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Meniere's disease - Coggle Diagram
Meniere's disease
DEFINITION
A disease that affects the membranous labyrinth of the ear, causing progressive deafness and attacks of tinnitus and vertigo.
PATHOPHYSIOLOGY
Meniere’s disease includes the overproduction or decreased absorption of endolymph, with resultant degeneration of vestibular and cochlear hair cells.
Recurrent attacks result in progressive sensorineural hearing loss (especially low tones), usually unilateral in nature.
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SURGICAL MANAGEMENT
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Middle and inner ear perfusion with placement of intraotologic catheters for drainage and infusion of medication
RISK FACTORS
Unknown , but also associated with aging
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PHARMACOLOGIC THERAPY
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Middle and inner ear perfusion or systemic injections of ototoxic medications: streptomycin, gentamicin to lower vertigo.
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Tranquilizers and antihistamines such as meclizine (Antivert) to control vertigo and to suppress the vestibular system.
DIETARY MANAGEMENT
Low sodium diet ,of 2 000mg per day.
NURSING CARE PLAN
NURSING DIAGNOSIS
Feeding, bathing or ensuring hygiene, dressing or grooming, and toileting self-care deficits related to labyrinth dysfunction and episodes of vertigo.
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Anxiety related to threat of, or change in, health status and disabling effects of vertigo.
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Impaired adjustment related to disability requiring change in lifestyle because of unpredictability of vertigo.
NURSING MANAGEMENT
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Teach about the importance of avoiding stimulants and vasoconstrictions (e.g. caffeine, decongestants, alcohol).
Discuss, prepare and assist the client with surgical procedures.
Provide a safe, quiet, dimly lit environment and ensure bed rest.
Administer prescribed medications, which may include antihistamines, antiemetics, and possibly, mild diuretics
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