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Sensory

Sensory

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Published by dlneisha61

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Published by: dlneisha61 on Mar 19, 2009
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01/30/2013

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 Nursing 304 Nursing Care of the Client/Family with SelectSensory Health Deviations
 
I. The Eye
A. Internal Structures of Eye1.
Conjunctivae
--thin, transparent mucous membranes--lines eyelid and covers eyeball2. Eyeball has 3 layersa.
Outer
--the fibrous coat1.
Sclera
--Opaque,"White of eye"; posterior 5/6 of eye;2.
Cornea
--dense, transparent, avascular (gets O2 from atmosphere); remaininganterior 1/6 of eye; Bends and directs light to retina; b.
Middle layer--Uvea or uveal tract
; vascular and pigmented;
Iris
--colored part in front of lens; has opening called pupil.2.
Ciliary body
--Around outer edge of iris; Connects choroid with iris; Secretesaqueous humor.3.
Choroid
--Posterior, largest of middle coat; A dark brown membrane between scleraand retina; Consists of many blood vessels supplying nutrients to retina.Absorbs light.c.
Internal Layer--Retina
--Seeing tissue of eye found in back of eye--Like film in a camera;Optic nerve fibers throughout; When focused light hits retina, picture takenand messages sent to brain through optic nerve; Bordered externally bychoroid and sclera and internally by vitreous (a gel-like subtance that maintainsspherical shape of eye.)1.
Retina contains:
a.
Blood vessels--nourishment
 b.
Photoreceptors
1.
Rods
--responsible for peripheral vision2.
Cones
--responsible for central vision and color vision2.
Two
main cavities within eyeball:a.
Anterior cavity
(by iris)--filled with acqueous humor which is continuously being made; secreted by
ciliary body
each; Aq. humor flowsin and out to maintain intraocular pressure in normal range of 12 -20.
Continuously replaced
; Drains out canal of Schlemm(trabecular meshwork) into systemic circulation for a fairlyconstant IOP.a. Anterior chamber between cornea and iris b. Posterior chamber between iris and lens b.
Vitreous Body/chamber
(between lens and retina)--filled with
vitreoushumor
, a gelatinous mass (about 99% water) which givesshape to posterior eye and holds retina in place;
Notcontinously replaced.
c.
Crystalline lens
separates ant. cavity and vitreous body; transparent,colorless, biconvex structure; Bends light entering eye so thatit converges on retina to form images.
Accomodation
is the process whereby lens changes shape and refractive ability to adjustvision at near or far distances. (Cataracts due to cloudycrystalline lens) 
 
B. Giving eye meds1.2.3.4.5.6.7.8.9.C. Assessment of eye1. PERRLA2. Consensual response3. Accomodation4. Visual acuity--Snellen chart at 20 ft distance5. Refractive errorsa. Emmetropia b. Hyperopiac. Myopiad. PresbyopiaD.
Disorders of the Eye and Nursing Management
1. External Eye Disordersa.
Hordeolum
 1. S&S:2. Treatment:a. b.c.d.e.f. b.
Conjunctivitis
2
 
1.
Allergic
2.
Bacterial Conjunctivitis
 c.
Corneal Disorders
--
Keratitis
(corneal ulcer)a. Causes b. S&S:c. Prevention and treatment important:1.2.3.4.5.6.a. b.c.d.
Post-op care
[applies to all eye surgeries]:1.2.3

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