MEDICAL SURGICAL NURSING - II

1. Mr. Manikandan.T,
RN., RM., M.Sc(N)., D.C.A .,(Ph.D)
Assistant Professor,
Dept. of Medical Surgical Nursing,
VMCON, Puducherry.

2. DEFINITION
• Ear drum ruptured in one or both ear

3. CAUSES
• Infection
• Severe blow
• Improper wax removal
• Trauma
• Foreign bodies (cotton tipped applicator, hair
pin, keys)
• High pitch sound

4. CLINICAL FEATURES
• Pain in ear
• Discharge from ear
• Spinning/ whistling sound while sneezing
• Tinnitus
• Hearing loss

5. DIAGNOSIS
• H.C
• P/E
• Otoscopy
• Audiogram
• Webers & Rinnes Test
• Tympanometry

6. MANAGEMENT
• Keep the ear clean & dry
• Warm compress – relieve pain
• Anti inflammatory – pain
• Plug the ear with cotton while showering
• Avoid swimming

7. PREVENTION
• Treat ear infection earlier
• Protect against excessive noise
• Ear protective during air travel

8. SURGICAL MANAGEMENT
• Tympanoplasty