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disorders of the inner ear - Coggle Diagram
disorders of the inner ear
meniere’s. Diseases
nursing intervention
Motion sickness medications, such as meclizine or diazepam (Valium), may help to control nausea and vomiting
Anti-nausea medications, such as promethazine, might control nausea and vomiting during vertigo.
No cure exists for Meniere's disease, a number of treatments can help reduce the severity and frequency of vertigo episodes
Risk factors
Genetic predisposition
Abnormal immune response
Improper fluid drainage, perhaps because of a blockage or anatomic abnormality
Signs and symptoms
Ringing in the ear - Tinnitus is the perception of a ringing, buzzing, roaring, whistling or hissing sound in your ear.
Feeling of fullness in the ear - People with Meniere's disease often feel pressure in an affected ear.
Hearing Loss - In this disorder hearing loss may come and go, particularly early on, eventually, most people have some permanent hearing loss.
Recurring episodes of vertigo - occur without warning and usually last 20 minutes to several hours, but not more than 24 hours
pathophysiology
A disorder of the inner ear that can lead to dizzy spells or vertigo and hearing loss. In most cases, it affects only one ear and can occur at any age, but it usually starts between young and middle-aged adulthood,,
references
Ménière's disease. Vestibular Disorders Association.
http://vestibular.org/menieres-
disease. Accessed Nov. 1, 2018
Ferri FF. Ménière's disease. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019.
https://www.clinicalkey.com
. Accessed Nov. 1, 2018.
HEARING LOSS
Definition
Is an impairment that occurs when there is problem with or damage to one or more parts of the ear.
Inability to hear.
Causes
Congenital.
Conductive.
Damage to the inner ear.
Gradual build-up of earwax.
Abnormal bone growth.
Clinical manifestations
Poor performance at school.
A need to increase the volume of the radio.
Increase inability to hear.
Trauma on the ear.
Pathophysiology
Occur as a result of decreased sound transmission.
From outside world to the cochlear.
Hair cell destruction in the cochlear.
Damage to the eight cranial nerve.
Sound perceived by the brain are both diminished and distorted.
Risk factors
Ear infection.
Prolonged exposure to noise.
Foreign bodies.
Ototoxin medication.
Poor ear hygiene.
Nursing management
A thorough assessment need to be done.
Refer the patient to a physician for proper and correct diagnosis.
Refer a patient to audiologist for proper assessment.
Surgical management
Canalplasty.
Tympanoplasty.
Ossicular reconstruction.
Stapedoctomy.
Medical management
Administration of antibiotics.
Administration of analgesics.
Nursing care plan
Care of ears and how to clean it.
The role of the ear in communication.
Educate about the proper use of the wick and it disposal.