| Procedures | Assessment & Charts | Patient Education & Meds | 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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Conjunctivitis, eye chart D
Patient reports red eye that began slowly, irritated but not painful. No vision changes. Lots of discharge. Eye looks red with some discharge, otherwise normal exam. What is the most likely assessment?
|
Clean at least once a month.
How often should patients clean their artificial eyes (prosthesis)?
|
True
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
|
Severe Eye Infection Around Eye or In Eyeball, eye chart D.
Patient comes in with swelling and redness of the eyelids and around the eye. Has fever and painful for eye to look different directions. What is the most likely assessment?
|
a. Children need safety glasses/goggles too
b. Give toys that are safe for child’s age
Per the patient education Eye Health, Safety and Injury Prevention – what advice do we give to protect children’s eyes?
|
True – flooding the eye copiously.
There is immediate care for a suspected chemical in the eye.
|
-Have patient rest in a dark room.
- It may help to wear sunglasses, even inside. - Doctor may order eye patch, for one or both eyes to help with pain.
What is the special care involved in Light Burns of the Eyes.
|
|
Fluorescein dye test; chemical in eye, before removing a foreign body.
When would a health aide use topical anesthetic drops to numb the eye?
|
Acute Glaucoma, eye chart D
Patient has sudden vision loss and pain in one eye. Lights have halos. On exam, cornea looks hazy. Pupils are not reacting to light appropriately. The eyeball feels hard to touch. What is the most likely assessment?
|
In an eye that is infected, especially an infection that may be caused by a virus such as herpes simplex. Since this medicine reduces inflammation, it may allow an infection to get worse.
What is a concern with giving steroid eye drops like Prednisolone Acetate (Pred Forte) especially if the eye is infected?
|
False - immediate care for injuries is checking CAB’s (circulation, airway, breathing) and controlling severe bleeding.
The immediate care for someone coming in with a black eye with vision loss is to give an ice pack to decrease swelling.
|
one week if better, sooner if worse
When should a patient with blood on sclera, Eye 4, return to the clinic?
|
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To check for abnormalities of the cornea e.g. foreign bodies or abrasions or ulcerations.
What situation is fluorescein dye test used?
|
How is the patient doing and if there are any problems with medicines and any high risk health conditions.
In an assessment of Glaucoma Chronic care, what are three other aspects you must comment on in the assessment?
|
a. Put contacts in before makeup
b. Avoid the inner rim of eyelid c. Don’t share makeup d. Replace eye products every 3-6 months.
What do we tell contact lens patients with regards to preventing infection – especially about make up.
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False – immediate care includes vision check and report NOW to referral doctor.
There is no immediate care needed for drainage from the eye with vision loss?
|
3mo if doing well, sooner if problems.
What is the recommended recheck timing for stable chronic Glaucoma.
|
|
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 from the clinic (or don't have a Snellen chart).
|
Acute Iritis, eye chart D.
Patient has redness in one eye and pain that came on slowly. Having pain with lights and vision is blurred. They have had this issue before, but cannot remember what it is called. Eye is red and watery. Pupil looks irregular. Most likely assessment?
|
Proparacaine may damage the cornea or patient may scratch cornea while it is numb.
What happens if proparacaine eye drops are used too much?
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False – patients should NEVER be given anesthetic drops. There is too much danger of misuse/overuse.
Patients should be given the bottle of anesthetic drops after initial use since each bottle cannot be shared.
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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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