LABYRINTHITIS presented by Shashi Verma bachler of nursing third year

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1. LABYRINTHITIS Presented by Shashi Verma B. sc nursing 3 rd year

2. Definition Labyrinthitis is the infection and inflammation of the Labyrinth of the inner ear.

3. Causes Infection Meningitis Head injury Ear injury Allergy Middle ear infection

4. Alcohol use Bacterial infection Smoke Medication side effects

5. PATHOPHYSIOLOGY Due to etiological factors ( infection allergies, Drugs toxicity,bacteria Bacteria or virus enters the inner ear from the middle ear , meninges, or through bloodstream.

6. Infection of inner ear Destruction of soft tissue structures Affects hearing and balance Permanent hearing loss.

7. SIGN AND SYMPTOMS Loss of balance Loss of hearing Tinnitus sound (Ringing sound) Ear pain Fever Vomiting

8. SIGN AND SYMPTOMS Loss of balance Hearing loss

9. Ear pain. Fever .

10. Conti… Facial weakness Anxiety Dizziness Paralysis Double vision Difficulty in focusing

11. Anxiety. Dizziness

12. Difficulty in Double vision Focusing.

13. Diagnostic Evaluation History collection Physical examination Hearing test Otoscopy Vestibular testing Audiometry CT scan, MRI

14. Management Medical management Antibiotics Antiviral agents Corticosteroids Antihistamines Diazepam.

15. Surgical management Labyrinthectomy Maringotomy Radical Mastoidectomy Incision and drainage.

16. Pain related to disease conditions as evidence by Verbalization.. Outcome :- To relief pain. Nursing intervention :- Assess the pain by pain rating scale. Provide the comfortable position. Administer the analgesics to relief pain.

17. 2. Anxiety related to Surgical procedure and potential loss of hearing. Outcome :- patient will bhe free from anxiety. Nursing intervention : Assess the level of anxiety. Clear the all doubts regarding the Surgery and it’s outcome. Provide the psychological support to the patient.

18. 3. Impaired Sensory perception related to auditory nerve damage evidence by absence of respond to sound. Outcome :- Patient will improve hearing ability. Nursing intervention :- Assess patient hearing ability frequently. Provide a peaceful and comfortable position. Administer a drugs prescribed.

19. Nursing management To assess the condition of the pt. To assess the vital sign. To provide the analysis to relief pain. Manage vertigo. Stay still and take proper rest. Avoid sudden movement or position change.

20. Slowly resume activities. Avoid alcohol intake and smoking. Prevent injury. Minimize anxiety. Ensure adequate fluid. To provide keep and calm environment of patients