KIN 2236 Final Exam
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What are other options besides stitches? - ANSWER--
Steri-strips
- Butterfly bandage
-- these promote healing by approximating sides of the
wound together
Care for corneal abrasion - ANSWER-- Refer to a
physician (May need to patch until assessed)
- Usually heal within 24 to 72 hours and these patients
should.
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- A recent review (2016) did not show any improvement in
pain, symptoms, or healing with patching, when compared
with non-patched individuals
- A patch may be necessary with younger patients to avoid
rubbing.
- Return to play is guided by a decrease in symptoms and
may require short-term eye protection.
What is usual cause and sign of hyphema? - ANSWER--
this is a serious injury that leads to serious problems w the
lens or retina, seen in combat sports
- cause is the anterior chamber is injured due to blunt
trauma, blood fills the anterior chamber of eye
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- this is a high force injury so must rule out penetrating
trauma, orbital fracture, abrasion, or retinal injury
- signs are visible reddish tinge (sometimes pea green) in
anterior chamber of eye
- vision is partially or completely blocked
What is care of hyphema - ANSWER-- immediate referral
to an opthalmologist
- bed rest for 4 days and elevation (30-40 degrees), both
eyes patched
- dont lie flat to avoid more blood getting to eye
- discontinue use of NSAIDS
- there is irreversible vision damage if not managed
properly
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What is cause and care or periorbital ecchymosis? -
ANSWER-- this is just a black eye
- cause is a blow to the area surrounding the eye
- must have right MOI, to rule out other injuries
- signs include swelling and discoloration
- it is sign of more serious condition id there is also
subconjunctival hemorrhage
- care includes cold application for at least 30 minutes
- do not blow nose after acute eye injury, may increase
hemorrhaging
Explain the basic steps in eye assessment - ANSWER-- if
it is chemical injury, flush with water for 30 minutes