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  • Otitis Media - Patho, Causes & Signs

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    Sibel Ertuğrul
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    Otitis media is an infection of the middle ear caused by inflammation and purulent fluid building up behind the eardrum. Young children, especially those under 2 years old, are more susceptible because their eustachian tubes are shorter. Risk factors include pacifier use, attending daycare, lack of routine vaccinations, exposure to cigarette smoke, and a history of chronic ear infections. Signs and symptoms of otitis media include fever, refusal to eat, irritability, sleep disturbances, and ear pain or tugging on the affected ear. Complications can include rupture of the eardrum with sudden relief of pain. Nursing care involves encouraging routine vaccinations, performing otoscopic exams to inspect the ear without inserting

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    O. M.

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    1. Otitis Media - Patho, Causes & Signs

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    Otitis media is an infection of the middle ear caused by inflammation and purulent fluid building up behind the eardrum. Young children, especially those under 2 years old, are more susceptible because their eustachian tubes are shorter. Risk factors include pacifier use, attending daycare, lack of routine vaccinations, exposure to cigarette smoke, and a history of chronic ear infections. Signs and symptoms of otitis media include fever, refusal to eat, irritability, sleep disturbances, and ear pain or tugging on the affected ear. Complications can include rupture of the eardrum with sudden relief of pain. Nursing care involves encouraging routine vaccinations, performing otoscopic exams to inspect the ear without inserting

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    13 views1 page

    Otitis Media - Patho, Causes & Signs

    Uploaded by

    Sibel Ertuğrul
    Otitis media is an infection of the middle ear caused by inflammation and purulent fluid building up behind the eardrum. Young children, especially those under 2 years old, are more susceptible because their eustachian tubes are shorter. Risk factors include pacifier use, attending daycare, lack of routine vaccinations, exposure to cigarette smoke, and a history of chronic ear infections. Signs and symptoms of otitis media include fever, refusal to eat, irritability, sleep disturbances, and ear pain or tugging on the affected ear. Complications can include rupture of the eardrum with sudden relief of pain. Nursing care involves encouraging routine vaccinations, performing otoscopic exams to inspect the ear without inserting

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    © All Rights Reserved
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    of 1

    Otitis Media

    Pediatrics: Visual & Audio

    Pathophysiology & Causes

    M
    id
    Otitis Media (OM) is an infection within the eustachian tubes, the air-filled

    dl
    ee
    ar
    space behind the eardrum. The infection leads to major inflammation &
    purulent fluid inside the middle of the ear. Eustachian tubes

    Since eustachian tubes are shorter in younger clients, children less than
    2-years-old tend to get these infections frequently.
    Less than 2 years old Normal ear Otitis Media

    KAPLAN Question
    Memory trick Frequent acute otitis media infections ...
    which explanation?

    Otitis Media = Middle ear Children have shorter eustachian tubes

    Risk Factors Key Points:


    Pacifiers & attending daycare

    NO routine vaccinations
    U
    C History of chronic ear infections
    B
    A C
    Parents that smoke
    (cigarettes / cigars) NCLEX TIP

    Signs & Symptoms


    ATI Question
    5 NCLEX TIPS
    Q1: … which finding indicates a tympanic membrane rupture?
    1. High fever
    Sudden relief of pain in a child with otitis media with effusion
    2. Refusing to eat
    Q2: ... infant who has acute otitis media. Which of the
    3. Restless and irritable “crying more” following statements should the nurse expect the parents to
    4. Not sleeping make? Select all that apply.
    My baby has been pulling at her ears
    5. Ear pain - Frequently tugging on
    the affected ear My baby has not been drinking her bottles lately
    Z
    Z
    Z My baby is not sleeping at night
    Complication My baby has been very irritable and crying more lately
    Sudden relief of pain

    Nursing Care AVO


    ID
    1. Encourage routine vaccinations
    (influenza & pneumonia)

    Otoscopic examination
    2. Examine the ear at the very end of assessment
    3. AVOID inserting too far into the ear!
    Only to the bony interior part of the ear canal
    4. Inspect the tympanic membrane for redness,
    bulging, and perforation
    END OF ASSESSMENT

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