Assessment of the Ear and Hearing (5) Flashcards
ototoxic drugs
GAMFAIC
gentamycin amikacin metronidazole furosemide aspirin ibuprofen cisplatin
test placing fork in middle of head
weber
test comparing air conduction to bone conduction (should hear hair much longer than bone)
rinne
measures high and low tones in hertz
frequency
measures how loud tones are in decibels
intensity
measures lowest intensity which pure tones and speech are heard by only 50% of the time
threshold
tympanic membrane should look like?
light reflexes for each ear?
pearly gray and intact
right ear 5 oclock
left ear 7 oclock
electrodes placed around ear and movement is recorded by filling ear with cool water or air
electronystagmography
contraindications for ENG (6)
no caffeine no pacemakers NPO for several hours prior no alcohol no sedatives no antihistamines
components of external ear
pinna mastoid process (behind ear)
components of external process
cerumen
intact eardrum
light reflex
age related changes
PHHHTC
pinna elongated hair coarser hearing acuity decreases high freq sounds lost first tympanic membrane loses elasticity cerumen drier can cause impaction
3 components of sensorineal hearing loss
defect in:
cochlear
CN VIII
brain (temporal lobe)