Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher |  Practical Nurse (LPN) School Study Aid
Care for the Visually Impaired
- Decreased Visual Acuity
 - Snellen Chart
 - Status of Corrective Lenses
 - Sighted-Guide Technique
 - Communication
 - Safe Environment
 - Medications
 - Clock Technique for Food
 - Activities of Daily Living (ADL)
 
Chlamydia
- Chlamydia trachomatis
 - May Be Asymptomatic
 - Dysuria
 - Epididymitis
 - Discharge
 - Dyspareunia
 - Doxycycline
 - Azithromycin
 - No Intercourse for 1 Week
 - Treat Partners
 
Acyclovir (Zovirax)
- Guanosine Analog
 - Inhibits Viral Replication
 - Thymidine Kinase Activation
 - Herpes Simplex Virus (HSV)
 - Varicella Zoster Virus (VZV)
 - Headache
 - GI Distress
 - CNS Toxicity
 - Nephrotoxicity (Crystalline Nephropathy)
 - Prevents Recurrent Episodes
 - Slow IV Infusion
 
Eye Medication Administration
- Supine with Neck Hyperextended
 - Wash Away Crusts
 - Cotton Ball on Cheekbone
 - Instill Drops into Conjunctival Sac
 - Repeat if Missed or Patient Blinks
 - 5 Minutes Before 2nd Medication
 - Thin Stream Along Inner Edge
 - Inner Canthus to Outer Canthus
 
Varicella (Chickenpox)
- Varicella Zoster Virus (VZV)
 - Red Maculopapular Rash
 - Vesicles Ooze and Crust
 - Pruritus
 - Centripetal
 - Varicella Immunization
 - Skin Care to Minimize Itching
 - Isolate until Vesicles Crust
 
Cataract
- Age-related
 - No Pain
 - Cloudy Opaque Lens
 - Decreased Visual Acuity
 - Occurs Gradually
 - Surgery
 
Ear Drops Medication Administration
- Earwax Buildup
 - Ear Infections
 - Child - Back and Downward
 - Adult - Back and Upward
 - Side-Lying with Ear Up
 - Instill Medication
 - Stay for 2-3 Minutes
 - Room Temperature
 - May Massage Tragus
 - Perforated Eardrum
 
Detached Retina
- Flashes of Light
 - Floaters
 - Curtain Like Shadow
 - Eye Patch
 - Bed Rest
 - Surgical Emergency
 - No Vigorous Activity
 
Age-Related Macular Degeneration (AMD)
- Dry (nonexudative)
 - Wet (exudative)
 - Scotomas
 - Blurred, Darkened Vision
 - Loss of Central Vision
 - Distortion of Vision
 - Drug Therapy
 - Surgery
 - Low-vision Assistive Devices
 
Primary Open-Angle Glaucoma (POAG - Chronic)
- Flow of Aqueous Humor Slowed
 - Slow Onset
 - No Pain
 - Tunnel Vision
 - IOP 22-32mm Hg
 - Drug Therapy
 
Primary Angle-Closure Glaucoma (PACG - Acute)
- Rapid Increase in IOP
 - Rapid Onset
 - Pain
 - Blurred Vision
 - Halos Around Lights
 - Nausea and Vomiting
 - IOP over 30 mm Hg
 - Drug Therapy
 - Surgery
 
Cardiovascular Effects of Beta-Blockers
- Cardiac Myocytes and Vasculature
 - Decrease cAMP
 - Decreases SA and AV Node Conduction Velocity
 - Lower Blood Pressure
 - Decrease O2 Consumption
 - Decreases Mortality Post-MI
 
Pilocarpine (Pilocar)
- Direct Cholinergic Agonist
 - Contracts Iris Sphincter
 - Contracts Ciliary Muscle
 - Xerostomia
 - Glaucoma
 - Detached Retina
 - Decreased Visual Acuity
 - Eye Irritation
 - Cholinergic Effects
 - Avoid with Asthma or Bradycardia
 
Beta Blockers
- "-olol" suffix
 - Decreases Heart Rate and Contractility
 - Decreases Peripheral Vascular Resistance
 - Decreases Renin Release
 - Hypertension
 - Heart Failure
 - Angina Pectoris
 - Asthma and Heart Block Patients
 - Assess Blood Pressure and Heart Rate
 - Masking Signs of Hypoglycemia
 - Do Not Stop Abruptly
 
Otitis Media Assessment
- Red or Bulging Tympanic Membrane
 - Ear Pain
 - Pulling at Ear
 - Fever
 - Upper Respiratory Infection
 - More Common in Young Children
 - Eustachian Tube Narrower
 - Conductive Hearing Loss
 - Smoking Increases Risk
 
Otitis Media Interventions
- Antipyretics
 - Analgesics
 - Antibiotics
 - Irrigation
 - Position on Affected Side
 - Myringotomy
 - Tympanostomy Tube
 
Meniere's Disease
- Excess Endolymph
 - Tinnitus
 - One-sided Sensorineural Hearing Loss
 - Vertigo
 - Nausea and Vomiting
 - Meclizine (Antivert)
 - Low Salt Diet
 - Surgery
 
Care for the Hard of Hearing
- Normal: 0-15 dB
 - Rinne's Test
 - Weber's Test
 - Tinnitus
 - Difficulty Following Conversations
 - Face Patient/Speak Clearly
 - Rephrase Misunderstood Statements
 - Repeat Statements Back
 - Hearing Aids
 - Sign Language