NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2
Non-Ulcerative: A/W 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 Meibom...
nurs 5335 family 2 study guide eent family nursing ii modules 1amp2
non ulcerative aw seborrhea seen commonly with trisomy 21 affects those with psoriasis
allergies and lice
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NURS 5335 Family 2 (NURS5335)
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NURS 5335 family 2 Study Guide EENT
Family Nursing II Modules 1&2
Non-Ulcerative: A/W 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.
- Blepharitis
Blepharitis treatment
- TX: Warm compress; daily lid scrubs; erythromycin, quinolone or bacitracin ophthalmic
ointment for anterior blepharitis.
Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group?
- More common in children and adolescents
hordeolum s/s?
- Localized tenderness, erythema, edema of eyelids; internal lesions pointing to external or
internal eyelid surface; external lesions pointing to eyelid margin
Pain
blepharitis - Ocular burning, eyelid margins red w/ scaling or crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin, broken
or absent eyelashes
hordeolum - (stye) red, painful pustule that is a localized infection of hair follicle at eyelid
margin. The most common associated organism is Staphylococcus aureus
TX: Warm compress; lid scrubs for recurrent lesions - Hordeolum tx
chalazion - a nodule or cyst, usually on the upper eyelid, caused by an obstruction in a sebaceous
gland A granulomatous infection of a Meibomian gland
Nontender chronic lesions; bump - Chalazion is More common in adults and S?S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection - Chalazion
Conjunctivitis - Refer to ophthalmology for
viral herpetic conjunctivitis w/RED FLAGS
Inflammation of the conjunctiva covering the front of the eye from a causative agent (bacteria,
virus, allergen) - Conjunctivitis
Conjunctivitis - Allergic conjunctivitis is seen more in Spring and Summer.
Bacterial is seen more in pediatric population.
Conjunctivitis - ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery or stringy
discharge
, ALLERGIC: Conjunctivitis - Pruritus; conjunctival hyperemia, chemosis; watery or stringy
discharge
Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant antihistamine
(OTC) drops: o Naphazoline hydrochloride 0.025% (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
BACTERIAL:Conjunctivitis - Photophobia w/ blepharospasm; mucopurulent discharge w/
eyelash mattering; edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers), gonorrhea
****Staph aureus (more common in adults)
Eye drops or ointment:
o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o Sodium
sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o Ointment over
drops for children
VIRAL:conjunctivitis - the second eye usually infected after 24-48 hrs
itchy eyes.
Tearing.
Redness.
Discharge.
Sandy, gritty
Light sensitivity (when corneal involvement is present)
TX: Antihistamine/decongestant drops o Trifluridine (herpes conjunctivitis)
enlarged or tender preauricular node; initially unilateral, then bilateral caused from adenoviruses,
coxsackie virus, varicella, herpes, and herpes zoster § fluorescein stain= dendrites-----
****Referral to opthamologist
Red flags in conjunctivitis: - Diminished visual acuity, photophobia, severe foreign body
sensation preventing pt from keeping eye open, corneal opacity, fixed pupil, or severe HA with
nausea
corneal abrasion - Partial or complete defect in the epithelial layer of cells after traumatic event
or overexposure to sunlight
Corneal Abrasion
Fluorescein stain, C&S for - Overexposure to sunlight, sports, failure to wear eye protection
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