NR 602 MIDTERM Study Guide Latest Update 2021 CHAMBERLAIN COLLEGE OF NURSING

NR 602 MIDTERM study guide latest update 2021 CHAMBERLAIN COLLEGE OF NURSING MIDTERM STUDY GUIDE: PART-1 1. CHALAZIONS – Benign, chronic lipogranulomatous inflammation of the eyelid • Causes – blockage of the meibomian cyst • Risk – hordeolum or any condition which may impede flow through the meibomian gland. Also, mite species that reside in lash follicles • Assessment – PAINLESS, NOT INVOLVING LASHES Lid edema, or palpable mass Red or grey mass on the inner aspect of lid margin • Prevention – good eye hygiene • Treatment – warm, moist compresses 3x per day Antibiotics not indicated because chalazion is granulomatous condition, if secondarily infected consider SULFACETAMIDE, ERYTHROMYCIN • Follow up – 2-4 weeks, if still present after 6 weeks follow up with ophthalmologist 2. BLEPHARITIS – Inflamation/infection of the lid margins (chronic problem) • 2 types – seborrheic (non ulcerative) : irritants (smoke, make up, chemicals) o s&s – chronic inflammation of the eyelid, erythema, greasy scaling of anterior eyelid, loss of eyelashes, seborrhea dermatitis of eyebrows and scalp • Ulcerative- infection with staphylococcus or streptococcus o s&s – itching, tearing, recurrent styes, chalazia, photophobia, small ulceration at eyelid margin, broken or absent eyelashes • the most frequent complaint is ongoing eye irritation and conjunctiva redness • Treatment – clean with baby shampoo 2-4 times a day, warm compresses, lid massage (right after warm compress) For infected eyelids – antistaphyloccocal antibiotics BACITRACIN, ERYTHROMYCIN 0.05% for 1 week AND QUIONOLONE OINTMENTS For infection resistant to topical – TETRACYCLINE 250 MG PO X4 DOXYCYCLINE 100 MG PO X2