Chamberlain College of Nursing - NR 602 MIDTERM study guide latest update 2020
MIDTERM STUDY GUIDE: PART-1
1. CHALAZIONS – Benign, chronic lipogranulomatous inflammation of the eyelid
• Causes – blockage of the meibom
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Chamberlain College of Nursing - NR 602 MIDTERM study guide latest update 2020
MIDTERM STUDY GUIDE: PART-1
1. CHALAZIONS – Benign, chronic lipogranulomatous inflammation of the eyelid
• Causes – blockage of the meibomian cyst
• Risk – hordeolum or any condition which may impede flow through the meibomian gland. Also, mite species that reside in lash follicles
• Assessment – PAINLESS, NOT INVOLVING LASHES
Lid edema, or palpable mass
Red or grey mass on the inner aspect of lid margin
• Prevention – good eye hygiene
• Treatment – warm, moist compresses 3x per day
Antibiotics not indicated because chalazion is granulomatous condition, if secondarily infected consider SULFACETAMIDE, ERYTHROMYCIN
• Follow up – 2-4 weeks, if still present after 6 weeks follow up with ophthalmologist
2. BLEPHARITIS – Inflamation/infection of the lid margins (chronic problem)
• 2 types – seborrheic (non ulcerative) : irritants (smoke, make up, chemicals)
o s&s – chronic inflammation of the eyelid, erythema, greasy scaling of anterior eyelid, loss of eyelashes, seborrhea dermatitis of eyebrows and scalp
• Ulcerative- infection with staphylococcus or streptococcus
o s&s – itching, tearing, recurrent styes, chalazia, photophobia, small ulceration at eyelid margin, broken or absent eyelashes
• the most frequent complaint is ongoing eye irritation and conjunctiva redness
• Treatment – clean with baby shampoo 2-4 times a day, warm compresses, lid massage (right after warm compress)
For infected eyelids – antistaphyloccocal antibiotics BACITRACIN, ERYTHROMYCIN 0.05% for 1 week AND QUIONOLONE OINTMENTS
For infection resistant to topical – TETRACYCLINE 250 MG PO X4
DOXYCYCLINE 100 MG PO X2
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