- term given to the episodic symptoms created by fluctuation in the production or reabsorption of fluid in the ear
Cause
- Unknown
Signs and symptoms
- Vertigo
- Nausea
- Tinnitus
- Headache
- Sensory hearing loss, usually unilateral
- Nystagmus during attacks
Treatment
- Specific drugs may include the following
- Meclizine (Antivert) – antihistamine, suppresses the vestibular system
- Diazepam or other tranquilizers – to help control vertigo in acute episodes
- Promethazine (Phenergan) – anti vertigo effect
- Low sodium diet
- Bed rest during acute attacks
- Surgical procedures – indicated for incapacitated clients
Nursing Management
- Administer prescribed drugs during an attack
- Encourage client not to move rapidly
- Protect from surgery during attacks
- Care of the client following a total labyrinthectomy
- Maintain bed rest in the presence of severe vertigo
- Instruct client to avoid sudden movements
- Explain that Bell’s palsy may occur post op but will subside within a few months
- Teach client that foods high in sodium should be avoided
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