Maryville Nurs620 Exam 1 questions and answers well verifed by DOCWISE

-severe or sudden vision loss -sudden or intense eye pain -corneal ulceration -trauma to the eye -foreign body in the eye -herpetic infection of the eye- herpe, s complex- pain itching and rash devop -Contact lens user- if so what are their habits for cleaning and wearing? -Is there pain in the eye or discomfort such as dry and itchying -photophobia -difficulty keeping eye open -timing and character of eye discharge -any trauma or chemical splash -any other symptoms such as cold, ear pain, nasal drainage -family history of eye problems most important exam if a patient has eye complaint visual acuity- have them do with their glasses or contacts on. Blephritis inflammation of the eyelid, with redness, scailing, and crusting of the lid margins and eyelashes. Subjective- burning, itching, feels likes something is in the eye, crusting of eyelashes and eyelids. hordeolum (stye) -Acute onset, red, tender lump within the eyelid. -Involved infection or inflammation of the hair follicles along eyelid -caused by blocked or infected glands Hordeolum treatmen 3 Warm compresses for 10 minutes-4 times per day (to draw drainage out) Teach patient not to squeeze but allow to drain on its own Daily lid scrubs Antibiotics only for recurrent or resistant or presence of conjunctivitis: Erythromycin, polymixin B chalazion -Hordeolum that does not resolve and forms a granulated tissue - slow developing, painless, hard mass -can be pea sized nodules. -not an infection, its just a blocked gland Refer to optimologist if they persist. Difference between a hordeolum and Chalazion Primary difference is that a chalazion and hordeolum is that chalazia are a result of inflammation and hordeola or styes are infectious Hordeolum = acute, and often has eyelid swelling with it. chalazion= slow developing -redness -purulent discharge or thick and globular -unilateral at onset -eyes glued shut in the morning -eyelid edema Can wipe eye in office and if discharge immediately comes back it is a good indication it is bacterial Allergic conjuctivitis s/s -bilateral redness -watery discharge -intense itching -crusty in morning -history of allergic symptoms Treatment of allergic conjuctivitis -cold compresses -lubricating eye drops -antihystimines topical & systemic and decongestants, nsaids Success! DocWise 4 viral conjunctivitis s/s -gritty burning -morning crusting -watery discharge -unilateral onset then bilat 1-2 days treatment for viral conjunctivitis -antihistamine -lubricant drops -cool compresses corneal abrasion s/s -Eye pain -hesitant or unable to open eye -foreign body sensation suspecting corneal abrasion exam look for forign bodies with pen light and do fundoscopic exam, then if not seen proceed with fluorscein stain and colbalt blue filter. Glaucoma increased intraocular pressure results in damage to the retina and optic nerve with loss of vision. Asymotomatic until optic nerve damage is advanced will have a loss of peripheral vision and poor night vision, halos around lights. which common symptom would you find in opening open angel glaucoma: is its central vision loss, peripheral vision loss Loss of peripheral vision, poor night vision, halos around lights. closed angel glaucoma Sudden onset severe eye pain, vomiting, impaired vision and headache. May report seeing rainbow halos around lights. Will have corneal cloudiness with diffuse conjunctival hyperemia. Pupil may be moderately dilated and completely unresponsive to light. Refer to ophthalmologist immediately. macular degeneration breakdown or thinning of the tissues in the macula, resulting in partial or complete **loss of central vision refer to ophthalmologist Iritis/Uveitis