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NURS 6550 FINAL EXAM NEW 2024 exam with verified
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NURS 6550 Midterm Study Guide 1
, MIDTERM STUDY GUIDE
NURS 6550 Acute Care Study Guide for midterm
Terry Hudgins, EdD
* Open angle glaucoma
the angle in your eye where the iris meets the cornea is as wide and open as it should
be, but the eye's drainage canals become clogged over time, causing an increase in
internal eye pressure and subsequent damage to the optic nerve
* Metal FB in eye
attempt to irrigate
ophthalmology should be consulted for removal
pt with rust ring should be treat like pts with corneal abrasions
topical abx ointment is better than drops
pt that wear contact lens should have pseudomonas coverage (ciprofloxacin, ofloxacin,
tobramycin, or gentamicin)
no contacts: erythromycin
pain control: varies according to size
* Penetrating eye injury
do not force eyelids open (pressure can cause extrusion of ocular contents)
do not attempt to remove
NPO
Analgesia (If opiates are required consider concurrent antiemetic as vomiting increases
intraocular pressure and may cause expulsion of ocular contents. Use ondansetron rather
than agents which may precipitate dystonic reactions.) Notify ophthalmology
image the orbit (X-ray or CT) in cases where an intra-ocular foreign body is suspected.
* Corneal abrasions
a scratch or cut on the outermost surface of the cornea, the epithelium
painful bc of the many nerve terminations
most are superficial and heal spontaneously
larger abrasions are treated with abx drops or ointment
patches are sometimes used to decrease the pain and promote healing
do not keep patch on over 24 hours at a time
* Orbital cellulitis
infection involving the contents of the orbit (fat and ocular muscles)
NURS 6550 Midterm Study Guide 2
, MIDTERM STUDY GUIDE
NURS 6550 Acute Care Study Guide for midterm
Terry Hudgins, EdD
most common cause bacterial rhinosinusitisother causes: ophthalmic surgery,
peribulbar anesthesia, orbital trauma, dacryocystitis, infection of the teeth, ear, or face, an
infected mucocele that erodes into orbit pain with eye movements, proptosis, and
ophthalmoplegia with diplopia.
NURS 6550 Midterm Study Guide 3
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