Final Exam Flashcards - Vertigo/Ear Disorders
Disorders of Sense of Balance and Motion
- Vertigo
- Benign proximal positional vertigo
- Meniere’s disease
- Motion sickness
Drugs Used to Treat Vertigo and Meniere’s
- Anticholineric Drugs
- Antihistamines
Anticholinergic Drugs
-Anticholinergic antiemetics block muscarinic receptors and inhibit cholinergic transmission from the vestibular nuclei to the vomiting center
Antihistamines
- Help control motion sickness by blocking the receptors for histamine in the part of the brain that controls nausea and vomiting.
- Also have anticholinergic effect
Antihistamine ADR’s
- Sedation
- Increased ocular pressure
- Dry moth
- Blurred vision
- Urinary retention
Antihistamine Warning Labels
- MASY CAUSE DROWSINESS
- AVOID ALCOHOL
- MAINTAIN ADEQUATE FLUID INTAKE
- ROTATE SITE OF PATCH APPLICATION (scopolamine)
Antihistamine Tech Note!
Use antihistamines in caution with:
- Prostate disease
- Asthma
- Lactating women
- Pregnancy
- Glaucoma
Auralgia
-Ear pain
Treatment of Auralgia
- Topical analgesics
- Local anesthetics
- Oral analgesics
- Corticosteroids
Water Clogged Ear & Swimmers Ear
- Water clogged ears are caused by fluids that accumulate in the ear after swimming or showering
- Swimmers ear produces inflammation and infection following prolonged exposure to water
Treatment of Water Clogged Ears and Swimmer’s Ear
- OTC drying agents are safe and effective for water-clogged ears
- Topical antibiotics and/or corticosteroids can be used for swimmers ear
Cerumen Impaction
-If cerumen (earwax) becomes impacted it can cause hearing loss, pressure and pain
Treatment of Cerumen Impaction
- Emollients (soften wax)
- Carbamide peroxide (breaks down wax)