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OTOTOXICITY OTOTOXICITY EC441893-DE17-4D79-A9A7-8163A411D1A5…
OTOTOXICITY OTOTOXICITY EC441893-DE17-4D79-A9A7-8163A411D1A5
DEFINATION
Ear poisoning which result from chemical or drug exposure
PATHOPHYSIOLOGY
Which is essential for balancing and hearing
Balance and hearing are affected
They damage the vestibulo-cochlear nerve
There is reduction on hearing
Drugs or chemicals damage the inner eye
Which lead to cochlear damage
PHARMACOLOGY
Loop diuretics
Aminoglycoside antibiotics
Furosemide
Aspirin and quinine
CAUSES
Non-aminoglycoside antibiotic
Chemotherapy drugs
Drugs
Loop Diuretics
Chemicals
DIAGNOSTIC STUDY
Computerrized dynamic posturagraphy
Electronystagmagraphy
Auditory brainstem response
Vestibulo ocular reflex testing equipment
CLINICAL MANIFASTATIONS
Vomiting
Eye jerking
Mild Imbalance
Ear fullness
Hearing Loss
DIET
Balanced diet
Food high in fiber
Green leafy vegetables
HEALTH EDUCATION
Advise patient to avoid drugs
Advise patients to always be ventilated
Keep patient on bed rest
NURSING CARE PLAN
EVALUATION
Patient is well informed
Educate patient about hygien
No pain
NURSING DIAGNOSE
Deficient Knowledge
Show respect to patient
Provide reinforcement
Provide baseline information about disease
Acute pain
Monitor vital signs
Administer pain medication
Provide comfort
Disturbed sensory perception
Reduce unnecessary environmental noise
Administer antibiotics
Asses client hearing ability
REFRENCESE
https://www.eclass.teicrete
https://www.mayoclinic.org