Vertigo and Other Ear Disorders - Chapter 19 Flashcards
Disorders Resulting in Hearing Loss
- Otosclerosis
- Sudden sensorineural hearing loss (SSHL)
- Autoimmune hearing loss
Disorders Causing Impaired Perception of Sound
-Tinnitus
Sense Organs for Balance and Equilibrium
- Vestibule
- Semicircular Canals
Disorders of Sense of Balance and Motion
- Vertigo
- Benign Paroxysmal Positional Vertigo
- Meniere’s disease
- Motion sickness
Vertigo Symptoms
- Dizziness or spinning
- N/V
- Blurred vision
- Disorientation
- Feeling of falling
Meniere’s Disease
- Chronic inner ear disease
- Associated with fluid build up in the inner ear
Treatment of Vertigo, Meniere’s, and Motion Disorders
-Drug treatments for vertigo or motion sickness are centrally acting antihistamines; some with anticholinergic activity
Antihistamines for Vertigo & Meniere’s Examples
- betahistine
- dimenhydrinate
- scopolamine hydrobromine
Antihistamine ADR’s
- Sedation
- Dry mouth
- Blurred vision
- Urinary retention
- Increased ocular pressure
Antihistamine Contraindications
- Prostate disease
- Asthma
- Lactating women
- Pregnancy
- Glaucoma
Antihistamine Warning Labels
- MAY CAUSE DROWSINESS
- MAY IMPAIR ABILITY TO DRIVE
- AVOID ALCOHOL
- DRINK LOTS OF FLUIDS
- ROTATE SITE OF PATCH APPLICATION (scopalamine)
Auralgia
-Ear pain
Treatment of Auralgia
- Topical analgesics
- Local anesthetics
- oral analgesics
- Corticosteroids
Local Anesthetics
-Numb the ear canal and tympanic membrane
Local Anesthetics Examples
- antipyrine/benzocaine
- lidocaine/polymixin B
Brand: Auralgan
Generic: antipyrine/benzocaine
Brand: Polysporin Plus Pain Relief Ear Drops
Generic: lidocaine/polymixin B
Water Clogged Ear and Swimmers Ear Drugs Examples
-iopropyl alcohol/glycerin
Brand: Auro-Dri
Generic: isopropyl alcohol/glycerine
Cerumen Impaction
-Impacted earwax can cause hearing loss, pain, and pressure
Earwax Removal with Cerumenolytics
- Emollients: soften wax
- Carbamide peroxide breaks up earwax and bubbles away debris
Brand: Murine Earwax Removal
Generic: carbamide peroxide
Brand: Cerumol
Generic: chlorbutol/dichlorobenzene/oil of turpentine/peanut oil
Other Drugs For Ear Disorders
- chloramphenicol
- ciprofloxacin/dexamethasone
- framycetin/gramicidin/dexamethasone
- gentamycin
- gentamycin/betamethasone
- polymixin B/neomycin/HC
Brand: Chloromycetin, Pentamycetin
Generic: chloramphenicol
Brand: Ciprodex
Generic: ciprofloxacin/dexamethasone
Brand: Sofracort
Generic: framycetin/gramicidin/dexamethasone
Brand: Garamycin Otic
Generic: gentamycin
Brand: gentamycin/betamethasone, Garasone
Generic: gentamycin/betamethasone
Brand: polymixin B/neomycin/HC
Generic: polymixin b/neomycin/HC
