Ear Issues to Explore:

Causative Clinical Potential Nursing Client

factors manifestations complications interventions teaching
for child (management/
treatment,
prevention,
medications,
follow-up)
Otitis Inflammation Pulling at the If infection Antibiotics Breast feeding
Media of the middle ear is a sign of recurs in spite Kids under two is protective
ear, is ear pain. of antibiotic need
treatment.
sometimes Diarrhea, treatment,
80% of cases
accompanied vomiting, and myringotomy are resolved
by infection. fever are (surgical on their own
Specific cause typical of otitis incision of the
is unknown media. tympanic
but it appears Irritability and membrane)
to be related “acting out” may be
to eustachian may be signs of performed and
tube a related tympanostomy
dysfunction. hearing tubes (pressure
impairment. equalizing
The child with tubes) inserted
otitis media to drain fluid
often has night from the
awakenings middle ear
with crying due
to increased
pressure when
prone or supine

Otitis An painful ear, Steroid ear Treatment Teach families

Externa inflammation drainage, and drops are used requires to avoid the
of the skin and irritated canal. to decrease removing the irritants
surrounding Verify that the inflammation, dried and identified such
soft tissue of tympanic and antibiotic flaking as cotton-
the ear canal. membrane is drops are also epithelium tipped
It is intact during used if a and cerumen. applicators,
sometimes otoscopic bacterial Burrow sprays, and
called examination. infection is solutions or frequent
“swimmer’s suspected. normal saline swimming.
ear” because is used to Demonstrate
it is common irrigate and proper
in children clean the canal instillation of
who swim if the tympanic drops
frequently, membrane is
especially intact.
during hot and
muggy
weather