Please enable JavaScript.
Coggle requires JavaScript to display documents.
disorders of the external ear (otitis externa (clinical manifestation…
disorders of the external ear
congenital development defect
definition
the auricle,where the pinna is absent or is represented by small piece at site.
risk factors
genetic
toxic drugs during pregnancy
assessment
thorough examination of the new born to identify any congenital abnormalities.
an otoscope or pen light torch can be used to insect the external auditory canal for the presence of abscess, swelling
injury of the head
infection of the external ear
perichondritis
definition
this is the infection and inflammation of the covering of cartilage of the pinna the perichondrium
clinical manifestations
pain
swelling of the pinna
abscess
manangement
broad spectrum antibiotics
application of soothing heat
drainage of the abscess
wound care
essential patient information
the nurse should emphasis personal hygiene
instruct the patient to wash the infected ear
inform the patient to complete the coarse of prescribed antibiotics
promote rest
monitor vital signs and record
do aseptic technique while attending to the wound
otitis externa
definition
this infection involves the auricle and external ear canal
causes
micro organisms either bacterial or fungal
trauma
trapped water
warm dark environment
clinical manifestation
pain
pulling feeling on the pinna
serous drainage from the ear
redness
itching and swelling of the skin lining of the ear
nursing manangement
warm compresses to reduce pain
administration of prescribed antibiotics
cleaning of the ear canal
essential patient information
inform the patient not to insert any objects into the ear
impacted cerumen
definition
this is due to excessive production of the ear wax that becomes hard and occludes the ear canal
nursing manangement
impacted wax should be removed
wax that is in the tympanic membrane must only be removed by the physician or nurse
patients should be advised to avoid getting water into the ear while swimming
if the tympanic membrane is perforated the ear should not be irrigated
trauma to the external ear
definition
the pinna is prone to lacerations,severing, blunt force injury, abrasions
manangement
wear headgear during contact sport
wear scuffs during winter
hygiene should be emphasised
foreign bodies in the external ear
inserted small object into the ear
insert can be trapped in the external canal
object shuch as peanuts can swell if exposed to water
sweet oil can be used to prevent trapped fly from flying