NURS 5335 family 2 Study Guide EENT Family
Nursing II Modules 1&2 Actual Exam Explore New
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Terms in this set (164)
Non-Ulcerative: A/W Blepharitis
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.
, TX: Warm compress; daily lid scrubs; erythromycin,
quinolone or bacitracin ophthalmic ointment for
anterior blepharitis.
Blepharitis treatment
Consider oral ABX for resistance (Doxycycline or
Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group? More common in children and adolescents
Localized tenderness, erythema,
edema of eyelids; internal
lesions pointing to external or
hordeolum s/s?
internal eyelid surface; external
lesions pointing to eyelid margin
Pain
Ocular rosacea differentials of hordeolum
Contact dermatitis,
Atopic Kerato-
conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,
blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
differentials of hordeolum
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
, Ocular burning, eyelid margins
red w/ scaling or crusting
Pain
Itching, tearing, chalazia,
blepharitis
recurrent styes, photophobia,
small ulceration at eyelid
margin, broken or absent
eyelashes
(stye) red, painful pustule that is
a localized infection of hair
follicle at eyelid margin. The
hordeolum
most common associated
organism is Staphylococcus
aureus
Hordeolum tx
TX: Warm compress; lid
scrubs for recurrent
lesions
a nodule or cyst, usually on the
upper eyelid, caused by an
chalazion obstruction in a sebaceous
gland A granulomatous infection
of a Meibomian gland
Nontender chronic Chalazion is More common in adults and S?S
lesions; bump
TX: Warm compress; daily Chalazion
lid scrubs; lid message;
intralesional steroid
injection
Refer to ophthalmology for
Conjunctivitis
viral herpetic conjunctivitis w/RED FLAGS
, Inflammation of the Conjunctivitis
conjunctiva covering the
front of the eye from a
causative agent (bacteria,
virus, allergen)
Allergic conjunctivitis is seen
more in Spring and Summer.
Conjunctivitis
Bacterial is seen more in
pediatric population.
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
Conjunctivitis
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
Pruritus; conjunctival hyperemia, chemosis; watery or
stringy discharge
Topical antihistamine/oral antihistamine or topical
vasoconstrictor decongestant antihistamine (OTC)
drops: o Naphazoline hydrochloride 0.025%
ALLERGIC: Conjunctivitis (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
Nursing II Modules 1&2 Actual Exam Explore New
(Latest Update) Real Questions and
Verified Answers | 100% Correct | Already Graded
A+
Save
Terms in this set (164)
Non-Ulcerative: A/W Blepharitis
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.
, TX: Warm compress; daily lid scrubs; erythromycin,
quinolone or bacitracin ophthalmic ointment for
anterior blepharitis.
Blepharitis treatment
Consider oral ABX for resistance (Doxycycline or
Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group? More common in children and adolescents
Localized tenderness, erythema,
edema of eyelids; internal
lesions pointing to external or
hordeolum s/s?
internal eyelid surface; external
lesions pointing to eyelid margin
Pain
Ocular rosacea differentials of hordeolum
Contact dermatitis,
Atopic Kerato-
conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,
blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
differentials of hordeolum
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
, Ocular burning, eyelid margins
red w/ scaling or crusting
Pain
Itching, tearing, chalazia,
blepharitis
recurrent styes, photophobia,
small ulceration at eyelid
margin, broken or absent
eyelashes
(stye) red, painful pustule that is
a localized infection of hair
follicle at eyelid margin. The
hordeolum
most common associated
organism is Staphylococcus
aureus
Hordeolum tx
TX: Warm compress; lid
scrubs for recurrent
lesions
a nodule or cyst, usually on the
upper eyelid, caused by an
chalazion obstruction in a sebaceous
gland A granulomatous infection
of a Meibomian gland
Nontender chronic Chalazion is More common in adults and S?S
lesions; bump
TX: Warm compress; daily Chalazion
lid scrubs; lid message;
intralesional steroid
injection
Refer to ophthalmology for
Conjunctivitis
viral herpetic conjunctivitis w/RED FLAGS
, Inflammation of the Conjunctivitis
conjunctiva covering the
front of the eye from a
causative agent (bacteria,
virus, allergen)
Allergic conjunctivitis is seen
more in Spring and Summer.
Conjunctivitis
Bacterial is seen more in
pediatric population.
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
Conjunctivitis
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
Pruritus; conjunctival hyperemia, chemosis; watery or
stringy discharge
Topical antihistamine/oral antihistamine or topical
vasoconstrictor decongestant antihistamine (OTC)
drops: o Naphazoline hydrochloride 0.025%
ALLERGIC: Conjunctivitis (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
