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(Disorders of the inner ear) - Coggle Diagram
Disorders of the inner ear
Meniere disease
Pathophysiology
It has been postulated that issue changes in the labyrinth
Trigger production of excess and endolymph which distorts the contour of the membranous labyrinth and destroys the delicate vestibular and cochlear hair follicles
Clinical manifestations
Attacks of vertigo are sudden with little or no warning
attacks may be preceded by a sense of fullness in the ear
Increasing tinnitus and a decreased fluctuating sensoneural hearing loss
These may be accompanied by nausea and vomiting
Nursing care plan
Nursing diagnosis
impaired transfer ability related to postural instability during performing routine activity
Nursing interventions
The patient requires reassurance and counseling that the condition is not life-threatening and can be managed
Prescribed medication symptomatic should be implemented vertigo can be managed with first rest and sedation antiemetic
The patient should be kept in the quiet dark room in a comfortable position
Signs and symptoms
hearing loss, felling fullness in your ear
Benign paroxysmal positional vertigo
Clinical manifestations
Whole body vertigo: balance disorder dizziness or lightheadedness
gastrointestinal: nausea or vomiting
common motion sickness or rapid involuntary eye movement
Pathophysiology
It occurs when some of the custom cabinets crystals that are normally embedded in gel in the utricle become dislodged and migrate one or more of the fluid-filled semicircular canals where they are not supposed to be
Signs and symptoms
dizziness, ear ache
Nursing care plan
Nursing diagnosis
Impaired transfer ability related to postural instability during performing routine activities of daily living
Nursing interventions
Assess condition that can increase the patient level of fall risk as
such as history of falls and changes in the mental status, sensory deficit in balance medication and symptoms related to diseases.
Give medication as ordered
Assess the degree of impairment using the 0-4 functional level classification.
Acoustic neuroma
Pathophysiologyg
Are noncancerous usually slow-growing tumors that form along with the branches of the other cranial nerve they tend to occupy the cerebellopontine angle
acoustic neuroma is a benign noncancerous tumor on the eighth cranial nerve vestibulo cochlear leading from
the brain stem to the ear.
This nerve is involved in hearing and maintaining equilibrium.
Acoustic neuromas grow relatively slowly
Symptoms
Balance disorder dizziness hearing loss involuntary eye movement
Sensory: pins and headless or reduced sensation of touch.
Ringing tinnitus in the affected ear
Facial numbers and weakness or loss of muscle movement
Nursing care plan
Nursing diagnosis
Risk of falls related to loss of balance
Disturbed sensory perception
Risk for imbalanced nutrition less than body requirements
Nursing interventions
Observations if the tumor is very small the physician may just monitor it's growth
Give prescribed medication as directed