NURS 5433 MODULE 1, NURS 5433 MODULE 3 AND NURS
5433 MODULE 4 NEWEST 100% VERIFIED
NURS 5433 Module 1
Blepharitis
nonulcerative form associated w/ seborrhea
- commonly seen in those w/ trisomy 21
- tends to affect people w/ psoriasis, seborrhea, eczema, allergies, and lice infestations
- contributing factors: chemical or environmental irritants, use of eye makeup and
contact lenses
ulcerative form
- involves lash follicle and meibomian glands of eyelid
- may be pustules at base of hair follicles that may crust or bleed
- lashes become thick and break easily
Blepharitis RF
- dry eye
- recurrent hordeola or chalazia
- seborrhea of face and scalp
- immunocompromised
- acne
- DM
- isotretinoin
,Blepharitis exam finding
ulcerative
- itching, tearing, chalazia, recurring styes, photophobia, small ulceration at eyelid
margin with loss or breakage of eyelashes
seborrheic
- chronic inflamed eyelid, erythma, greasy scaling to anterior eyelid, missing lashes,
seborrheic dermatitis of eyebrows and scalp
Blepharitis Treatment (rx/pharm)
- warm wet compresses
lid scrub w/ baby shampoo
lid massage to express meibomian glands
- remove contact lenses and disinfect
pharm management
- bacitracin, erythromycin, quinolone ointments
- consider oral atbx for resistant infections
- doxycyline 100 mg po BID
- tetracycline 250 mg po QID
Hordeolum\(stye)
erythematous,\tender\lump\within\eyelid
- external\hordeolum:\inflammation/infection\of\eyelid\margin\affecting\hair\follicles\of\e
yelashes
- internal\hordeolum:\inflammation/infection\of\meibomian\glands
,Chalazion
- granulomatous\infection\of\a\meibomian\gland
- painless\swelling\on\eyelid
- may\be\tender\and\erythematous\before\evolving\into\a\nontender\lump
- blepharitis\is\frequently\associated\w/\chalazia\
Chalazion\Treatment
- warm\moist\compresses
- intralesional\ steroid\ injection
- lid\massage
- lid\scrubs\Conjunctivi
tis\(red\eye)
inflammation\of\conjunctiva\covering\the\front\of\eye\commo
n\causes
- bacterial,\viral,\or\fungal
- sexual\transmission\and\ophthalmia\neonatorum
- HSV\1
- trachoma
- toxicity\(from\an\inciting\agent\of\some\sort)
- allergy
- viral
- adenoviruses,\Coxsackie\virus,\varicella,\HSV,\herpes\zoster\virus
Conjunctivitis\ assessment
ALLERGIC:\Pruritus;\conjunctival\hyperemia,\chemosis;\a\watery\or\stringy\discharge
, BACTERIAL:\Photophobia\w/\blepharospasm;\mucopurulent\discharge\w/\eyelash\mattering
;\edema;\hyperemia;\preauricular\adenopathy\only\w/\hyperacute\disorder
VIRAL:\Acute\onset\often\A/W\systemic\illness;\photophobia\or\foreign\body\sensation;\p
reauricular\adenopathy;\hyperemia;\chemosis;\watery\discharge;\classic\dendritic\corne
al\lesion\present\w/\herpes\simplex;\periocular\lesions\present\w/\herpes\zoster\opthalmi
cus
Conjunctivitis\diagnostics
- snellen
- visual\acuity
- dilated\pupil\exam\for\proptosis,\optic\nerve\dysfunction,\decreased\visual\acuity,\d
iplopia,\or\anterior\chamber\inflammation
- fluorescein\staining\to\rule\out\corneal\involvement\or\keratitis
- blue\penlight\illumination\to\visualize\corneal\scratches,\corneal\dendrites,\or\corneal\ul
cerations
Conjunctivitis\ red\ flags
- diminished\visual\acuity,\photophobia,\severe\foreign\body\sensation\preventing\pt\f
rom\keeping\eye\open,\corneal\opacity,\fixed\pupil,\severe\headache\w/\nausea
- refer\to\ophthamologist
conjunctivitis\management\
allergic
- topic\decongestant\antihistamine\combos\(OTC)
- naphazoline\hydrochloride\0.025%\(Naphcon-\A)
- naphazoline-antazoline\ \ 0.3%\ \ (vasocon-A)
- levocabastine\hydrochloride\0.05%\(Livostin)
- emedastine\ 0.05%\ (emadine)
5433 MODULE 4 NEWEST 100% VERIFIED
NURS 5433 Module 1
Blepharitis
nonulcerative form associated w/ seborrhea
- commonly seen in those w/ trisomy 21
- tends to affect people w/ psoriasis, seborrhea, eczema, allergies, and lice infestations
- contributing factors: chemical or environmental irritants, use of eye makeup and
contact lenses
ulcerative form
- involves lash follicle and meibomian glands of eyelid
- may be pustules at base of hair follicles that may crust or bleed
- lashes become thick and break easily
Blepharitis RF
- dry eye
- recurrent hordeola or chalazia
- seborrhea of face and scalp
- immunocompromised
- acne
- DM
- isotretinoin
,Blepharitis exam finding
ulcerative
- itching, tearing, chalazia, recurring styes, photophobia, small ulceration at eyelid
margin with loss or breakage of eyelashes
seborrheic
- chronic inflamed eyelid, erythma, greasy scaling to anterior eyelid, missing lashes,
seborrheic dermatitis of eyebrows and scalp
Blepharitis Treatment (rx/pharm)
- warm wet compresses
lid scrub w/ baby shampoo
lid massage to express meibomian glands
- remove contact lenses and disinfect
pharm management
- bacitracin, erythromycin, quinolone ointments
- consider oral atbx for resistant infections
- doxycyline 100 mg po BID
- tetracycline 250 mg po QID
Hordeolum\(stye)
erythematous,\tender\lump\within\eyelid
- external\hordeolum:\inflammation/infection\of\eyelid\margin\affecting\hair\follicles\of\e
yelashes
- internal\hordeolum:\inflammation/infection\of\meibomian\glands
,Chalazion
- granulomatous\infection\of\a\meibomian\gland
- painless\swelling\on\eyelid
- may\be\tender\and\erythematous\before\evolving\into\a\nontender\lump
- blepharitis\is\frequently\associated\w/\chalazia\
Chalazion\Treatment
- warm\moist\compresses
- intralesional\ steroid\ injection
- lid\massage
- lid\scrubs\Conjunctivi
tis\(red\eye)
inflammation\of\conjunctiva\covering\the\front\of\eye\commo
n\causes
- bacterial,\viral,\or\fungal
- sexual\transmission\and\ophthalmia\neonatorum
- HSV\1
- trachoma
- toxicity\(from\an\inciting\agent\of\some\sort)
- allergy
- viral
- adenoviruses,\Coxsackie\virus,\varicella,\HSV,\herpes\zoster\virus
Conjunctivitis\ assessment
ALLERGIC:\Pruritus;\conjunctival\hyperemia,\chemosis;\a\watery\or\stringy\discharge
, BACTERIAL:\Photophobia\w/\blepharospasm;\mucopurulent\discharge\w/\eyelash\mattering
;\edema;\hyperemia;\preauricular\adenopathy\only\w/\hyperacute\disorder
VIRAL:\Acute\onset\often\A/W\systemic\illness;\photophobia\or\foreign\body\sensation;\p
reauricular\adenopathy;\hyperemia;\chemosis;\watery\discharge;\classic\dendritic\corne
al\lesion\present\w/\herpes\simplex;\periocular\lesions\present\w/\herpes\zoster\opthalmi
cus
Conjunctivitis\diagnostics
- snellen
- visual\acuity
- dilated\pupil\exam\for\proptosis,\optic\nerve\dysfunction,\decreased\visual\acuity,\d
iplopia,\or\anterior\chamber\inflammation
- fluorescein\staining\to\rule\out\corneal\involvement\or\keratitis
- blue\penlight\illumination\to\visualize\corneal\scratches,\corneal\dendrites,\or\corneal\ul
cerations
Conjunctivitis\ red\ flags
- diminished\visual\acuity,\photophobia,\severe\foreign\body\sensation\preventing\pt\f
rom\keeping\eye\open,\corneal\opacity,\fixed\pupil,\severe\headache\w/\nausea
- refer\to\ophthamologist
conjunctivitis\management\
allergic
- topic\decongestant\antihistamine\combos\(OTC)
- naphazoline\hydrochloride\0.025%\(Naphcon-\A)
- naphazoline-antazoline\ \ 0.3%\ \ (vasocon-A)
- levocabastine\hydrochloride\0.05%\(Livostin)
- emedastine\ 0.05%\ (emadine)
