Treatments for Balance disorders
Treatments for Balance disorders
The list of treatments mentioned in various sources
for Balance disorders
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Balance retraining exercises (vestibular rehabilitation)
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Book Excerpts: Treatment of Balance disorders
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Syncope:
Treatment
(In a Page: Signs and Symptoms)
-
Identify, treat, and/or refer on the basis of underlying cardiac, neurologic, autonomic or other causes
-
Vasovagal episode: Rehydrate, treat possible triggers (e.g., relieve pain)
-
Orthostatic hypotension: Adjust medications, make lifestyle changes (e.g., rise slowly from sitting)
-
Cardiac arrhythmias: Medical management and/or pacemaker placement
-
Myocardial disease/valvular disease: Assess severity, consider medical versus surgical treatment
-
Cerebrovascular disease: Reduce risk factors; consider medical versus surgical treatment
-
Hypoglycemia: Identify underlying cause; adjust medications and diet to prevent further episodes
-
Seizures: Adjust medications to prevent seizures; no driving
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Dizziness/Lightheadedness & Vertigo:
Treatment
(In a Page: Signs and Symptoms)
- Treat the underlying disorder of lightheadedness
–Rehydrate patient as necessary
–Compensate for heart failure with inotropic agents,
diuretics, and ACE inhibitors
–Surgical intervention for valvular incompetence
–Treat prodromal stroke (TIA) with aspirin or warfarin
–Carotid endarterectomy for significant carotid stenosis
–Acute migraine treatment with NSAIDs or triptans (e.g.,
sumatriptan); prophylaxis with valproate or tricyclic antidepressants;
–Phenytoin or carbamazepine for seizures and auras
- Vertigo
–Meclizine and/or reassurance and time are usually sufficient for benign positional vertigo
–Modified Epley and/or particle repositioning maneuvers
for positional symptoms
–Diuretics and/or surgery for Ménière's disease
–Central causes require disease-specific therapy
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Syncope:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- Vasovagal syncope
–Educate family and patient to recognize precipitating factors and to avoid hypovolemia
–Have patient lie in a recumbent position until the
symptoms subside
–Reassurance
- If severe, β-blockers can be used for recurrent vasovagal syncope
-
For breath-holding spells, education is also imperative
-
Iron has also been advocated in patients who are found to be iron-deficient
-
Cardiac abnormalities are treated on an individual basis
–Structural lesions will require repair
–Arrhythmias may require medication or pacing
–Prolonged QT is treated with β-blockers, left cardiac sympathetic denervation, or demand cardiac pacing
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Vertigo:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
If the vertigo is accompanied by nausea and vomiting, supportive care with fluid and electrolyte replacement
-
Migraine aura associated vertigo: Analgesics and vestibular suppressants such as sumatriptan, propranolol, amitriptyline, diazepam; avoid triggers
-
Acute viral labyrinthitis: Bedrest, antiemetics, IV fluids, diazepam, antihistamines
-
Control of hypertension, diabetes, cardiac arrhythmia
-
Cerebellopontine angle tumors: Surgical resection
-
BPPV/ Ménière disease: Positioning procedure; brief treatment with diazepam, meclizine, or dimenhydrinate
-
Perilymph fistula: Pneumatic otoscopy reproduces symptoms; often heals spontaneously
-
Vertebrobasilar stroke: Neurology consultation
-
Cerebellar hemorrhage: Emergent neurosurgical consult for question of posterior fossa decompression
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Syncope:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If you see a patient faint, ensure a patent airway and the patient’s safety, and take his vital signs. Then place the patient in a supine position, elevate his legs, and loosen tight clothing. Be alert for tachycardia, bradycardia, or an irregular pulse. Meanwhile, place him on a cardiac monitor to detect arrhythmias. If an arrhythmia appears, give oxygen and insert an I.V. line for medications or fluids. Be ready to begin cardiopulmonary resuscitation. Cardioversion, defibrillation, or insertion of a temporary pacemaker may be required.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Syncope:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you see a patient faint, ensure a patent airway, patient safety, and take vital signs. Then place the patient in a supine position, elevate his legs, and loosen any tight clothing. Be alert for tachycardia, bradycardia, or an irregular pulse. Meanwhile, place him on a cardiac monitor to detect arrhythmias. If an arrhythmia appears, give oxygen and insert an I.V. line for drugs or fluids. Be ready to begin cardiopulmonary resuscitation. Cardioversion, defibrillation, or insertion of a temporary pacemaker may be required.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Syncope:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Continue to monitor the patient’s vital signs closely. Prepare the patient for an electrocardiogram, Holter monitoring, and carotid duplex, carotid Doppler, and electrophysiology studies.
Patient teaching
Advise the patient to pace his activities, to rise slowly from a recumbent position, to avoid standing still for a prolonged time, and to sit or lie down as soon as he feels faint.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Syncope:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If you see a patient faint, ensure a patent airway, patient safety, and take vital signs. Then place the patient in a supine position, elevate his legs, and loosen any tight clothing. Be alert for tachycardia, bradycardia, or an irregular pulse. Meanwhile, place him on a cardiac monitor to detect arrhythmias. If an arrhythmia appears, give oxygen and insert an I.V. line for drugs or fluids. Be ready to begin cardiopulmonary resuscitation. Cardioversion, defibrillation, or insertion of a temporary pacemaker may be required.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vertigo:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient is experiencing vertigo, tell him not to get out of bed or walk without assistance. Instruct the patient not to make sudden position changes and to avoid tasks that can be dangerous such as driving.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Syncope:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Monitor the patient's vital signs closely.
▪ Prepare him for an electrocardiogram and Holter monitor, carotid duplex, carotid Doppler, and electrophysiology studies.
▪ Take measures to provide for patient safety.
Patient teaching
▪ Explain the underlying disorder and treatment plan.
▪ Encourage the patient to pace his activities.
▪ Teach the patient measures to take if he feels faint.
▪ Tell the patient to rise slowly from a lying or sitting to a standing position.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vertigo:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Place the patient in a comfortable position.
▪ Monitor vital signs and LOC.
▪ Take measures to provide for the patient's safety.
▪ Darken the room and keep the patient calm.
▪ Administer drugs to control nausea and vomiting and decrease labyrinthine irritability.
▪ Prepare the patient for diagnostic tests, such as electronystagmography, EEG, and X-rays of the middle and inner ears.
Patient teaching
▪ Explain to the patient the underlying cause of vertigo and its treatment.
▪ Explain safety measures to the patient.
▪ Tell the patient to avoid sudden position changes and dangerous tasks.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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