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NR 545 EXAM QUESTIONS & CORRECT ANSWERS
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NR 545 EXAM QUESTIONS & CORRECT ANSWERS / NR 545 EXAM QUESTIONS & CORRECT ANSWERS
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NR 545 EXAM QUESTIONS & CORRECT ANSWERSAcute Otitis Media (AOM)
Infection of the middle ear.
Auditory tube obstructed by inflammation preventing drainage of fluid into the
pharynx.
Prolonged infection leads to scare tissues, adhesion, conductive hearing loss.
Acute Otitis Media (AOM) Signs and Symp
Upper respiratory infection ( bacterial or viral )
S. aureaus, H.influenza, S. pnemoniae
Rhinitis (nasal drainage/congestion)
Congestion
feeling of Fullness
nausea
fever
What tube is part of the middle ear ?
Eustachician tubes drain within nasal cavity and the middle ear.
It is closed off to the outer ear by tympanic membrane.
what is Otalagia? how is it seen?
Ear pain- tugging/rubbing
Hearing loss
Draining if drum is perf.
Fever is shown in 1/3 of those with AOM
Fussiness
Diagnosis for AOM
TM can be red, yellow, white, opaque.
Bulgging of the TM is the better hallmark than redness
Immobility
what exam is done for AOM ?
Otoscopic exam
, Treatment for AOM
Amoxicillin (bacterial therapy) w/o PNC Allergy and recent beta-lactam Tx.
Amoxicillin/Clavulanate (increased risk of resistance or unresponsive to
amoxicillin).
Pain management for AOM
Acetaminophen
Ibuprofen
Topical Benzocaine and lidocaine (Kids older than 2yrs)
Otitis Externa (swimmers ear)
infection of the external auditory canal and pinna
Bacterial (common) or Fungal
Swimming, cleaning the ear, ear plugs
Otitis Externa Sign and symptoms
Pain increased with movement of pinna
Purulent discharge
Hearing deficit
Otitis Externa Treatment
Antibiotics
NSAIDS
Steroids
Conductive hearing loss Signs and symptoms
Sound blocked in the eternal and middle ear.
Caused by accumulation of wax or foreign object in canal blocking sound waves,
scare tissues, adhesions.
Ear pain- tugging/rubbing
Hearing loss
Draining if drum is perf.
Fever is shown in 1/3 of those with AOM
Fussiness
Sensorineural hearing loss
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