NCLEX-PN
● Interventions and Treatments: Hospitalization, anticoagulants, IV fluids, paracentesis for ascites, respiratory support, analgesia, increased fluid intake. ● Complications: Respiratory distress, effusions (pleural, pericardial), coagulopathy, edema, hemoconcentration, and death. Ear, Nose, and Eye Medical Emergencies 1. Mastoiditis ● Description: Severe middle ear infection affecting the mastoid bone. ● Signs and Symptoms: Tenderness, swelling, redness around the mastoid bone, ear pain, fever, pus, and displaced pinna. ● Interventions and Treatments: IV antibiotics, myringotomy, mastoidectomy. ● Complications: Brain infection, abscess formation, necrosis, permanent hearing loss. 2. Ruptured Tympanic Membrane ● Description: Result of middle ear pressure changes from trauma, infection, or other causes. ● Signs and Symptoms: Ear drainage (sometimes bloody), ear pain, hearing loss. ● Interventions and Treatments: Antibiotics, pain management. ● Complications: Permanent hearing loss. 3. Foreign Bodies in the Ear ● Description: Placement of foreign objects in the ear, often seen in children. ● Signs and Symptoms: Itching, ear discharge, hearing problems. ● Interventions and Treatments: Removal with tools (e.g., auroscope or forceps). ● Complications: Ruptured tympanic membrane, hearing loss. 4. Epistaxis (Nosebleed) ● Description: Nasal hemorrhage due to various causes. ● Signs and Symptoms: Hemodynamic instability, panic, fear. ● Interventions and Treatments: Pressure at Little's area, cauterization, nasal packing, large bore cannula or balloon catheter insertion if bleeding persists. ● Complications: Infections (sinusitis), aspiration, and airway obstruction due to dislodged packing or catheter.
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