PNCB PREP MANAGEMENT – PROCEDURES

PNCB PREP: MANAGEMENT – PROCEDURES

Removal of cerumen is ONLY indicated when.... - Answer -Visualization of the External
Auditory Canal and Tympanic Membrane is necessary.

Cerumen can be removed by... - Answer -- Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES BEST
RESULTS)

Best results for cerumen removal are produced when.... - Answer -Irrigation with water
following instillation of a ceruminolytic agent

Common ceruminolytic agents include: - Answer -- Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water

Water based ceruminolytics.... - Answer -Disintegrate wax

Oil-based ceruminolytics... - Answer -Soften wax

Irrigation is contraindicated and should not be attempted if... - Answer -- If the tympanic
membrane is possibly perforated

OR

- If there are pressure-equalizing tubes in place

What anticipatory guidance is important for the provider to share with the parent prior to
removing cerumen? - Answer -Carefully explain the procedure to parents and inform
them that the ear canal is extremely sensitive and fragile and bleeds easily when
touched.

- this may prevent an adverse parent reaction when there is blood on the curette or in
the ear canal

Fluorescein Staining is used to determine and evaluate: - Answer -Corneal abrasions;
the extent and damage to the cornea or conjunctival epithelium as a result of trauma,
infection, or exposure to foreign body.

What is nursemaid's elbow? - Answer -Annular ligament displacement or subluxation of
the radial head