Question

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1. During a health supervision visit for a 5 year old girl, the mother tells you she is worried about her hearing. She has been seen at your clinic since birth. She was the product of a normal pregnancy and delivery. She has had frequent ear infections since the age of 8 months. Six months ago she had a ruptured appendix and was treated with aminoglycoside. She has been fully recovered for 4 months.

a. What additional information would you seek from the mother during the office visit?

b. What information would you (the RN) would you want to verify from the medical record?

c. What are the risk factors? What is the plan of action?

Answer 1

A. what were the causes of frequent ear infection? what was the treatment that had taken ? does the girl complaints about ringing or buzzing in the ears ? does she feels fullness of the ears? is she unusually drowsy ? or complaining about increased thirst ?

B. dosage and frequency of aminoglycoside used, any allergic reactions ? how long the medication was administered

C. apart from ototoxicity associated nephrotoxicity, volume depletion, liver dysfunction, sepsis, renal dysfunction, hypokalemia, hypomagnesemia

plan of action :

assess the hearing status and neurological examination. renne test and webers test. assess vetibulo choclear nerve