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MENIERE'S DISEASE winning-the-battle-against-menieres-disease-and…
MENIERE'S DISEASE
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PATHOPHYSIOLOGY
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Meniere's disease have processes that results in reversible dysfunction of both cochlea and vestibule
Examples of reversible causes include noise, toxins such as salicylates, viral infection and immune mediated mechanism
DIAGNOSIS
Electronystagmography, to test balance
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BALANCE ASSESSMENT TESTS
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Vestubular evoked myogenic potential (VEMP) testing= shows promises and monitoring of meniere's disease
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NURSING CARE PLAN
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NURSING INTERVENTIONS
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Assist patient with bedpan, wheelchair when want to eliminate or go to toilet
Encourage bed exercises to promote adequate circulation, as patient is on bed rest
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NURSING CARE PLAN
PROBLEM
OEDEMA AND FLUID OVERLOAD IN THE INNER EAR, EVIDENCE BY DIFFICULTY IN BREATHING
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NURSING INTERVENTIONS
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Assess respiration in order to note any congestion in the lungs which can cause difficulty in breathing
Place the patient in comfortable position, such as semi-fowler's position to promote normal breathing
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TREATMENT AND MANAGEMENT
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NURSING MANAGEMENT
Advise the patient to avoid triggering factors such as caffein, alcohol, tobacco, and stress
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Provide safe,quit, dimly lit environment and enforce bed rest
Administer prescribed medication such as antihistamines, antiemtics and mild diuretics
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DIET
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Eat fresh fruit, vegetables
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