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Pediatric Nursing
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=== Otitis media === Presents with ear pain, ear tugging in preverbal children, fever, irritability, and a bulging, erythematous, immobile tympanic membrane. Feeding an infant '''flat on the back with a propped bottle''' and exposure to tobacco smoke are modifiable risk factors. Many cases are managed with observation and analgesia; antibiotics are prescribed for younger infants, severe symptoms, or bilateral disease. Teach caregivers to complete the entire antibiotic course. After myringotomy with tympanostomy tube placement, teach that '''drainage for a few days is expected''' and that tubes usually extrude spontaneously in 6 to 12 months.
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