Otitis Media Case Study PDF

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Otitis Media case study typed...

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NUR 418: Parent/Child Nursing Care.

Name: Claudia Garcia Nogueiras

Garcia Nogueiras

Date 10/24/2021

Case Study: Acute Otitis Media Instructions: Read chapter 17 page 578-584 and complete the case study on otitis media. The case study must be typed and the file uploaded on Canvas This assignment will account for 2.5% of the Active Learning Exercises (ALEs) course grade. Five (5) points will be deducted for late

assignment. A 20-month-old girl is brought to the clinic by her mother because of a chief complaint of fussiness and pulling at her right ear for the past two days. She has had coughing and a runny nose for about 5 days that has been treated with an over-the-counter cold medicine. She also has a low-grade fever of about 100° F axillary for the past two days. Her past medical history is significant for ear infections, with her last diagnosis of otitis media being 5 months ago, which was treated with Amoxicillin. The child attends daycare and her immunizations are up to date. Both parents smoke cigarettes. Exam: VS T 38.4, P 100, RR 28, BP 100/65. She is active, alert to her surroundings and otherwise in no distress. HEENT: Right tympanic membrane is erythematous and bulging with poor mobility on otoscopic examination. Left tympanic membrane is clear with good mobility. Throat is non-erythematous. Cervical lymph nodes are slightly palpable. Lungs are clear to auscultation. The rest of the physical examination is normal. The child is diagnosed with acute right otitis media and is prescribed amoxicillin and acetaminophen. A follow-up visit is scheduled in 10 days. Questions 1. What may explain the increases susceptibility to otitis media in infants and young children?

Children have a shorter and a more horizontal eustachian tube because it is still growing which leads to bacteria and viruses’ easier access (can be easily blocked by infections and other particles). Also due to a limited response to antigens and a lack of previous exposure to common pathogens

2. What are the three most common bacterial causes for otitis media?

NUR 418: Parent/Child Nursing Care.

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Streptococcus pneumonia

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Moraxella catarrhalis

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Haemophilus influenzae

Garcia Nogueiras

3. What behavioral clinical manifestations of otitis media does the child exhibit?

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Pulling of the right ear, crying and pain.

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History of previous ear infections, viral upper respiratory infection,

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Fussiness

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Coughing and a runny nose

4. What diagnostic finding suggests Otitis Media for the child?

Right ear is erythematous and bulging with poor mobility

5. What instructions will be given to the mother regarding the antibiotics prescribed?

Educate the mother and father if present, on the importance to complete the entire course as prescribed and check for drug allergies prior to administration and the necessity to follow-up for resolution of AOM. Explain that even if symptoms improve, medication course must be completed.

6. What preventive measures against acute otitis media can be given to the mother?

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Educate the mother on the importance of keeping ears clean.

NUR 418: Parent/Child Nursing Care.

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Garcia Nogueiras

Avoid excess exposure to individuals with URI to decrease the incidence of these infections in their child.

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Also encourage parents to not smoke near children

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Encourage parents to reduce continue use of swimming pools as bacteria and viruses are spread easily in this environment, as well as overcrowded places.

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Lastly encourage the parents to have the child immunized with Prevnar and the influenza vaccine....