T4 Bluepint - Ear and Hearing (Josh) Flashcards Preview

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Flashcards in T4 Bluepint - Ear and Hearing (Josh) Deck (56):
1

Client shows up with genetic deformity of ear. What else should we ask about?

Any kidney or urinary tract problems?

***kidneys / urinary tract develop at same time in utero as the ears

2

Tympanic Membrane:

In the left ear, the cone of light is at ---

In the right ear, the cone of light is at ---

7 o'clock

5 o'clock

3

Diagnostic Testing:

What type of sounds are being tested with a Watch Test?

high frequency sounds

4

Diagnostic Testing:

With the -- Test, the fork is placed in the middle forehead.

Weber

5

Diagnostic Testing:

Explain the purpose of the Rinne Test?

Tuning fork is placed next to ear and then on bone

Sound waves should be heard via air conduction longer than bone conduction

6

Menier's Disease and Labrythitis are --- --- diseases.

Inner Ear

7

Diagnostic Testing:

What is the most reliable form of testing?

Audiometry

8

Audiometry:

Frequency is measured in ---

Intensity is measured in ---

hertz

decibals

9

Audiometry:

Normal human speech is --- decibals

60

10

Audiometry:

--- is the lowest level of intensity at which pure tones and speech are heard by 50% of time

Threshold

11

Diagnostic Tests:

What does Tympanometry measure?

mobility of eardrum and middle ear structures

12

Diagnostic Tests:

Which test detects hearing loss in patients unable to indicate recognition of sound?

Auditory Brainstem-Evoked Response

***electrodes used

13

Diagnostic Tests:

Which test detects central or peripheral disease of the VESTIBULAR system?

Electronystagmography (ENG)

14

Diagnostic Tests:

With ENG, where are the electrodes placed and what are the detecting?

around eyes

detecting any nystagmus elicited by stimulation of the acoustic nerve

15

Diagnostic Tests:

Which test will not allow them to have a pacemaker?

ENG

16

Diagnostic Tests:

Teaching regarding ENG test?

No pacemaker

NPO several hrs before

No caffeine, ETOH, sedatives, or antihistamines for 24 hrs prior

17

Diagnostic Tests:

Which test uses warm water to stimulate nystagmus?

Caloric Testing

***same restrictions as ENG

18

Which meds can be ototoxic ?

Gentamicin

Amikacin

Metronidazole

Forosemide

NSAIDs (ASA or Ibuprofen)

Chemo (Cisplatin)

19

Tinnitis is a an --- ear problem.

inner

20

Age related changes in the ear and hearing.

Pinna elongated

Hair in ear canal coarser and longer

Cerumen drier and can cause impaction

Tympanic membrane loses elasticity

Hearing acuity decreases

21

As we age, which types of sounds are lost first?

high frequency sounds

22

What are the two types of hearing loss?

Conductive

Sensorineural

23

Types of Hearing Loss:

Which type is caused by a physical obstruction to sound wave transmission?

Conductive

24

Types of Hearing Loss:

Which type is typically in the Middle and External Ear?

Conductive

25

Types of Hearing Loss:

--- Hearing Loss is a defect in the middle or inner ear.

Sensorineural

26

Types of Hearing Loss:

Where are the three locations where Sensoirneural Hearing defects can be found?

Cochlear

CN VIII

Brain

27

Types of Hearing Loss:

Presbycusis (age-related hearing loss) is an example of --- --- ---

Sensorineural Hearing Loss

28

Ear Irrigation:

How much force should we use?

very little

29

Ear Irrigation:

Where should we place the stream of water?

above or below the obstruction (not in center)

30

Ear Irrigation:

Should we dig it out?

no

31

Ear Irrigation:

What do we do if cerumen doesn't come out?

Wait 10 mins and try again

Place mineral oil into the ear 3x's a day for 2 days to soften cerumen, then try again

32

Vertigo:

What can we do to manage it?

Positional Exercises

Rise slowly from sitting

Avoid caffeine or ETOH

Space fluids evenly throughout day

33

Vertigo:

If they have a severe episode, what should we tell them to do?

rest in a quiet, darkened room

34

Vertigo:

Which type of medication can be taken to decrease fluid in semicircular canals?

diuretic

35

Vertigo:

What should we tell them about their diet?

reduce salt

36

Vertigo:

What should we teach client about Meclizine?

restrict use in clients with closed angle glaucoma (PACG)

37

Vertigo:

Inapsine is an antiematic. What should we teach?

watch for postural hypotenstion and tachycardia

38

Vertigo:

What are s/e of Diphenhydromine?

Urinary retention

Dry mouth

39

Vertigo:

What diseases are we concerned about with Scopolamine (Anticholinergic)?

Glaucoma

- POAG (restricted)

- PACG (contraindicated)

40

Vertigo:

If we prescribe Diazepam, what should we be alert to?

if they have PACG (restricted)

41

Labrynthitis:

What is Labrynthitis a complication of?

chronic otitis media

URI

Mononucleosis

42

Labrynthitis:

What are symptoms?

Hearing loss

Tinnitus

Nystagmus

Vertigo with NV

43

Labrynthitis:

What is treatment plan?

Bedrest in darkened room

Antiemetics

Antivertigo

Antibiotics (if bacterial)

44

Labrynthitis:

If meds don't work, what is a surgical option?

Labrynthectomy (removal of labrynthine portion of inner ear)

45

Labrynthitis:

What should we teach the client about postop for Labrynthectomy?

Severe NV postop

Hearing loss expected in affected ear

46

What is Meniere's Disease?

vestibular disease due to excess of endolymphatic fluid that distorts the inner canal system

47

Meniere's Disease:

How long can attacks last?

days or can be continous

48

Meniere's Disease:

What are the symptoms?

Tinnitus

Vertigo

Unilateral Sensorineural Hearing loss

49

Meniere's Disease:

Treatment plan

Diet

Fluid

Meds

Surgery

50

What is Acoustic Neuroma?

benign tumor of CN VIII

51

Acoustic Neuroma:

Symtpoms

Tinnitus

Sensorineural hearing loss

Mild to Moderate vertigo

52

Acoustic Neuroma:

What is treatment?

treat symptoms

surgery

53

Hearing Aids:

What should we teach about caring for them?

Keep dry

Clean with mild soap and water

Clean debris from inner part with toothpick

Avoid exposure to extreme temps

Avoid hairspray, cosmetics, oils, or other hair and face products that might contact the reciever

54

Surgery:

Which surgeries for Conductive Hearing Loss?

Tympanoplasty

Stapedectomy

55

Surgery:

Which surgery for Sensorineural Hearing Loss?

Cochlear Implants

56

Surgery:

What should we teach client about Cochlear Implants?

Unit is not turned on immediately after surgery

External unit is applied 2-6 wks after surgery and processor is programmed

NO MRIs