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Meniere's Disease (Clinical manifestations (A sense of fulness in the…
Meniere's Disease
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Nursing management
the patient requires counseling and reassurance that the condition is not life threatening and can be managed with prescribed medication.
Vertigo can be managed with rest, sedation, antiemetics or drugs for motion sickness.
During the attack, the patient should be kept in a quiet, dark room in a comfortable position.
the patient should be instructed to avoid sudden head movement or changes in position to prevent falling.
antihistamines, anticholinergics and benzodiazepines can be prescribed to suppress the production of endolymph.
HEALTH EDUCATION
- Explain, reassure and counsel the patient that the condition is not life threatening
- Encourage the patient to adhere to prescribed medication
- teach the patient to seek assistance when an attack occurs in order to prevent injury
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Causes
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the excessive accumulation of endolymph results in the dilatation of the membranous labyrinth which impacts on balance.
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Definition
a specific balance disorder of the inner ear, characterised by a triad of symptoms; 1. Vertigo 2. Hearing loss 3. Tinnitus
Pathophysiology
it has been postulated that tissue changes in the labyrinth trigger production of excess endolymph, which distorts the contour of the membranous labyrinth and destroys the delicate vestibular and cochlear hair cells.