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