eyelid margins red w/ scaling or crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin,
broken or absent eyelashes
hordeolum - correct answer (stye) red, painful pustule that is a localized infection of hair
follicle at eyelid margin. The most common associated organism is Staphylococcus aureus
TX: Warm compress; lid scrubs for recurrent lesions - correct answer Hordeolum tx
chalazion - correct answer a nodule or cyst, usually on the upper eyelid, caused by an
obstruction in a sebaceous gland A granulomatous infection of a Meibomian gland
Nontender chronic lesions; bump - correct answer Chalazion is More common in adults and
S?S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection - correct
answer Chalazion
Conjunctivitis - correct answer Refer to ophthalmology for
viral herpetic conjunctivitis w/RED FLAGS
Inflammation of the conjunctiva covering the front of the eye from a causative agent (bacteria,
virus, allergen) - correct answer Conjunctivitis
Conjunctivitis - correct answer Allergic conjunctivitis is seen more in Spring and Summer.
Bacterial is seen more in pediatric population.
Conjunctivitis - correct answer ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery
or stringy discharge
BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash mattering;
edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
VIRAL: Acute onset often A/W systemic illness; photophobia or foreign body sensation;
preauricular adenopathy; hyperemia; chemosis; watery discharge; classic dendritic corneal
lesion present w/ herpes simplex; periocular lesions present w/ herpes zoster opthalmicus
, NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
ALLERGIC: Conjunctivitis - correct answer Pruritus; conjunctival hyperemia, chemosis; watery
or stringy discharge
Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant antihistamine
(OTC) drops: o Naphazoline hydrochloride 0.025% (Naphcon-A) o Naphazoline- antazoline 0.3%
(Vasocon-A) o Levocabastine hydrochloride 0.05% (Livostin) o Emedastine 0.05% (Emadine)
mast cell stabilizers: o Olopatadine 0.1% (Palatal) o Azelastine 0.05% (Optivar) 1st line =
prevention; avoid whatever allergen is triggering conjunctivitis
BACTERIAL:Conjunctivitis - correct answer Photophobia w/ blepharospasm; mucopurulent
discharge w/ eyelash mattering; edema; hyperemia; preauricular adenopathy only w/
hyperacute disorder
Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers),
gonorrhea ****Staph aureus (more common in adults)
Eye drops or ointment:
o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o Sodium
sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o Ointment over
drops for children
VIRAL:conjunctivitis - correct answer the second eye usually infected after 24-48 hrs
itchy eyes.
Tearing.
Redness.
Discharge.
Sandy, gritty
Light sensitivity (when corneal involvement is present)
TX: Antihistamine/decongestant drops o Trifluridine (herpes conjunctivitis)
enlarged or tender preauricular node; initially unilateral, then bilateral caused from
adenoviruses, coxsackie virus, varicella, herpes, and herpes zoster § fluorescein stain=
dendrites-----****Referral to opthamologist
Red flags in conjunctivitis: - correct answer Diminished visual acuity, photophobia, severe
foreign body sensation preventing pt from keeping eye open, corneal opacity, fixed pupil, or
severe HA with nausea
