NursingNR 602 NR602 MIDTERM study guide (1) NR 602 NR602 MIDTERM study guide (1)latest update

NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update
MIDTERM STUDY GUIDE: PART-1

TOPICS Covered
o Chalazions
o Blepharitis
o Conjunctivitis
o Hand-foot-mouth syndrome
o Strep pharyngitis
o Kawasaki disease
o Rheumatic fever
o Milia
o Port-wine stain/Nevus flammeus
o Salmon patch
o Café-au lait spot
o Impetigo
o Molluscum Contagiosum
o Verruca Vulgaris
o Herpetic Whitlow
o Hemanginoma
o Otitis media
o Otitis Externa

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

NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update

,NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update
Follow up – 2-4 weeks, if still present after 6 weeks follow up with ophthalmologist




NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update

,NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update
BLEPHARITIS – Inflamation/infection of the lid margins (chronic problem)




2 types – seborrheic (non ulcerative) : irritants (smoke, make up, chemicals)
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
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


CONJUCTIVITIS – inflammation or irritation of conjuctiva




Bacterial (PINK EYE) – in peds bacteria is the mosts common cause, contact lens, rubbing eyes, trauma,
S&S – purulent exudate, initially unilateral, then bilateral
Sensation of having foreign body in the eye is common
Key findings – redness, yellow green, puru,ent discharge, crust and matted eyelids in am
Self limiting 5-7 days. Eye drops – polytrim, erythromycin, tobramycin or cipro
Improvement 2-4 days
Most common organism H. influenza <7

Viral – adenovirus, coxsackie virus, herpes, molluscum

NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update

, NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update
S&S – profuse tearing, mucous discharge, burning, concurrent URI, enlarged or tender preauricular nose
Antihistamines/decongestant
Improvement, self limiting, 7-14 days




NursingNR 602 NR602 MIDTERM study guide (1) NR
602 NR602 MIDTERM study guide (1)latest update