C.33 Flashcards

(32 cards)

1
Q

What is the globe of the eye?

A

another term for eyeball

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How big is the globe of the eye in diameters?

A

approximately 1 inch. very huge indeed…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the globe of the eye covered in? what’s the tough outer coat called?

A

sclera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The exposed portion of the sclera is called what?

A

the white of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the clear front portion of the eye is called what?

A

cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does the cornea cover?

A

the dark center, the pupil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the colored portion of the pupil called?

A

the iris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

arrange these the layers of the eye, from outer to inner. lens, cornea, pupil, sclera, anterior chamber, and iris

A

sclera, cornea, anterior chamber, iris, pupil, lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The cornea is what? what role does it serve

A

it acts as a window, allowing light to enter the eye and it is sensitive and susceptible to injury. a superfical scratch or small object can cause immense pain, redness, and tears.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

the pupil is the structure that dilates or shrinks to allow more or less light inside, by which structure is responsible for the pupil’s ability to change sizes?

A

the lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The lens focuses light on which structure?

A

the retina or the back of the eye.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

the inner surface of the eyelids are exposed sclera that are lined with paper thin covering called what?

A

conjunctiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

the interior of the eye contains the anterior chamber (front chamber) which is anterior to the iris and is filled with what?

A

watery fulid called the aqueous humor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

behind the lens is the large viteous body which is filled with a clear jelly called what?

A

vitreous humor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the name of the eye sockets? the bony projections surrounding the eyes

A

orbits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many bones make up the face? and how many of those bones are facial bones and how many are cranial bones?

A

22 bones

8 cranial
14 facial

17
Q

which facial bone is moveable?

A

mandiable (jaw). it moves on hinged joints.

18
Q

true or false. the face is not very vascular due to the cartilage.

A

face has no cartilage except in the nose but no, face is super vascular and even minor injuries may bleed profusely.

*blood and broken bone or other things like tissue or teeth can compromise the airway

19
Q

what do the facial bones allow for?

A

minimal protection of the airway and allow points of attachment for the muscles that aid in chewing food and controlling facial expressions.

*compromise of facial structures can cause a closed or open brain injury with possible leakage of CSF from the nose or ears

*A MOI that causes trauma to the face can also cause spinal injury, suspect spinal injury in those with facial trauma

20
Q

what body systems are involved with the neck?

A

Cardiovasuclar, muscloskeltal, central nervous, respiratory, digestive, and endocrine

21
Q

what structures does the neck carry?

A
  • major arteries (carotid arteries)
  • veins (jugular)
  • trachea
  • laryanx
  • cervical spine (houses spinal cord)

*Any injuries to the neck should be a suspected to have caused spinal injury too

*injuries to the neck can cause life-thereatning bleeding and airway compromise difficult to control

22
Q

if there are fractures to the orbits of the eye? what procedure do you do/what should you always suspect?

A

spinal stabilization.

*injuries severe enough to cause orbital fractures can also cause spine injury

23
Q

S/S of a orbital fracture

A

-dipola (double vision)
-marked decrease in vision
-loss of sensation above eyebrow, over the cheek, or in the upper lip
-nasal discharge
-tenderness
-bony step off (defect in smooth contour of bone)
-paralysis of upper gaze in the involved eye (patient will not be able to follow your finger/look upward)

24
Q

emergency care for orbital fractures?

A

if eyeball is not injuries: ice pack over the eye to reduce swelling and transport in sitting position

if eyeball is injuried: transport in supine position, no ice pack

25
with chemical burn to the eyes, how long does it take for permeant damage?
seconds
26
the first (time) minutes will determine outcome of chemical burns to the eyes
10 minutes
27
for chemical burns, burning and tissue damage will continue to occur if any substance is left even if diluted, so how quickly must you begin treatment?
immediately
28
S/S of chemical burns to the eye
-history consistent of exposure -irriatted, swollen eyelids -redness of the eye or red streaks across the eye -blurred or dimished vision -immense pain in the eye -irritatated burned skin around the eye
29
with chemical burns to the eye, begin irrigation with water or saline immediately, it doesn't need to be sterile but it does have to be clean. how long is irrigation for a chemical burn vs a alkaline?
normal chemical like acid burns: irrgate for 20 minutes alkaline: an hour at least or until arrival at hospital *place patient on his side , with a basin or towel under his head and irrigate while transporting *following irragation, avoid containimating your own eyes by washing your hands throughly using a nail brush to clean under your fingers
30
contact lenses must be removed or flushed out because they can trap chemicals. you remove any solid objects from the eye with what?
moistened cotton swab
31
some more points
-irrigate from the side, do not containment the other side -you may need to force patients eye open, as they cannot handle the pain -if avaaible, have patient irriagate with eye wash system -do not use anything else to irritate besides sterile saline or clean water like chemical antidote: diuluted vinegar, sodium bicarbonate, or alcohol
32
treatment for extruded or impaled object: eye
1. place patient supine 2. immobilize head and spine 3. encircle eye or impaled object with gauze or sterile cloth 4. place mental shield, crushed paper cup, or cone over object or extruded eyeball 5. hold the cup/dressing in place with self-adhering bandage or other roller bandage that covers both eyes *NEVER PLACE PRESSUE OR PUSH DOWN ON THE EYE. IM EYEING YOU ASH *in an unresponsive patient, close eye before covering to prevent drying *give patient nothing by mouth, never leave them alone, and reassure them. they're prone to panic *do not use styrofoam cups as they can crumble