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HEENT -head ears eyes nose throat
N327
51
Nursing
Undergraduate 3
02/23/2010

Additional Nursing Flashcards

 


 

Cards

Term
sutures on babies head close earlier than normal
Definition
Craniosynostosis
Term

varying degrees of cognitive affect

brain/head is small

Definition
microcephaly
Term

no cognitive deficiency 

 

Definition
craniofacial abnormalities
Term

mishaped head

usually flat head slanted to one side

Definition
plagiocephaly
Term

very common

second hand smoke correlated with incidence

incidence less in breast fed babies

Definition
otitis media
Term
why more children are more susceptible to OM
Definition
eustachian tube anatomy
Term
OM usually accompanies or follow...
Definition
Upper Respiratory infection
Term

irritability 

pulling at ear

fever

Definition
OM symptoms
Term

postauricular and cervical lymph node enlargement

pain with sucking, chewing

rupture- purulent drainage

Definition
OM symptoms
Term
Therapeutic management of OM
Definition

Antibiotic therapy if warranted

Antipyretics/Analgesics

Follow up necessary

Term
If recurrent OMs happen
Definition
Myringotomy with tube placement
Term
primary prevention for OM
Definition

encourage breast feeding

discourage smoking

feeding positioning

Term
secondary prevention
Definition
rest and support, educate parents about symptoms
Term
tertiary prevention
Definition

prevent recurrent infections to avoid tubes

prevent hearing loss because of scarring of tympanic membrane

can get meningitis from untreated OM

Term

infection of external ear canal

overgrowth of normal flora/pathogens

prompted by wetness in ear

 

Definition
Otitis exertna
Term
Otitis externa treatment
Definition

antibiotics

corticosteroid drops

Term
otitis externa nursing considerations
Definition

keep ear dry

avoid removing cerumen

dry ears after swimming

Term

fluid or infecion

aided with treatment or hearing aids

Definition
Conductive auditory impairment
Term

damage to hair cells or nerve cells

cochlear implants

lack of startle reflex

lack of response to noise

Definition
sensorineuro auditory impairment
Term

unable to localize sounds by 6 months

minimal verbalizations

use of gestures in older children

monotone speech

yelling

Definition
sensorineuro auditory impairment
Term
Assessment of the eyes
Definition

placement: size, alignment, spacing

puffiness

allergic shiners

conjunctiva

sclera

presence of redness, sweling or drainage

PERRLA

EOM

 

Term
nearsighted
Definition
myopia
Term
farsighted
Definition
hyperopia
Term
unequal curvatures lens
Definition
astigmatism
Term
lazy eye
Definition
amblyopia
Term
cross-eyed
Definition
strabismus
Term

common childhood disorder

can be allergic or bacterial

severe itching

drainage common

Definition
conjunctivitis
Term
interventions of conjunctivitis
Definition
prevent spread of infection
Term
secondary result form injury, eye infection or sinusitis
Definition
periorbital cellulitis
Term
treatment for periorbital cellulitis
Definition

agressive antibiotic treatment

WMC for comfort

assess for neurologic symptoms

Term
treatment of nosebleeds
Definition

lean forward

apply pressure/ice to bridge of nose

packing of naris if necessary

if frequent/persistent may indicate a bleeding disorder

Term

purulent, foul smelling drainage 

may require sedation to remove

Definition
foreign objects
Term
merging of upper lip complete in gestation
Definition
7-8 wks
Term
fusion of hard and soft plate complete gestation
Definition
7-12 wk
Term
when cleft lip/palate can be diagnosed
Definition
14-16 wks gestation
Term

results from incomplete fusion of embryonic structures

associated with development of nasal structures

Definition
cleft lip/palate
Term

Syndromes that have cleft lip and or cleft palate as features

or factors that cause

Definition

chromosomal abnormalities

teratogens (drugs- anticonvulsants, Dioxin)

Maternal nutrition

maternal smoking

Term
recurrent OM is common with
Definition
Cleft palate
Term
physical problems are the result of ineffective function of muscles of soft palate and nasopharynx, improper tooth alignment, and hearing loss
Definition
Cleft lip/palate
Term
life challenges of cleft lip/palate
Definition

speech problems are the norm- require speech therapy

feeding challenges

long term problems with social acceptance, malposition of teeth 

numerous surgeries in stages may be needed

Term
Cleft lip/palate nursing considerations
Definition

help parents work through emotions

special feeding devices-Haberman feeder

parent education

frequent burping needed

 

Term
post op care of cleft lip/palate
Definition

supine positioning

restraints required

meticulous care of suture line

observe for bleeding, excessive swelling at site

Term

Viral

herpez zoster

canker sores

chemo induced

Definition
stomatitis
Term
canker sores
Definition
aphthous stomatitis
Term

painful

affects eating

gentle mouth care

analgesics

Definition
stomatitis
Term
presents with fever, head ache, malaise, sore throat, abdominal pain, nausea, vomiting, anorexic, fine rash
Definition
Strep pharyngitis
Term
pharyngitis isolation
Definition
24 hours after antibiotics started
Term
may progress to rheumatic heart disease if untreated
Definition
streph pharyngitis
Term

inflammation of lymphoid tissue

abscess formation

OM

Definition
tonsilitis
Term
nursing considerations tonsillitis
Definition

asses- Fluids, Airway, Pain

post op

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