EYE/EAR exqm 2 medsurg

retinal detachment

black spots then a curtain, no pain, urgent surgery

otosclerosis

conductive hearing loss, surgery is stapedectomy, teach patient to cough or sneeze with mouth open

impacted cerumen/ foreign body

curved, narrow, shaped of canal making it vulnerable to obstruction

safety with hearing and visual impairments

decreases

age related macular degeneration (nonexudative)

dry, 90% of cases, gradual onset

ectropion

eversion of eyelid

main tx of acute conjunctivitis

hand washing

otitis externa

inflammation of external ear

blepharitis

inflammation of glands on margins of eyelid (crusty/itchy)

chalazion

inflammation of meibomian gland

serous otitis media

inflammation/infection of middle ear, popping in ear

entropion

inversion of eyelid

tx for meniere's disease

meclizine hydrochloride, low sodium diet, avoid sudden movements

otitis media acute

myringotomy= avoid getting water in ear

eye trauma/injury

patch both eyes

glaucoma

peripheral vision loss, life long therapies, avoid med and positions that increase eye pressure

acute conjunctivitis

pink eye, highly contagious

cataract surgery

raise HOB 30, lying on opposite side of surgery, avoid activities that increase IOP, eye drops

hordeolum

stye, infection of sebaceous gland

stapedectomy

surgery for conductive hearing loss, need to sneeze or cough with mouth open

meniere's disease

vertigo, tinnitus, progressive unilateral hearing loss,

AMD exudative

wet, new weak blood vessels