NR 545 EXAM QUESTIONS & CORRECT ANSWERS
Acute 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 )
- 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 1 / 2
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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