Summary

Medical-surgical notes on integumentary, ENT, and eye conditions covering psoriasis, shingles, MRSA, Meniere's disease, strabismus, and glaucoma. The information includes causes, symptoms, and treatment.

Full Transcript

Integumentary / ENT / Eyes Wound Drainage Psoriasis Chronic skin disease that causes a rash with scaly patches; itchy Meds: topical corticosteroids, methotrexate NI: Educate pt on triggers - stress, dry skin, trauma, infection. Advise patient to limit or eliminate alcohol and smoking....

Integumentary / ENT / Eyes Wound Drainage Psoriasis Chronic skin disease that causes a rash with scaly patches; itchy Meds: topical corticosteroids, methotrexate NI: Educate pt on triggers - stress, dry skin, trauma, infection. Advise patient to limit or eliminate alcohol and smoking. Shingles (Herpes Zoster) Painful rash caused by reactivation of chickenpox virus S/sx: fluid-filled blisters, fever, shooting pain, pruritis Treatment: pain relief and antiviral medications Place on contact precautions MRSA Resistant bacteria that is difficult to treat with antibiotics Causes painful red bumps on skin that may turn into abscesses Place on contact precautions Meniere’s Disease Disorder of the inner ear that causes vertigo and hearing loss Nursing: administer diuretics, restrict sodium, lay on affected ear when in bed Eyes OS - Left eye OD - Right eye OU - Both eyes Strabismus (crossed eyes) Can be treated with botox Patch the GOOD eye so the weaker one gets stronger Glaucoma In angle closure glaucoma do not take meds that dilate the pupil → can precipitate acute and severely increase intraocular pressure NO atropine medications

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