Meniere’s DiseasePatient ProfileSubjective Data S.H. is a 25-year-old man who comes to the emergency
Meniere’s DiseasePatient ProfileSubjective Data S.H. is a 25-year-old man who comes to the emergency department with a history of one day of severe vertigo and vomiting.Has had vertigo spells with right-sided tinnitus a few times this past monthStates he becomes nauseous when he attempts to sit upVertigo is worse with head movementHas been crawling out of bed for fear of fallingCurrently reporting nausea Objective DataPhysical ExaminationBlood pressure 139/72, pulse 90, temperature 97.7°F, respirations 22Spontaneous nystagmus in the right eyeVomited two times in past 30 minutesIntermittent diaphoresisDiagnostic StudiesAudiogram: severe sensorineural hearing loss at 35.0 dB, with a predominance of low frequency impairment in the right earTuning fork-Weber test: right sensorineural hearing loss Discussion QuestionsWhat is vertigo? How is it different from dizziness? Based on the assessment, what do you think S.H. has and why? What other diagnostic tests may be ordered for S.H.? The health care provider diagnoses S.H. with Meniere’s disease. What are the common causes of Meniere’s disease? What are the priority nursing diagnoses for S.H? S.H. is being discharged with prescriptions for prochlorperazine and diazepam and recommendations to follow up with his primary care provider in 3-4 days. What should your discharge teaching for S.H. include? Health Science Science Nursing NURSING BMSC Share QuestionEmailCopy link Comments (0)
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