MDC III Exam 2
Neck Cancer - S/S
- hoarseness or change in voice quality
- mouth sores, lumps
- leukoplakia (white patchy lesions)
- dysphagia
- dyspnea
- erythroplakia (red, velvety lesions)
- persistent sore throat/cough
- neck pain, lump in mouth- throat- neck
- persistent or unexplained oral bleeding
- numbness of face, mouth, & lips, SOB
- UNILATERAL ear pain
- systemic symptoms (anorexia, weight loss)
Treatment
- radiation therapy
- chemotherapy
- biotherapy
- surgical intervention
Interventions
- maintaining the airway and gas exchange
- managing the wound
- managing pain
,- maintaining nutrition
- promoting communication
- preventing aspiration
- supporting self-esteem
Teaching Regarding Treatment
- radiation: nutritional deficiencies, xerostomia (dry mouth), stomatitis, hoarseness
- protect skin after treatment, avoid acidic foods, antiemetics
- chemotherapy
- first priorities are airway maintenance and gas exchange
- stress reduction
- speech and language rehab
- stoma care - protection
- smoking cessation
Rhinosinusitis - S/S
- pain over the cheek radiating to teeth
- sinus tenderness
- postnasal drip, sore throat, fever, erythema
- nasal swelling, congestion, cough, nasal drainage (bloody or purulent)
- h/a, facial pressure, pain, tenderness to areas involved
- LOW grade fever
- prodromal symptoms: symptoms that can be anything
Treatment
, - broad-spectrum antibiotics
- analgesics
- decongestants
- intranasal steroid spray
- steam humidification
- hot/wet packs over sinuses
- nasal saline irrigants
- ^ fluids
Diagnosis
- inflamm. of sinus mucous membranes - caused by
Streptococcus pneumoniae, Haemophilus influenzae, Diplococcus, Bacteroides
- physical exam: infection for 10 days (s/s), sick then a little better then worsens
- endoscopic examination, CT scan, NOT x-ray
Nasal Fractures - S/S
- deviation, misaligned bridge, bruising, pain,
Treatment
- closed reduction: reduce or move the bone back into its normal alignment.
- rhinoplasty
- nasal septoplasty: reconstructive surgery
Interventions
- do NOT pack - it can displace the bone
Neck Cancer - S/S
- hoarseness or change in voice quality
- mouth sores, lumps
- leukoplakia (white patchy lesions)
- dysphagia
- dyspnea
- erythroplakia (red, velvety lesions)
- persistent sore throat/cough
- neck pain, lump in mouth- throat- neck
- persistent or unexplained oral bleeding
- numbness of face, mouth, & lips, SOB
- UNILATERAL ear pain
- systemic symptoms (anorexia, weight loss)
Treatment
- radiation therapy
- chemotherapy
- biotherapy
- surgical intervention
Interventions
- maintaining the airway and gas exchange
- managing the wound
- managing pain
,- maintaining nutrition
- promoting communication
- preventing aspiration
- supporting self-esteem
Teaching Regarding Treatment
- radiation: nutritional deficiencies, xerostomia (dry mouth), stomatitis, hoarseness
- protect skin after treatment, avoid acidic foods, antiemetics
- chemotherapy
- first priorities are airway maintenance and gas exchange
- stress reduction
- speech and language rehab
- stoma care - protection
- smoking cessation
Rhinosinusitis - S/S
- pain over the cheek radiating to teeth
- sinus tenderness
- postnasal drip, sore throat, fever, erythema
- nasal swelling, congestion, cough, nasal drainage (bloody or purulent)
- h/a, facial pressure, pain, tenderness to areas involved
- LOW grade fever
- prodromal symptoms: symptoms that can be anything
Treatment
, - broad-spectrum antibiotics
- analgesics
- decongestants
- intranasal steroid spray
- steam humidification
- hot/wet packs over sinuses
- nasal saline irrigants
- ^ fluids
Diagnosis
- inflamm. of sinus mucous membranes - caused by
Streptococcus pneumoniae, Haemophilus influenzae, Diplococcus, Bacteroides
- physical exam: infection for 10 days (s/s), sick then a little better then worsens
- endoscopic examination, CT scan, NOT x-ray
Nasal Fractures - S/S
- deviation, misaligned bridge, bruising, pain,
Treatment
- closed reduction: reduce or move the bone back into its normal alignment.
- rhinoplasty
- nasal septoplasty: reconstructive surgery
Interventions
- do NOT pack - it can displace the bone
