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OTITIS MEDIA 20200414_110812 (CLINICAL MANIFESTATION (Fussiness, Trouble…
OTITIS MEDIA
CLINICAL MANIFESTATION
Fussiness
Trouble hearing or responding to sounds
Loss of balance
Fever
Headache
Nausea and vomiting
Otalgia
Tinnitus
Loss of appetite
CAUSES
Viral infection
Becterial infection
Congenital defects
Immature immune system
DEFINITION
An ear infection that is caused by a virus or bacteria
Affects the air filled space in the middle ear
Common in children and infants
DIAGNOSTIC TESTS
Hearing test
pneumatic otoscopy
reflectometry
PATHOPHYSIOLOGY
starts as an inflammatory process following a viral URTI
Involving the mucosa of the nose, nasopharynx, and Eustachian tube
the edema caused by the inflammatory process obstructs
The ET causing decreased ventilation
This cause an increase in negative pressure
In the middle ear and buildup of secretions
Allowing breathing ground for becteria and viruses
Causing infection
PHARMACOLOGY
Sofradex
Antibiotics
Amoxicillin
Azithromycin
Augumentins
Analgesia
REFERENCE
https://emedicine.medscape.com/article/994656-overview#a5
NURSING CARE PLAN
Pain
Give analgesia and anti inflammatries
Nurse patient in comfortable position
Determine cause of pain and treat according
use of a warm heating pad or an ice pack for discomfort
Monitor child for relief of pain and any side effects of medication
Deficient knowledge regarding condition
Assess parent’s current knowledge
on the condition
Explain possible causes of conditions
Address stereotypes and concers regarding condition
Assist parents to plan measures to decrease the chances of recurrent OM
Disturbed auditory perception
Reduce unnecessary environmental noise.
Assess client’s hearing ability. Ask an older child to describe hearing loss
speak in a loud and clear voice and look at the child when talking.
Types
Chronic otitis media
An ear infection that results in tearing or perforation of the eardrum
Serous otitis media
Serous Fluid builds up in the middle ear
Acute otitis media
The middle ear becomes inflamed and infected
