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Meniere's disease (Causes (Stress, Overwork, Fatigue, Emotional…
Meniere's disease
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Nursing management
Provide a safe, quiet, dim light environment and enforce bed rest.
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Administer prescribed medications which may include antihistamines, antisemitics and possibly mild diuretics.
Explain the importance of avoiding stimulants and vasocontrictions e.g. caffeine, decongestants and alcohol.
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Discuss, prepare and assist clients with surgical options.
Describe medication that may be prescribed to prevent attacks or self administration of appropriate medication during an attack, which may include diuretics or niconitic acid.
Nursing diagnosis
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Impaired adjustment related to disability requiring change in lifestyle because of unpredictability of vertigo
Risk for fluid volume imbalance and deficit related to exchange increased fluid output, altered intake and medications.
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Feeding, bathing/hygiene, dressing/ grooming and ticketing self care deficit related to labyrinth dysfunction and episode of vertigo.
Signs and symptoms
Sudden episodes of severe whirlwing vertigo, with an inability to stand or walk, episodes may last up to several hours.
Nausea, vomiting and diaphoresis
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Possibly, brief loss of consciousness with nystagmus.
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Pathophysiology
Meneire disease appear to involve overproduction or decreased absorption of endolymph, with resultant degeneration of vestibular and cochlear air cells
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Dietary management
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Avoidance of alcohol, nicotine and caffeine.
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