Silvestri-Pediatrics-Eye, Ear, and Throat Disorders

  1. What is Strabismus?
    • A condition in which the eyes are not aligned because of lack of coordination of the extraocular muscles
    • Also known as "lazy eye"
  2. At what age may strabismus normally be found?
    Infants 4 months and younger, but it is abnormal after that age
  3. What are the signs and symptoms of strabismus?
    • Crossed eyes
    • Tilting head or closing one eye to see
    • Impaired depth perception
    • Frequent headaches
    • Diplopia
  4. What are the interventions for strabismus?
    • Corrective lenses
    • Patching of the "good" eye to strengthen weak eye
    • Surgery if nonsurgical methods are ineffective
  5. What is conjunctivitis?
    • Inflammation of the conjunctiva
    • Also known as pink eye
  6. What is conjunctivitis usually caused by?
    • Allergy
    • Infection
    • Trauma
  7. What are the signs and symptoms of conjunctivitis?
    • Itching, burning, or scratchy eyelids
    • Redness
    • Edema
    • Discharge
  8. How long should a child with conjunctivitis be kept home?
    Until antibiotics have been administered for 24 hours
  9. What interventions can lessen discomfort in a person with conjunctivitis?
    • Cool compresses to lessen irritation
    • Dark glasses if photophobia occurs
  10. What are the signs and symptoms of ottitis media?
    • Fever
    • Ear pain
    • Crying/Irritability
    • Loss of appetite
    • Purulent ear drainage may be present
  11. What interventions may be used to lessen discomfort in a person with otitis media?
    • Avoiding chewing
    • Heat/Cold as prescribed
    • Lying with affected ear down
    • Analgesics
  12. What is the proper way to administer ear drops to a child?
    • If younger than 3: Pull ear lobe down and back
    • If older than 3: Pull pinna up and back
  13. What is a myringotomy?
    A surgical incision into the tympanic membrane to provide drainage of the purulent middle ear fluid
  14. What are the postoperative interventions for a myringotomy?
    • Keep ears dry
    • Wear earplugs while bathing and swimming
    • Submerging under water is prohibitied
    • Analgesics
    • Do not blow nose for 7-10 days postop
    • Notify physician if tubes fall out
  15. Where are the adenoids located?
    The posterior wall of the nasopharynx
  16. What position should a person be placed in postoperatively from a tonsillectomy?
    Prone or side lying to facilitate drainage
  17. When should a patient postop from a tonsillectomy be suctioned?
    Only if there is an airway obstruction
  18. What color liquids should be avoided and why when postop from a tonsillectomy?
    Red, purple, brown because it simulates the appearance of blood when vomited
  19. What are some of the initial expected post tonsillectomy effects?
    • Mouth odor
    • Slight ear pain
    • Low-grade fever
  20. What are some post tonsillectomy findings that warrant calling the physician?
    • Bleeding
    • Persistent earache
    • Fever
  21. What position should a child with a nosebleed be in?
    Sitting up and leaning forward
  22. How long should pressure be placed on a nosebleed?
    At least 10 minutes
  23. What kind of nose bleeding indicates the need for an evaluation of a bleeding disorder?
    Repeated bleeding episodes that last longer than 30 minutes
Card Set
Silvestri-Pediatrics-Eye, Ear, and Throat Disorders
Pediatrics-Eye, Ear, and Throat Disorders