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    Meniere' S Disease: (Endolymphatic Hydrops)

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    Willie
    Meniere's disease is a condition caused by increased fluid pressure in the inner ear. It is characterized by episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear. Diagnosis involves hearing tests showing problems detecting low frequencies. Treatment includes a low-sodium diet, avoiding large fluid intake, medications to suppress vertigo and nausea, and potentially surgery to drain fluid or remove balance functions in severe cases. Nursing care focuses on providing support during attacks and educating patients on self-care and lifestyle changes to prevent further episodes.

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    Meniere' S Disease: (Endolymphatic Hydrops)

    Uploaded by

    Willie
    44 views9 pages
    Meniere's disease is a condition caused by increased fluid pressure in the inner ear. It is characterized by episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear. Diagnosis involves hearing tests showing problems detecting low frequencies. Treatment includes a low-sodium diet, avoiding large fluid intake, medications to suppress vertigo and nausea, and potentially surgery to drain fluid or remove balance functions in severe cases. Nursing care focuses on providing support during attacks and educating patients on self-care and lifestyle changes to prevent further episodes.

    Original Description:

    Yo

    Original Title

    Hydrolymphatic Hydrops

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    Meniere's disease is a condition caused by increased fluid pressure in the inner ear. It is characterized by episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear. Diagnosis involves hearing tests showing problems detecting low frequencies. Treatment includes a low-sodium diet, avoiding large fluid intake, medications to suppress vertigo and nausea, and potentially surgery to drain fluid or remove balance functions in severe cases. Nursing care focuses on providing support during attacks and educating patients on self-care and lifestyle changes to prevent further episodes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    44 views9 pages

    Meniere' S Disease: (Endolymphatic Hydrops)

    Uploaded by

    Willie
    Meniere's disease is a condition caused by increased fluid pressure in the inner ear. It is characterized by episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear. Diagnosis involves hearing tests showing problems detecting low frequencies. Treatment includes a low-sodium diet, avoiding large fluid intake, medications to suppress vertigo and nausea, and potentially surgery to drain fluid or remove balance functions in severe cases. Nursing care focuses on providing support during attacks and educating patients on self-care and lifestyle changes to prevent further episodes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 9

    MENIERE’

    S
    DISEASE
    (Endolymphatic
    Hydrops)
    What is MENIERE’S
    DISEASE?
    – Refers to a condition of increased hydraulic pressure
    within the inner ear endolymphatic system.
    Factors that might
    contribute to MENIERE'S
    DISEASE, include:
    – Improper fluid drainage, perhaps because of a blockage or
    anatomic abnormality
    – Abnormal immune response
    – Allergies
    – Viral infection
    – Genetic predisposition
    – Head trauma
    – Migraines
    Signs and Symptoms:

    – Recurring episodes of vertigo. You have a spinning sensation


    that starts and stops spontaneously. (most characteristic
    manifestation)
    – Hearing loss. Hearing loss in Meniere's disease may come and
    go, particularly early on. Eventually, most people have some
    permanent hearing loss.
    – Ringing in the ear (tinnitus). 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 the affected ears (aural fullness) or on
    the side of their heads.
    Hearing Assessment:

    – A hearing test (AUDIOMETRY) assesses how well you


    detect sounds at different pitches and volumes and how
    well you distinguish between similar-sounding words.
    People with MENIERE'S DISEASE typically have problems
    hearing low frequencies or combined high and low
    frequencies with normal hearing in the mid frequencies.
    – Weber test shows that tone lateralizes better in the good
    ear.
    Medical Treatment
    – Low sodium diet to prevent water retention.
    – Avoid drinking large volume of fluids.
    – Avoid reading during vertigo
    – Avoid driving

    Pharmacologic therapy
    – Tranquilizers and antihistamines such as meclizine (Antivert) to control vertigo and
    to suppress the vestibular system; antiemetics for nausea and vomiting.
    – Diuretics to lower pressure in the endolymphatic system
    – Vasodilators are often used in conjunction with other therapies
    – Middle and inner ear perfusion or systemic injections of ototoxic medications:
    streptomycin, gentamicin to eliminate vertigp; procedure is highly successful in
    decreasing vertigo but is accompanied by a significant risk for hearing loss.
    Surgery
    – Endolymphatic Sac Surgery
    – Decompression:
    – Removal of bone overlying the sac
    – Shunting
    – Placement of synthetic shunt to drain endolymph into mastoid
    – Drainage
    – Incision of the sac to allow drainage
    – Removal of sac
    – Excision of the sac

    – Vestibular nerve section. This procedure involves cutting the nerve that connects balance and
    movement sensors in your inner ear to the brain (vestibular nerve). This procedure usually corrects
    problems with vertigo while attempting to preserve hearing in the affected ear. It requires general
    anesthesia and an overnight hospital stay.
    – Labyrinthectomy. With this procedure, the surgeon removes the balance portion of the inner ear
    (labyrinth), thereby removing both balance and hearing function from the affected ear. This procedure
    is performed only if you already have near-total or total hearing loss in your affected ear.
    Nursing
    Management:
    – Provide nursing care during acute attack.
    – Provide a safe, quiet, dimly lit environment and enforce bed rest
    – Provide emotional support and reassurance to alleviate anxiety
    – Administer prescribed medications, which may include antihistamines,
    antiemetics, and possibly, mild diuretics
    – Instruct the client on self-care instructions to control the number of acute
    attacks.
    – Discuss the nature of the disorder
    – Discuss the need for a low-salt diet
    – Explain the importance of avoiding stimulants and vasoconstrictions (e.g.
    caffeine, decongestants, alcohol)
    – Discuss medications that may be prescribed to prevent attacks or self-
    administration of appropriate medications during an attack, which may
    include anticholinergics, vasodilation, antihsitamines, and possibly,
    diuretics or nicotinic acid.
    THANK YOU

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