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Labyrinthitis and Vestibular Neuritis - Coggle Diagram
Labyrinthitis and Vestibular Neuritis
Pathophysiology
It Is the problem in the inner ear, It happens when the labyrinth, which is a part of the inner ear that helps control your balance, gets swollen and inflamed.
Labyrinthitis is usually triggered by an infection, such as a cold or flu.
Hearing loss, dizziness and a spinning sensation (vertigo) are common symptoms
Vestibular neuritis is an inflammation of the vestibular nerve. The nerve is located in the inner ear.
Aetiology
This viral infection that has occurred somewhere else in the body.
The most likely cause is a viral infection of the inner ear, swelling around the vestibulocochlear nerve caused by a virus.
Causes cold sores, shingles, chickenpox, measles, flu, mumps, hepatitis and polio.
Management & Treatment
Treatment consists of managing the symptoms of vestibular neuritis, treating a virus.
Managing the symptoms, when vestibular neuritis first develops, the focus of treatment is to reduce symptoms
Drugs to reduce nausea include ondansetron Zofran and metoclopramide Reglan
If nausea and vomiting are severe and not able to be controlled with drugs, patients may be admitted to the hospital and given IV fluids to treat dehydration
Treating a virus, If a herpes virus is thought to be the cause of the vestibular neuritis, antiviral medicine such as acyclovir is used.
Antibiotics are not used to treat vestibular neuritis because this disorder is not caused by bacteria.
Clinical Manifestation
Concentration difficulties
Nausea, vomiting
Balance difficulties
Dizziness
Sudden, severe vertigo (spinning/swaying sensation)
Nursing Care Plan
Nursing Diagnosis
Risk for Fall
Nursing Intervention
Assess conditions that can increase the patient’s level of fall risk, such as a history of falls, changes in mental status, sensory deficits, balance, medications
Rationale
Proper assessment helps determine needed fall precautions.
Expected Outcomes
Patient doesn’t sustain injuries and also doesn’t suffer from a fall
References
Branch WT, et al. Approach to the patient with dizziness.
https://www.uptodate.com/contents/search
. Accessed Aug. 5, 2018
Shepard NT (expert opinion). Rochester, Minn. June 4, 2018
Kazemi M, et al. (2014). Volatile constituents of essential oils isolated from flowers and leaves of M.officinalis L.
jbes.uludag.edu.tr/PDFDOSYALAR/23/mak06.pdf