Vertigo and Other Ear Disorders - Chapter 19 Flashcards

1
Q

Disorders Resulting in Hearing Loss

A
  • Otosclerosis
  • Sudden sensorineural hearing loss (SSHL)
  • Autoimmune hearing loss
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2
Q

Disorders Causing Impaired Perception of Sound

A

-Tinnitus

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3
Q

Sense Organs for Balance and Equilibrium

A
  • Vestibule

- Semicircular Canals

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4
Q

Disorders of Sense of Balance and Motion

A
  • Vertigo
  • Benign Paroxysmal Positional Vertigo
  • Meniere’s disease
  • Motion sickness
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5
Q

Vertigo Symptoms

A
  • Dizziness or spinning
  • N/V
  • Blurred vision
  • Disorientation
  • Feeling of falling
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6
Q

Meniere’s Disease

A
  • Chronic inner ear disease

- Associated with fluid build up in the inner ear

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7
Q

Treatment of Vertigo, Meniere’s, and Motion Disorders

A

-Drug treatments for vertigo or motion sickness are centrally acting antihistamines; some with anticholinergic activity

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8
Q

Antihistamines for Vertigo & Meniere’s Examples

A
  • betahistine
  • dimenhydrinate
  • scopolamine hydrobromine
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9
Q

Antihistamine ADR’s

A
  • Sedation
  • Dry mouth
  • Blurred vision
  • Urinary retention
  • Increased ocular pressure
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10
Q

Antihistamine Contraindications

A
  • Prostate disease
  • Asthma
  • Lactating women
  • Pregnancy
  • Glaucoma
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11
Q

Antihistamine Warning Labels

A
  • MAY CAUSE DROWSINESS
  • MAY IMPAIR ABILITY TO DRIVE
  • AVOID ALCOHOL
  • DRINK LOTS OF FLUIDS
  • ROTATE SITE OF PATCH APPLICATION (scopalamine)
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12
Q

Auralgia

A

-Ear pain

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13
Q

Treatment of Auralgia

A
  • Topical analgesics
  • Local anesthetics
  • oral analgesics
  • Corticosteroids
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14
Q

Local Anesthetics

A

-Numb the ear canal and tympanic membrane

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15
Q

Local Anesthetics Examples

A
  • antipyrine/benzocaine

- lidocaine/polymixin B

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16
Q

Brand: Auralgan

A

Generic: antipyrine/benzocaine

17
Q

Brand: Polysporin Plus Pain Relief Ear Drops

A

Generic: lidocaine/polymixin B

18
Q

Water Clogged Ear and Swimmers Ear Drugs Examples

A

-iopropyl alcohol/glycerin

19
Q

Brand: Auro-Dri

A

Generic: isopropyl alcohol/glycerine

20
Q

Cerumen Impaction

A

-Impacted earwax can cause hearing loss, pain, and pressure

21
Q

Earwax Removal with Cerumenolytics

A
  • Emollients: soften wax

- Carbamide peroxide breaks up earwax and bubbles away debris

22
Q

Brand: Murine Earwax Removal

A

Generic: carbamide peroxide

23
Q

Brand: Cerumol

A

Generic: chlorbutol/dichlorobenzene/oil of turpentine/peanut oil

24
Q

Other Drugs For Ear Disorders

A
  • chloramphenicol
  • ciprofloxacin/dexamethasone
  • framycetin/gramicidin/dexamethasone
  • gentamycin
  • gentamycin/betamethasone
  • polymixin B/neomycin/HC
25
Q

Brand: Chloromycetin, Pentamycetin

A

Generic: chloramphenicol

26
Q

Brand: Ciprodex

A

Generic: ciprofloxacin/dexamethasone

27
Q

Brand: Sofracort

A

Generic: framycetin/gramicidin/dexamethasone

28
Q

Brand: Garamycin Otic

A

Generic: gentamycin

29
Q

Brand: gentamycin/betamethasone, Garasone

A

Generic: gentamycin/betamethasone

30
Q

Brand: polymixin B/neomycin/HC

A

Generic: polymixin b/neomycin/HC