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Nursing Management of Clients with Stressors of Sensory Function. NUR133 Lecture # 14 K. Burger, MSEd, MSN, RN, CNE. Eye Disorders Nursing Assessment.
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Lecture # 14
K. Burger, MSEd, MSN, RN, CNE
Aging process, DM, HTN, HIV, +++others, Medications, Gender, Nutritional deficiencies
Near vision 20/40 each eye uncorrected, corrected to 20/20 with glasses. Distant vision 20/20 by Snellen. Color vision intact. Visual fields full by confrontation. Extraocular movements intact and full, no nystagmus. Corneal light reflex equal.
Lids and globes symmetric. No ptosis, edema, or lesions
Conjuntivae pink, sclerae white. No discharge evident. Cornea clear, corneal reflex intact. Irides brown; PERRLA
Opthalmoscopic exam reveals red reflex. Discs cream colored, borders well-defined. Maculae yellow OU
No venous pulsations, hemorrhages, exudates, Drusen bodies.
Drainage of Aqueous Humor
Mannitol ( Osmitrol )
Production of Aqueous Humor
Dipivefrin ( Propine)Glaucoma Medications
May be used in open-angle glaucoma if pharm rx ineffective or as primary rx
Laser rx to trabecular meshwork increases space between fibers and increased outflow of aqueous humor into conjunctivae
Emergency rx for acute closed angle glaucoma
Section of iris is removed to create pathway for flow of aqueous humorGlaucomaSurgical Interventions
Surgery = only option for Rx
Sound waves blocked d/t external or middle ear disorders
Causes:inflammatory processtumorsscar tissue on ossiclesotosclerosis
Pathological process of inner ear or 8th cranial nerve
Causes: traumaototoxic medicationsloud noise exposurepresbycusis
Permanent and progressiveEar DisordersHearing Loss
- removal of stapes - prosthesis placed between incus and
You are the home care nurse for a 74-year-old woman with diabetes, stasis ulcers, and rheumatoid arthritis who lives alone at home. She has had a conductive hearing loss for 10 years and has been using a hearing aid successfully for that time. She has had a kidney infection for the past 2 weeks and was seen by her internist for this problem. At first she was taking Septra orally (prescribed by her internist) for the infection but when her symptoms didn't subside, she went to an urgent care center and was started on streptomycin 8 days ago. The other drugs she takes routinely are insulin, bumetanide, and ibuprofen. She says her hearing has decreased during the last 4 days.