Otitis media

Pediatric Nursing subject related topics. that topic is otitis media.

1. Otitis Media Otitis Media
Ferdushi AkhterFerdushi Akhter
Junior FacultyJunior Faculty
Prime Bank Nursing InstitutePrime Bank Nursing Institute
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3. Otitis media:
Background:
Otitis media (OM) is the second most
common disease of childhood, after
upper respiratory infection (URI).
Definition:
It is defined as an inflammation of the
middle ear.

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5. Classification of otitis media
Acute otitis media
2. Chronic otitis media
Other-
a.Serous otitis media
b.Secretory otitis media
c.Suppurative otitis media
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6. Otitis media
•Healthy
Tympanic
Membrane

7. Etiology
Age: Common among
children due to shorter
Eustachian tube
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8. Etiology
Tonsillitis, Rhinitis,
Sinusitis, Pharyngitis &
infections secondary to
cleft palate
Trauma to the TM
Head injury
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9. Clinical manifestation
Fullness or heaviness in the ear
Severe ear pain at night
Deafness
Tinnitus (ringing or buzzing in the
ear)
Autophony (spoken words of
patient echo in his ears)
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11. Serous
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Acute otitis
media
Serous otitis media

12. Perforation
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13. Bulging Ear drum
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14. Diagnostic evaluation
•History
•Physical examination
•Otoscopic examination
•Culture
•Audiometry ( testing of the
hearing sense) & Tympanometry
(evaluation of the mobility and
patency of the eardrum)
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16. Management
Medical Management-
•Administration of
antibiotic (Ampicillin or
Amoxicillin).
•Anti-inflammatory
(analgesic & antipyretic).
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17. Management
Surgical management-
Myringotomy or
tympanotomy (incision in
the tympanic membrane)
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18. Nursing care
•Apply hot water bag over the ear with the
child lying on the affected side may
reduce the discomfort (applied during the
attack of pain).
•Put ice bag over the affected ear may also
be beneficial to reduce edema (between
pain attacks).
•For drained ear; the external canal may be
frequently cleaned using sterile cotton
swabs (dry or soaked in hydrogen
peroxide).

19. •Excoriation of the outer ear should be
prevented by frequent cleansing &
application of zinc oxide to the area of
oxidate.
•Give special attention to th tympanostomy
tube i.e., avoid water entering the middle
ear and introducing bacteria.
•Educate family about care of child, & keep
them aware with the complications of
acute otitis media e.g.,hearing loss.
•Provide emotional support to the child &
his family.

20. Complications of O.M
•Hearing loss
•Chronic suppurative O.M
•Adhesive otitis
•Facial palsy
•Brain abscess.
•Meningitis.