Labyrinthitis ppt

definition, etiology,risk factor,clinical manifestation,diagnostic evaluation and nursing management of labyrinthitis

1. LABYRINTHITIS

Labyrinthitis is an ear disorder that involves irritation

and swelling (inflammation) of the inner ear.

2. Etiology

There are many causes of labyrinthiti
occurs after an ear infection (otitis media) or an upper
respiratory infection. It may also occur after an

allergy, cholesteatoma or taking certain drugs that

are dangerous to the inner ear.

During labyrinthitis, the parts of the inner ear
become irritated and inflamed. This interferes with
their ability to help you balance and hear.

3. Risk Factors
The following raise your risk for labyrinthi

1. Drinking large amounts of alcohol

2. Fatigue
3. History of allergies

Recent viral illness, respiratory infection, or ear
infection

Smoking

Stress

Use of certain prescription or non-prescription
drugs (especially aspirin).

4. 1. Abnormal sensation of movement (vertigo).

2. Difficulty in focusing the eyes because of involun-
tary eye movements.

Dizziness.

Hearing loss in one ear.

Loss of balance, such as falling toward one side.
Nausea and vomiting.

Ringing or other noises in the ears (tinnitus)

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Diagnostic Evaluation

A complete physical and nervous system (neurologi-
cal) exam should be done. An ear examination :
not reveal any problems. may

5. Usually, other tests are not needed to diagnose
labyrinthitis. Tests will be done to rule out other
causes of your symptoms. These may include:

. Electronystagmography
. Head CT scan

Hearing tests (audiology/i audiometry)
MRI of the head

Warming and cooling the inner ear with air 0
water (caloric stimulation) to test eye reflexes.

6. Treatment
Labyrinthitis usually goes away within a few weeks.
Treatment helps to reduce symptoms, such as spin-
ning sensations. Medications that may reduce symp-
toms include:

Antihistamines.

Medicines such as Compazine to control nausea
and vomiting.

Medicines to relieve dizziness, such as Meclizine
or Scopalamine.

Sedative-hypnotics such as Valium.

7. Nursing Assessment

Assess the involuntary movement of eye.
Assess for vertigo.

Assess the hearing level.

Assess the hearing loss in one ear or both.

Assess the skin turgor and hydration status of the
client.

Ask the patient to feel tinnitus or not.

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Nursing Diagnosis

Acute or sever headache related to abnormal
growth of tumor.

2. Anxiety related to tumor.

3. Knowledge deficit related to disease condition and
its treatment and side-effects,

4. Impaired social interaction related to communica”
tion barrier.

5.

Risk for injury related to loss of balance.

Nursing Management

Early diagnose the labyrinthitis.

Head CT scan should be done because it also done
by another injuries.

Neurological examination should be done.

8. ji
li

. Properly drains the secretions and clear !

Identify the exact cause of disease,
Ifthe patient's ability to speak is limited to yes and

no answers, try to phrase questions so that the
patient's can use these response.

In hearing loss patient consult a speech therapist
for additional help.

Clean the ear with NS and administer antibiotics
in the ear.

Cover the ear with lotion.

Warm the client to get away from the infectious
environment.

. Carefully explain the diagnostic test to the patient

and family members.

. Clear the ear wax.
. Protect the ear from the further infection like

otitis media.

. Hearing test should be done.
. Properly use of medicine. It will relieve slow

dizziness.

. Sedatives is given for proper rest and sleep.
. Protect the patient for further injury and perma

nent hearing loss. the dis-

charge.

2 ing the
. Emotional support is given for accepting

Situation.