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MENIERES DISEASE
Is an abnormal inner ear fluid balance
CLINICAL MANIFESTATION
Symptoms of Menieres disease include:
fluctuating,
progressive sensorineural hearing loss;
tinnitus or a roaring sound;
a feeling of pressure or fullness in the ear;
and episodic, incapacitating vertigo, often
accompanied by nausea and vomiting.
DIAGNOSTIC TEST
Physical examination findings are usually
MEDICAL MANAGEMENT
Most patients with Menieres disease can be
PHARMACOLOGY THERAPY
Pharmacologic therapy for Menieres disease
consists of:
Antihistamines such as Meclizine (Antivert),
Tranquilizers such as Diazepam (Valium)
Antiemetic agents such as Promethazine
(Phenergan)
Diuretic therapy (eg, hydrochlorothiazide
[Dyazide], triamterene [Dyrenium])
Intake of foods containing potassium (eg,
bananas, tomatoes, oranges) is necessary
if the patient takes diuretic that causes
potassium loss.
SURGICAL MANAGEMENT
Although most patients respond well to
NURSING INTERVENTION
Assess for vertigo, including history, onset,