EAR TEST

1. How to check for hearing loss in children:

0-4mos startle response
5mos-1year – loud noise

2. Sensorineural Hearing Loss

damage to Cochlear or Vestibulocochlear nerve
damage to inner ear

3. Conductive Hearing Loss

obstruction from external to inner ear
Disease process – Otitis Media
Cerumen Impaction
etc

4. Acute Otitis Media

infection of the middle ear
S&S – bulging, red tympanic membrane
Prevent – Antibx
No smoking
Bottle feeding in upright position
No propping the bottle
Teach about the compliance with the antibiotics

5. Chronic Otitis Media

Repeated episodes of acute otitis media
S&S – Foul smelling drainage

6. Otosclerosis
New Harden bone
There is no non-surgical tx – only surgery
What worsens it? – pregnancy

7. Meniere’s Disease
Inner ear disease
Sensorineural hearing loss
fluid builds up in the inner ear
Diet - ↓ NA 2000mg/day

8. Ototoxicity
Sensorineural hearingloss
Meds

9. (Cefacroxil) po BID
child weighs 40 lbs
The safe dose is 30 mg/kg/day
The max safe single dose is_____
Acute Otitis Media – middle – mixed/conductive
Labryinthitis – inner – sensorineural
Basel Cell Carcinoma – external – conductive
Cholesteatoma – middle – conductive
Ototoxicity – inner – sensorineural
Foreign Bodies – external – conductive
Tympanic – middle – conductive