- a client is taking paranate, which is classified as a monoamine oxidase inhibitor (MAOI). which of the following foods should the nurse counsel the client to avoid?
- true or false: ototoxins injury the peripheral vestibular apparatus
- what drugs are most injurious to the vestibular portion of CN VIII?
- if a patient presents with vertigo caused by vestibular neuronitis, what is most likely in their recent medical history
- How long can a vertigo attack caused by vestibular neuronitis last?
- Patient presents to the clinic complaining of vertigo, tinnitus and hearing loss for 5 days. They also experienced some nausea and vomiting, but it only lasted for a day. During history you discover they had a viral URI 2 weeks ago. The patient is febrile.You determine they have acute labyrinthitis. How do you treated?
- acute labyrinthitis without any cochlear involvement/just inflammation of the vestibular portion of CN 8
- what structures does acute labyrinthitis involve?
- Patient presents to the clinic and says they had an attack of vertigo onset this morning. They deny any previous episodes. They did not experience any hearing loss, but admit to NV and nystagmus. They have absent responses to caloric stimulation. What do you suspect?
- Most common cause of peripheral vertigo
- Your patient who presented to the ER with an acute attack of vertigo caused by Meniere's disease asks how he can avoid another attack. What do you tell him?
- idopathic increase in labyrinth endolymph which results in distension of the endolymphatic space and encroachment on the perilymphatic space causing vertigo
- Patient presents with short episodes of vertigo. You diagnose BPPV. What is the treatment?
- what disease is endolymphatic hydrops associated with?
- Patient (male, 45) presents to the ER during an episode of vertigo. Since arriving to the ER, his episode has lasted 2 hours. On PE you observe horizontal/rotary nystagmus. He also reports nausea and vomits multiple times. He has a difficult time understanding what you're saying and asks you to "speak up" but at times he is able to hear you just fine. What do you suspect is causing his vertigo attack?
- result of debris in posterior semicircular canal resulting in displaced otoliths
- Patient presents with short episodes of vertigo. She says they happen if she moves her head too much. She also experiences sudden onset NV and tinnitus and sometimes cant stand when it happens. However, if she stays still the symptoms will go away. What do you suspect?
- Patient presents with short episodes of vertigo. You diagnose BPPV. You perform the Epley maneuver to reposition the canaliths and prescribe antihistamines. Your patients asks how long it will take for her vertigo to resolve. What do you tell her?
- Patient presents with short episodes of vertigo. You suspect BPPV. What is the gold standard exam for verifying this diagnosis?
- if a patient complaining of vertigo admits to light headedness and fainting, what should you suspect?