Treatments for Vertigo, benign paroxysmal, in childhood
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Vertigo:
Treatment
(In A Page: Pediatric Signs and Symptoms)
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If the vertigo is accompanied by nausea and vomiting, supportive care with fluid and electrolyte replacement
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Migraine aura associated vertigo: Analgesics and vestibular suppressants such as sumatriptan, propranolol, amitriptyline, diazepam; avoid triggers
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Acute viral labyrinthitis: Bedrest, antiemetics, IV fluids, diazepam, antihistamines
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Control of hypertension, diabetes, cardiac arrhythmia
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Cerebellopontine angle tumors: Surgical resection
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BPPV/ Ménière disease: Positioning procedure; brief treatment with diazepam, meclizine, or dimenhydrinate
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Perilymph fistula: Pneumatic otoscopy reproduces symptoms; often heals spontaneously
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Vertebrobasilar stroke: Neurology consultation
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Cerebellar hemorrhage: Emergent neurosurgical consult for question of posterior fossa decompression
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Source: In A Page: Pediatric Signs and Symptoms, 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.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 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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