| Procedures | Assessment & Charts | Disease Process | True or False | Parts of the Plan |
|---|---|---|---|---|
|
Name one situation when you might fold back the upper eyelid
Looking for a foreign body
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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?
Blood on sclera, eye chart B
|
What is inflammation and flaky skin at the edges of the eyelids.
Blepharitis
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A fluorescein dye test is positive if the patient has a corneal abrasion (disruption of the corneal membrane surface)
T
|
What are two parts of the plan to treat bacterial conjunctivitis?
-antibiotic ointment
-removal of eye crusts and discharge -wash hands frequently, avoid towel sharing -do not wear contacts until finish medication |
|
Name three steps in performing a fluorescein dye test
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 two reasons for sudden change, decrease or loss of vision in an eye.
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 three causes of conjunctival inflammation.
bacteria, viruses, allergies or contact with an irritating chemical.
|
Ciprofloxacin eye drops are appropriate to treat conjunctivitis in an 8mo boy.
F. Only use ciprofloxacin drops in patient's over 1yo.
|
T or F it is a good idea to measure areas of redness so you can compare size on recheck.
T
|
|
When would a health aide use topical anesthetic drops to numb the eye?
Fluorescein dye test; chemical in eye, before removing a foreign body.
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In an assessment of Glaucoma Chronic care, what are two other aspects you must comment on in the assessment?
How is the patient doing and if there are any problems with medicines.
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This occurs when the pressure inside the eyeball is too high. It can damage the nerve for vision. Side vision is affected first.
acute glaucoma
|
64yo with blood on sclera. otherwise well. had this twice in the last year. Her visit must be reported at medical traffic.
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.
|
When should a patient with blood on sclera, Eye 4, return to the clinic?
one week if better, sooner if worse
|
|
In what condition might the fluorescein dye collect more heavily than usual but evenly across the cornea?
Light burns of the eyes
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Name the assessment chart Letter and Location for Red Eye and Eyelid Problem.
Eye chart D and Eye chart C, located in eye chapter - patient care visit.
|
red, swollen, warm skin around the eye socket in a sick patient.
periorbital cellulitis.
|
conjunctivitis in patient who wears contacts is a report always.
T.
|
List two eye assessments with additional care.
Eyelid 3: insect bite or sting to eyelid or mild allergic reaction.
Eyelid 4: stye Eye 7: glaucoma, chronic care |
|
Describe in detail how to check vision when you are away form the clinic (or don't have a Snellen chart).
Rough vision screening. Use any print (magazine, book). Check each eye while patient covers the other.
|
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?
Eye chart C, eyelid problems, likely insect bit or sting or mild allergic reaction.
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medical term for blood between the conjunctiva and sclera; often cause by minor trauma to the eye.
subconjunctival hemorrhage (blood on sclera)
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In acute iritis the pupil and iris may be harder to see and the pupil may not be normally shaped.
T.
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What is the recommended recheck timing for stable chronic Glaucoma.
3mo if doing well, sooner if problems.
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