In: Nursing
Brad presents with report of foreign object in right eye.Brad Pittman is a 35 year old welder.While at work welding , a metal splinter lodged in his eye.
Scenario:.The patient is afebrile and appears in moderate distress,clutching his face.Respirations increased .Heart rate elevated.Patient is slightly diaphoretic.No obvious debris lodged in the face,neck or hands.Nares clear.Ipsilateral lids normal.Sclera grossly inflamed .Upon examinatiuon with slit lamp,the metal splinter is embedded in the cornea but does not enter the anterior chamber.Splinter removed without complications .Contralateral eye is unaffected.Identify the Examinatio elements in this note by organ system,
A. Eye, Ears, Nose
B. Mouth, Throat
C. Skin
D. Cardiovascular and Respiratory
E. all of the above
E) All of the above
Medical treatment generally includes :
1) The doctor or nurse checks your vision
2) once they find the foreign body, they gently remove it after numbing the eye with anaesthetic eye drops . If it's central or deep, they will arrange for you to see an ophthalmologist to have it removed
3) You eye may washed with saline, steril water to flush out any dust and dirt.
4) X-rays may be done to check whether an object has entered your eyeball or orbit.
5) your eye may be patched to allow it to rest and any scratches to heal.
6) you will be advised not to drive until the eye patch is removed and your vision has returned to normal
7) your doctor will want to see you again to check that your eye is healing and that your vision is all right .You should not miss this appointment . Even tbough you may feel better your eye may not have fully healed. The follow up is needed to make sure the treatment is working.
8) If there are any serious problems or a residual rust ring ,you will be sent to an ophthalmologist .