Ni Ketut Alit A Nursing Faculty Airlangga University

Ni Ketut Alit A Nursing Faculty Airlangga University

Ni Ketut Alit A Nursing Faculty Airlangga University Surabaya East Java. Black, J.M. & Matassarin E, (1997). Medical Surgical Nursing: Clinical Management for continuity of care. J.B. Barbara C.L & Wilma J.P. (2006). Essentials of Medical Surgical

Nursing. Philadelphia: Lippincott Williams & Wilkins. Smeltzer, S.C., & Bare, B. (2003). Brunner and Suddarth's Textbook of Medical-Surgical Nursing (10 th ed.). Philadelphia: Lippincott Williams & Wilkins. Ignativicius & Bayne. (2001). Medical and Surgical Nursing. Philadelphia: W.B. Saunders Company.

Luckman & Sorensen. (2000). Medical Surgical Nursing. Philadelphia: W.B. Saunders Company. Journals and article related to.. The epithelial lining of the middle ear

The epithelial lining of the mastoid air cells (Embedded in the temporal bone) Mastoiditis is a secondary disorder resulting inadequated treated Otitis Media. Mastoiditis can be either acute or chornic; it was leading cause of death in children and hearing lossmin adults The clinical manifestations of mastoiditis include:

Swelling behind the ear Pain with minimal movement of tragus, the pinna, or the head. Cellulitis develops on the skin or external scalp over mastoid process Clients withs mastoiditis also have low grade fever, malaise, and anoreksia

Reveals : a red, dull, thick, immobile tympanic membrane with or without perforation Postauricuar lymph nodes are tender and enlarge. Non Surgical management: Antibotic therapy is aimed at preventing the continued spread of infection from the otitis media or mastoiditis. But it has limited

use in the actual treatment of mastoiditis because of the difficulty of acchieving effective antibiotic levels within the bony structure of mastoid. Culture material is obtained from the ear drainage or by myringotomy. Surgical removal of the infected tissue is necessary if the client does not respond to antibiotic administrationwithin a few day.

A simple or modified radical mastoidectomy with tympanoplasty is the most common treatment.

All infected tissue must be removed so that the infection doesnot spread to other structures. Reassures the client that operative will relive pain Discusses the reason for the prosedure with the client and relieve anciety Cleans the exteral canal with a bacteriostatic solution

Avoid straining when you have bowel elimination. Do not drink through a straw for 2-3 wk Avoid air travel for 2-3 wk Stay away from people with cold Avoid getting your head wet, washing hair,and showering for 1 wk Keep yor ear dry for 6 wk by placing a ball cotton change daily Avoid rapidly moving the head for 3 wk Change eardressing every 24 hour Report excessive drainage

Compication arise : Infective material has not been removed completely. Contamination of other structure outside the mastoid and middle ear. Complication include : Damage to the abducens (NC VI) and facial cranial nerves (NC VII) Decreasing ability to look laterally Dropoping the mouth on the affected side

Vertigo Meningitis Brain abcess Chronic purulent otitis media Wound infection Early manifestation of mastoiditis development

PSYCHOSOCIAL ASSESMENT Fear of losing hearing Deny that the change occurred Pain Sensory /perceptual alteration (auditory) Risk of infection Hipertermi Anciety

Write down education guide for client post surgery with mastoiditis!!

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