| Procedures | Assessment & Charts | Disease Process | True or False | Parts of the Plan |
|---|---|---|---|---|
|
Looking for a foreign body
Name one situation when you might fold back the upper eyelid
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Blood on sclera, eye chart B
Patient reports a coughing fit and soon after notices a red eye. no pain. no visual changes. normal eye exam. what is the most likely assessment?
|
Blepharitis
What is inflammation and flaky skin at the edges of the eyelids.
|
T
A fluorescein dye test is positive if the patient has a corneal abrasion (disruption of the corneal membrane surface)
|
-antibiotic ointment
-removal of eye crusts and discharge -wash hands frequently, avoid towel sharing -do not wear contacts until finish medication
What are two parts of the plan to treat bacterial conjunctivitis?
|
|
Remove contacts, numb eye as needed, give patient tissue, wet the fluorescein strip with saline, pull down lower eyelid, tell patient to look up; touch inside of eyelid with strip, ask patient to blink and move eye around, shine light from the side (blue is best or green from opthalmoscope).
Name three steps in performing a fluorescein dye test
|
Trauma (including penetrating); inflammation (iritis), acute increase in eyeball pressure (glaucoma, loss of blood flow to eye, injury or loss of blood flow to the brain, nerve problem (ex, botulism)
Name two reasons for sudden change, decrease or loss of vision in an eye.
|
bacteria, viruses, allergies or contact with an irritating chemical.
Name three causes of conjunctival inflammation.
|
F. Only use ciprofloxacin drops in patient's over 1yo
Ciprofloxacin eye drops are appropriate to treat conjunctivitis in an 8mo boy.
|
T
T or F it is a good idea to measure areas of redness so you can compare size on recheck.
|
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Fluorescein dye test; chemical in eye, before removing a foreign body.
When would a health aide use topical anesthetic drops to numb the eye?
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How is the patient doing and if there are any problems with medicines.
In an assessment of Glaucoma Chronic care, what are two other aspects you must comment on in the assessment?
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acute glaucoma
This occurs when the pressure inside the eyeball is too high. It can damage the nerve for vision. Side vision is affected first.
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F. Blood on sclera must be reported if any hx of eye injury, other bleeding or bruising problems, abnormal eye exam (other than red spots), problem has happened more than twice in the last year.
64yo with blood on sclera. otherwise well. had this twice in the last year. Her visit must be reported at medical traffic.
|
one week if better, sooner if worse
When should a patient with blood on sclera, Eye 4, return to the clinic?
|
|
Light burns of the eyes
In what condition might the fluorescein dye collect more heavily than usual but evenly across the cornea?
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Eye chart D and Eye chart C, located in eye chapter - patient care visit.
Name the assessment chart Letter and Location for Red Eye and Eyelid Problem.
|
periorbital cellulitis
red, swollen, warm skin around the eye socket in a sick patient.
|
T.
conjunctivitis in patient who wears contacts is a report always.
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Eyelid 3: insect bite or sting to eyelid or mild allergic reaction.
Eyelid 4: stye Eye 7: glaucoma, chronic care
List two eye assessments with additional care.
|
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Rough vision screening. Use any print (magazine, book). Check each eye while patient covers the other.
Describe in detail how to check vision when you are away form the clinic (or don't have a Snellen chart).
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Eye chart C, eyelid problems, likely insect bit or sting or mild allergic reaction.
5yo wakes up with red, swollen right eyelid. Mild discomfort & tenderness on exam. No vision changes. Pupils normal. Skin intact. What assessment chart will you review in this case?
|
subconjunctival hemorrhage (blood on sclera)
medical term for blood between the conjunctiva and sclera; often cause by minor trauma to the eye.
|
T.
In acute iritis the pupil and iris may be harder to see and the pupil may not be normally shaped.
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3mo if doing well, sooner if problems.
What is the recommended recheck timing for stable chronic Glaucoma.
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