chamberlain university nr 602 primary care of the childbearing and childrearing family practicum
Written for
NR 602
All documents for this subject (1538)
Seller
Follow
QuizPlus
Reviews received
Content preview
MIDTERM STUDY GUIDE: PART-1
Chamberlain College of Nursing, Course Code: NR602 ,Course Title:
Primary Care of the Childbearing and Childrearing Family
TOPICS Covered
o Chalazions
o Blepharitis
o Conjunctivitis
o Hand-foot-mouth syndrome
o Strep pharyngitis
o Kawasaki disease
o Rheumatic fever
o Milia
o Port-wine stain/Nevus flammeus
o Salmon patch
o Café-au lait spot
o Impetigo
o Molluscum Contagiosum
o Verruca Vulgaris
o Herpetic Whitlow
CHALAZIONS – Benign, chronic lipogranulomatous inflammation of the eyelid
Causes – blockage of the meibomian cyst
Risk – hordeolum or any condition which may impede flow through the
meibomian gland. Also mite species that reside in lash follicles
Assessment – PAINLESS, NOT INVOLVING LASHES
Lid edema, or palpable mass
, Red or grey mass on the inner aspect of lid margin
Prevention – good eye hygiene
Treatment – warm, moist compresses 3x per day
Antibiotics not indicated because chalazion is granulomatous
condition, if secondarily infected consider SULFACETAMIDE, ERYTHROMYCIN
Follow up – 2-4 weeks, if still present after 6 weeks follow up with
ophthalmologist
BLEPHARITIS – Inflamation/infection of the lid margins (chronic problem)
2 types – seborrheic (non ulcerative) : irritants (smoke, make up, chemicals)
s&s – chronic inflammation of the eyelid, erythema, greasy
scaling of anterior eyelid, loss of eyelashes, seborrhea dermatitis of eyebrows and
scalp
Ulcerative- infection with staphylococcus or streptococcus
s&s – itching, tearing, recurrent styes, chalazia,
photophobia, small ulceration at eyelid margin, broken or absent eyelashes
the most frequent complaint is ongoing eye irritation and conjunctiva
redness
Treatment – clean with baby shampoo 2-4 times a day, warm compresses, lid
massage (right after warm compress)
,For infected eyelids – antistaphyloccocal antibiotics BACITRACIN, ERYTHROMYCIN
0.05% for 1 week AND QUIONOLONE OINTMENTS
For infection resistant to topical – TETRACYCLINE 250 MG PO X4
DOXYCYCLINE 100 MG PO X2
CONJUCTIVITIS – inflammation or irritation of conjuctiva
Bacterial (PINK EYE) – in peds bacteria is the mosts common cause, contact
lens, rubbing eyes, trauma,
S&S – purulent exudate, initially unilateral, then bilateral
Sensation of having foreign body in the eye is common
Key findings – redness, yellow green, puru,ent discharge, crust and matted eyelids
in am
Self limiting 5-7 days. Eye drops – polytrim, erythromycin, tobramycin or cipro
Improvement 2-4 days
Most common organism H. influenza <7
Viral– adenovirus, coxsackie virus, herpes, molluscum
S&S – profuse tearing, mucous discharge, burning, concurrent URI,
enlarged or tender preauricular nose
Antihistamines/decongestant
Improvement, self limiting, 7-14 days
Chlamydial – chlamydia trachomatis
S&S – profuse exudate, associated with genitourinary symptoms, 1-2
weeks after birth
Gonococcal – 2-4 days after birth, most concern can cause blidness
PO azithromycin, doxycycline (tetracyclines increase photosensitivity, don’t use in
pregnancy)
, Improvement 2-3 weeks
Allergic – IgE mast cell reaction, environmental, cosmetics
S&S – marked conjuctival edema, severe itching, tearing, sneezing
Topical antihistamine or topical steroids
Improvement 2-3 days
Chemical –thimerosal, erythromycin, silver nitrate
S&S conjuctival erythema, 30 minutes afer prophylactic antibiotics drops
Avoid contact
Can consider steroids
Conjunctivitis never accompany vision changes
Diagnostic studies: swap and scraping must be done, gram and Giemsa staining,
ELISA, PCR testing, newborn < 2 weeks needs to be tested for gonorrhea
Non –pharm – clean towels, change pillows, warm compress, no contacts, no eye
make up – mascara
Gonococcal conjunctivitis: newborn – give Ceftriaaxone IM once (don’t give if
hyperbilirubinemia,
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QuizPlus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
