Nursing care of acute suppurative otitis media.doc

Nursing care of acute suppurative otitis media [Keywords:] acute suppurative otitis media Acute suppurative otitis media (acute suppurative otitis media) is an acute middle ear purulent inflammation of mucous membranes. Due to various causes of the decline in body resistance, systemic chronic diseases and lesions near the site of disease, Streptococcus pneumoniae, Haemophilus influenzae, beta-hemolytic streptococcus and Staphylococcus aureus, Pseudomonas aeruginosa, and so on. pathogen common way to enter the middle ear Eustachian tube means, the external auditory canal and tympanic membrane channels blood infection. 1 Clinical data 1.1 Etiology and transmission route: from various causes decreased body resistance, systemic chronic disease, and adjacent parts of the lesion disease (such as chronic tonsillitis, chronic purulent sinusitis, etc.), adenoidal hypertrophy in children is the disease such as incentives. pathogen into the middle ear are shown below: 1.2 assess the general performance of the tympanic membrane perforation before systemic symptoms, systemic symptoms are obvious, may have chills, fever, weary, loss of appetite, severe in children than in adults the symptoms may have high fever, convulsions, often accompanied by vomiting, diarrhea and other gastrointestinal symptoms , tympanic membrane perforation, the body temperature gradually decreased, systemic symptoms are significantly reduced. assess the performance of specialist earache, tinnitus and hearing loss, otorrhea and so on. 2 Care 2.1 General care of acute otitis media people, should follow the doctors eat antibiotics, it is best used continuously for 1 week, may have high fever with antipyretics as appropriate. Not in the tympanic membrane perforation, 1% phenol glycerine can be used to reduce pain , who has been perforated, antibiotic ear drops are available drugs, such as kanamycin or 0.5%, 2.5% chloramphenicol, or eye drops in the ear, drops 3-4 times daily, fo