Nurs 629 Exam 3 (Maryville) VERIFIED 100% SOLUTIONS

Nurs 629 Exam 3 (Maryville) VERIFIED 100% SOLUTIONS Otitis media pathogens - ANSWER Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils Otitis media Symptoms: - ANSWER Fever, Pain, discharge from ear, tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI Objective findings in otitis media - ANSWER Red, bulging OM; Retracted with pus; no movement of TM, Inability to see landmarks; occasional hole in TM Treatment for AOM + Conjunctivitis d/t : H. Influenzae - ANSWER Amoxicillinclavulanate 80-90 mg/kg/day BID x 10 days Treatment for AOM d/t S. Pneumoniae (most common): - ANSWER Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose) Treatment for AOM with PCN Allergy: Non-Type 1: - ANSWER Cefdinir, Cefuroxime Treatment for AOM with PCN Allergy: Type 1: - ANSWER Azithromycin, clarithromycin OR Ceftriaxone 1-3 days Predisposing factors of otitis externa: - ANSWER Frequent moisture, local trauma, aggressive cleaning, Allergies/skin conditions Causative organisms for otitis externa: - ANSWER Psuedomonas aeruginosa (20- 60%); Staphylococcus Aureus (10-70%); 10% fungal infection Symptoms of otitis externa: - ANSWER Discharge from ear, recent history of swimming or placing something in the ear, low-grade fever, pain with movement of tragus, decreased hearing, redness around ear Objective findings of otitis externa: - ANSWER Otalgia ( inner or outer ear pain), discharge, fullness, itching, pain with movement of tragus, redness around ear, decreased hearing. Treatment of pain and therapeutic management of otitis externa: - ANSWER Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx applied to wick ) When to wick with otitis externa: - ANSWER If lumen is reduced to 50%, wicks can help ensure delivery of topical abx to medial canal. Treatment of otitis externa: - ANSWER Topical fluroquinolones (Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin b/hydrocortison otic (antibiotic/steroid) Hallmark sign of otitis externa: - ANSWER Traction of pinna elicits pain When do we begin hearing tests in clinic for children - ANSWER 4 years old What is a normal audiology test result and how are results read - ANSWER Normal -10 to +15 The higher the number, the greater the loss, Severe loss 71-90 (learning disability, limited vocabulary), Profound loss 90