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RUHS, Jaipur, PB B.Sc Nursing Entrance-2018
Pharmacology
Easy

Drugs used in relieving symptoms of maniere's disease include all except?

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2018

Explanation

  • Atropine is an anticholinergic drug that is not a standard or recommended treatment for managing the symptoms of Meniere's disease.
  • While other drugs with anticholinergic effects, such as scopolamine or certain antihistamines, are used for vestibular disturbances, atropine itself is not indicated for Meniere's disease.
  • The primary goals of Meniere's treatment are to manage vertigo, nausea, and reduce inner ear fluid pressure, for which other specific drug classes are used.

Why Other Options Were Wrong

  • Option A: This is incorrect because antiemetics, such as promethazine, are essential for controlling the severe nausea and vomiting that accompany acute vertigo attacks in Meniere's disease.
  • Option B: This is incorrect because diuretics, like hydrochlorothiazide, are a key part of long-term management to reduce the volume and pressure of endolymph fluid in the inner ear.
  • Option D: This is incorrect because diazepam, a benzodiazepine, acts as a vestibular suppressant. It is used during acute attacks to help control vertigo and reduce the anxiety associated with the episode.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Pharmacological management of Meniere's disease to guide bedside assessment, documentation, and the next nursing action.
  • During an acute Meniere's attack, the nurse's priority is patient safety. Implement fall precautions, provide a quiet and dark environment, and administer prescribed antiemetics and vestibular suppressants.
  • Patient education is crucial for long-term management, focusing on adherence to a low-sodium diet (1000-1500 mg/day) to prevent fluid retention in the inner ear.
  • What if? If a patient with Meniere's disease presents with sudden, severe hearing loss, the nurse should facilitate an urgent otolaryngology consult, as this could indicate a need for more aggressive treatment like intratympanic steroids or surgery to preserve hearing.
How to Approach the Question
  • First, identify the core concept being tested, which is the pharmacological treatment for Meniere's disease.
  • Recognize the keyword 'EXCEPT'. This signals that you must find the option that is NOT a standard treatment.
  • Systematically review each option and its role in managing the key symptoms of Meniere's disease: vertigo, nausea/vomiting, and inner ear fluid pressure.
  • Evaluate Antiemetics: Are they used for nausea in Meniere's? Yes, this is a primary use.
  • Evaluate Diuretics: Are they used to reduce fluid volume? Yes, this is a cornerstone of long-term therapy.
  • Evaluate Diazepam: Is it used to suppress vertigo and anxiety? Yes, during acute attacks.
Concept Tested & Keywords
  • Concept Tested: Pharmacological management of Meniere's disease
  • Stem keywords: Meniere's disease, drugs, relieving symptoms
  • Lead-in keywords: except
  • Negative lead-in flag: Question asks for the exception or the drug that is NOT used.

Question ID

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Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 1 p. 72-74

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 478-480

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