NR-603 Week 1-Vestibular Neuritis Exam Study Guide with Complete Solutions

NR-603 Week 1-Vestibular Neuritis Exam Study Guide with Complete Solutions Vestibular neuritis is - Answer️️ -an acute unilateral labyrinthine dysfunction, also called acute peripheral vestibulopathy or labyrinthitis Vestibular neuritis is characterized by what? - Answer️️ -brief severe vertigo, nausea, vomiting and disequilibrium lasting a few days followed by vertigo and disequilibrium with rapid head movement that may last for weeks to months Vestibular neuritis is most commonly caused by - Answer️️ -viral inflammation of the vestibular nerve, but otitis media is another possible cause. In vestibular neuritis, what causes the sensation of vertigo - Answer️️ -Inflammation of the eighth cranial nerve causes the sensation of vertigo. The most severe symptoms of vertigo usually subside within _________ hours, but they can last ________ days - Answer️️ -48 to 72 4 or 5 In vestibular neuritis episodes resolve ___________ but up to half of patients will continue to experience dizziness and disequilibrium for how long? - Answer️️ - spontaneously many months ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM Page | 2 Diagnositic and Lab work for vestibular neuritis - Answer️️ -CBC w/diff MRI/CT scan (if tumor is suspected) Treatment goals of vestibular neuritis - Answer️️ -alleviate vertigo, nausea and vomiting treating possible infection improving ventral compensation thru vestibular exercises what are first line agents for vestibular neuritis? - Answer️️ -anticholinergics and antihistamines What medication is commonly used to treat vestibular neuritis? - Answer️️ -Meclizine 25mg-50mg every 6 hours and is okay to use during pregnancy How long should vestibular neuritis be treated with medication - Answer️️ -3 days because they can hamper vestibular recovery Can you give steroids to treat vestibular neuritis? - Answer️️ -Yes... Methylprednisolone can be given once daily for 22 days beginning with diagnosis, beginning with a 100-mg dose and gradually tapering down every 3 days Patient and family education regardingn vestibular neruitis - Answer️️ -slowly change positions adequate hydration avoiding driving or operating heavy machinery while taking antihistamines ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM Page | 3 What is Acute suppurative labyrinthitis, . - Answer️️ -an uncommon bacterial infection of the inner ear, is more serious and may be a complication of otitis media or meningitis The history for vestibular neuritis should include - Answer️️ -current medication use; history of head trauma; and duration, episodic nature, and severity of the vertigo. Past medical history and recent infection, particularly in the res