Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide • Evaluate laboratory, physical, and radiology results o CBC with differential o Sedimentation rate and CRP for inflammation o Otoscope examination o Cultures if drainage is purulent Nursing diagnosis for otitis media: • Risk for altered body temperature related to infection • Risk for increased pain level related to inflammation • Risk for altered nutritional status related to dizziness, nausea, and vomiting Nursing interventions for otitis media: • Provide pain relievers for ear pain andheadache • Place warm compresses to ear • Give antibiotics per MD order, either oral or intravenous o Penicillin or Amoxicillin: First line drug of choice for middle ear infections; in cases of drug resistance amoxicillin-clavulanate (Augmentin) is used o Erythromycin or Zithromax: Used for those allergic to penicillin; Zithromax is commonly used because of shortened time of treatment o Cephalosporins: Can be used in place of penicillin class drugs; possibility of cross sensitivity in those allergic to penicillin o Sulfa drugs (Bactrim): When resistance to any other antibiotics is suspected, sulfa drugs may be used • Encourage ear plugs during bathing or swimming • Monitor for severe pain, erythema, and swelling behind the ear(mastoiditis) • If necessary, give decongestants to assist with clearing drainage from Eustachiantube Expected outcomes for otitis media: • Verbalizes relief of symptoms • Verbalizes decreased pain levels • Verbalizes understanding of teaching regarding use of ear plugs and medication compliance CT scan if pain has been prolonged and severe (mastoiditis) o

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