Otitis Media

Question 1

what part of the ear is infected in otitis media?

Answer 1

middle ear

Question 2

what is blocked with otitis media?

otitis media usually follows a what?

Answer 2

the eustation tubes

• upper respiratory infection

Question 3

what will the tympanic membrane look like with otitis media?

Answer 3

• bulging (due to pressure and fluid) and bright red

Question 4

can hearing loss occur with otitis media?

Answer 4

yes

Question 5

do heating pads help the pain?

Answer 5

yes

Question 6

treatment for otitis media:

avoid____

life on____ side

___ smoking

Answer 6

• chewing (makes pain worst. need soft foods)
• affected side (to promote drainage)
• no smoking, (smoke can precipitate otitis)

Question 7

How do you prevent otitis media in babies?

Answer 7

• sit up for feedings and no bottle propping

- gently blow nose

Question 8

anytime your child has an upper respiratory infection, why is it good to have them play “blowing” games?

ex) blow up balloon, blow on pin wheel..etc!

Answer 8

blowing helps to keep the middle ear clear

Question 9

what are pressure equalizing tubes?

what must they remember to do when coming in contact with water if the patient has tubes? ex) bath tub, swimming..

Answer 9

drains middle ear

• wear ear plugs

Question 10

if you have an ear tube or a tympanotomy tube fall out. is it an emergency?

Answer 10

no. just let the doc know.. white plastic thing

Question 11

how long should a tympanotomy tube stay in place?

Answer 11

6 months on average

Question 12

why are peanuts so dangerous when aspirated?

Answer 12

swell and crumble which makes it so difficult to remove

Question 13

often, the mentally challenged child will deliberately do things to displease the parents. why?

Answer 13

for attention

Question 14

when giving an IM injections, why is the dorsogluteal muscle contraindicated in children who have not been walking for at least a year?

Answer 14

it’s not developed.

Question 15

when an infant has had a perineal surgery, what position would you place them in post-op? which position is contraindicated?

Answer 15

on their side (sidelying to decrease stress on the suture line)

• prone is contraindicated (baby will prop himself up and roll)

Question 16

An infant has just had an inguinal hernia repair. what is the major problem post-op and how can it be prevented?

Answer 16

• infection

all you can do is frequent diaper changes