Meniere's disease
Disorder of inner ear
- Cause by dilation of the endolymphatic system
Meniere's disease - Pathophysiology
- Excess lymph fluid in inner ear
- Obstructs inner ear
- Swelling within labyrinth
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Meniere's disease
Disorder of inner ear
- Cause by dilation of the endolymphatic system
Meniere's disease - Pathophysiology
- Excess lymph fluid in inner ear
- Obstructs inner ear
- Swelling within labyrinth
- Distorts sound and balance signals
Meniere's disease - S/Sx
- Tinnitus
- Unilateral hearing loss
- Vertigo
- Headache
- N/V
- Diaphoresis
Meniere's disease - Diagnostic
- + Romberg test
- + Caloric stimulation test
- Audiometry
- Vestibular tests
- Neurological exam
- Glycerol test
Meniere's disease - Tx
- Salt & fluid restriction to decrease endolymphatic fluid
- Medications: antihistamines, anticholinergics, benzodiazepines, antivertigo medication, diuretics
- Bed rest, slow position changes
- Surgery to control vertigo w/o damage to hearing, transection of vestibular nerve
Meniere's disease - Nursing Diagnosis
- Disturbed sensory perception due to dizziness, tinnitus, & imbalance
- Anxiety about risk of falling & unpredictable patterns of vertigo
- Potential for injury
Heat therapy
- Promotes vasodilation, decreases blood viscosity, increases metabolism of tissues, increases capillary permeability
- Should not be applied for longer than 20-30 minutes, or reflex vasoconstriction and tissue congestion can occur
Cold therapy
- Promotes vasoconstriction, increases blood viscosity, decreases metabolism of tissues, has local anesthetic effect, decreases edema/pain/inflammation
- Decreases muscle tension
- Should not be applied for longer than 20 minutes or reflex vasodilation can occur
Somatization disorder
Marked by several, often vague, physical symptoms that suggest a physical disorder but have no physical basis
Somatization disorder - Pathophysiology
- Physical problems involve all body systems
- Often become frustrated w/ the primary HCP
- Shop around until they find one who will give then a new medication or treatment
- Typically undergo multiple surgeries
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