DIZZINESS IN AN OLDER ADULT 10

DIZZINESS IN AN OLDER ADULT 10 PowerPoint PPT Presentation


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I have no financial interest to report. OBJECTIVES. Review common causes of dizziness/vertigoDescribe clinical pearls of vertigo testing/treatmentDiscuss the issues of vertigo testing. THE CASE. 79 year old with Hx postural hypotensionSudden onset of dizziness 2 weeks agoTwo more episodes si

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DIZZINESS IN AN OLDER ADULT 10

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1. DIZZINESS IN AN OLDER ADULT 10/12/05 MARY JO WILLIS MS, APRN, BC CLINICAL PROFESSOR NURSE PRACTITIONER

2. I have no financial interest to report

3. OBJECTIVES Review common causes of dizziness/vertigo Describe clinical pearls of vertigo testing/treatment Discuss the issues of vertigo testing

4. THE CASE 79 year old with Hx postural hypotension Sudden onset of dizziness 2 weeks ago Two more episodes since that time

5. THE PATIENT PMH: Macular degeneration, BPH, anemia, polymyalgia rheumatica SH: Retired, non-smoker, no ETOH FH: No Meniere’s disease ROS: No changes in hearing, vision, speech; no fall, head injury, weakness/ paralysis of extremities, LOC, or recent URI

6. THE PATIENT Medications: Prednisone Terazosin Ferrous sulfate TMP-Sulfa DS Ocuvite

7. DIZZINESS IN THE ELDERLY Cannot place dizziness into one category Disequilibrium can accompany other types of dizziness when intact compensatory systems are absent Need to distinguish between primary symptom and secondary causes Need to distinguish acute from chronic dizziness-no consensus Sloane et. Al., (2001)

8. CATEGORIZING DIZZINESS Pre-syncope Syncope Disequilibrium Psychogenic Vertigo

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