BOP week 4 ch. 37, 57 Jaclyns short set #1

otitis externa

is caused by dermatologic conditions, such as seborrhea or psoriasis, trauma to the canal, or continuous use of ear plugs or ear phones.

otitis media

is often caused by an upper respiratory tract infection caused by a virus or an allergic reation that results in swelling and inflamation.

MA role Assisting the Physician during Surgery

Skin preparation Positioning the patient Passing instruments Specimen collection Completing the surgical procedure Postoperative responsibilities

Different surgical procedures

Suturing Cyst removal Incision and drainage of an abscess Collection of biopsies Electrosurgery Laser surgery Microsurgery Endoscopic procedures Cryosurgery

middle ear (tampanic cavity) consists of

starts with the tympanic membrane then ossicles:malleus,incus,stapes. then ends at the oval window.

polypropylene bags

sterilization pouches with sterilization indicators on the outside used to autoclave surgical instruments. good for up to 6 months

external ear consists of

the auricle or pinna and the external auditory canal, which transmits sound waves to the tympanic membrane.

second intention, aka granulation

tissues that are severely damaged or purposely kept open or that fail to close. healing from the bottom to top.

test used for hearing

tuning fork, machine audiometer

Autoclave

used for sterilization by steam pressure, usually at 250 F / 121 C for a specific time. unwrapped items 20min, small wrapped items 30 min and large or tightly wrapped items for 40 min.

Unloading the Autoclave

Allow the load to dry for at least 15 minutes. Dry, wrapped packs may be removed with clean, dry hands, but it is safer to wear heat-resistant gloves. Place the packs on a dry, dust-free surface.

How to open the autoclave

At the end of the cycle open the door ¼ inch; allow pack to cool before removing from autoclave.

inner ear (labyrinth) consists of

Cochlea,semicircular canals,vestibule chamber

tinitis

Constant ringing in ears

irrigation for the ear

Ear irrigation—to remove excess cerumen Direct solution toward roof of canal Abbreviations—AU (both), AD (right), AS (left) Straightening ear canal Adult—pull pinna up and back Child under 3—pull ear lobe down and back

Sterile technique

Everything that is sterile is white, and everything that is not sterile is black. There is no gray! Sterile surfaces must never come into contact with nonsterile surfaces.

examination of the throat begins with

Examination of the nose and throat begins with the nasal cavity, then the throat and the nasopharynx. Throat cultures may be done to determine the presence of a streptococcal infection.

Irrigation of eye treatment

Eye irrigations relieve inflammation, remove drainage, dilute chemicals, or wash away foreign bodies. Sterile technique and equipment must be used to avoid contamination. Pour solution from inner canthus out, with head tilted toward affected eye.

wrapping instrument packs

Inspect muslin wrappers before each use. Discard any wrappers with holes. Wrap all hinged instruments in the open position to allow full steam penetration of the joint. Place a gauze sponge around the tips of sharp instruments to prevent them from piercing the wrapping material.

Loading the Autoclave

Packs should be rested on their edges.

First intention

a clean,sugical wound that has been sutured closed and heals quickly without much scarring.

otorhinolaryngologist

a specialist in the disorders of the ear or nose or throat

menieres disease

chronic inner ear disorder, characterized by tinnitus, nerve deafness, vertigo

muslin wrap

cloth wrap available in several sizes colors used to autoclave surgical instruments. good for 28 days

reasons for hearing loss

conduction problem or sensorineural impairment