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25 Cards in this Set
- Front
- Back
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what is tinnitus
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continuous ringng or noise perception in the ears
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symptoms
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mild ringing
lou roaring in the earh can interfers with thinking and attention span |
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What causes tinnitus
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presbycusis
otosclerosis(irregualar bone growth) menieres disease drugs exposure to lou nosie innter ear problems |
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Treatment
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mask with background sound, noisemakers, and music during sleeping hours.
Ear mold hearing aids |
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Vertigo/Dizziness
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distrubed sense of persons relationship to space
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vertigo
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sense of whirling or turning in space
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How is balanced controlled
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thru the visual system, vestibular system (cochlea, semicircular canals, and the proprioceptive system (muscles and nerve endings
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Casue of balance and motion
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menieres diseas, labyrinithitis, acoustic neromas, motion sickness, and drugs/acholol
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How to reduce manifestations
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restrict heand motions, move slowly. maintian adequate hydration.
Take drugs that reduce it |
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Drugs reduce vertigo
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dimenhydrinate (dramamine, gravol)
diazepam(valium, apo-diazepam) scopolamine (transdermscot, transderm) |
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Teach
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maintain a safe uncluttered enviromment, use cane or walker, do not drive when taking these drugs-side effects, drowiness
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Labyrinthitis
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infection of the labyrinth-bony capsule, organisms to invade the inner ears
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Cholesteatoma
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is a cause and is a growth benign of squamous cell epithelium from middle ear into the semiciruclar canal
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other cuases
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upper resp infection, mononucleosis, may follow middle ear or inner ear surgery
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treatment
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systemic anatibiotics, stay in bed darkened room unitl manifestations are reduced
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Drugs
Antiemetics anativertiginous |
dimenhydrinate (dramamine, gravol) relive symptoms
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menieres disease
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tinnitus
one sided sensorineural hearing loss and vertigo |
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s/s
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totally incapacitated
full recovery takes several weeks decreased hearing, causes verigo and stimiulates tinnitus |
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path
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excess of endolymphatic fluids that distorts the entire inner canal system
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assessment/manifestations
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headacke
tinnitus usually on one side only feeling of fullness in ear hearing loss-can be permanent vertigo describe as whirling can last 3 to 4 hours rapid eye movement (nystagmus) |
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nursing diagnoisi
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anxiety related to loss of contol, risk for injury
powerlessness realted to loss of control acitivity intolerance risk for deficient fluid volume realted to n/v |
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intervetions
nutrition |
distribut food and fluid intake evelny, avoid foods with high sale, drink fluids (low in sugar)avooid caffeine, limit alcohol, avoid msg
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Drug therapy
mild diuretics |
to decrease endolymph volume
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nicotinic acid
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useful for is vasodilatory effect
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antihistamines
diphenhydramine hydrochloride and dimenhydrinate |
reduce or stop acute attach
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