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CAGAYAN STATE UNIVERSITY                                                                                                             17
                                NCM 116


                                           e.  Enucleation,                                         Works as a software
                                               Evisceration,                                          developer, often
                                               Extenteration                                          spending long hours on
                                           f.  Pharmacotherapy                                        the computer
                             B.  Alterations in Ear Function
                                    1.  Review of the Anatomy                                 Physical Examination
                                        and Physiology of the                                 Results:
                                        Ears
                                    2.  Assessment of Hearing                                       General: Patient
                                        and Balance                                                   appears anxious and in
                                           a.  Inspection of the                                      distress
                                               External Ear                                         Vital Signs: Blood
                                           b.  Evaluation of                                          pressure 150/90
                                               Gross Auditory                                         mmHg, Pulse 88 bpm,
                                               Acuity                                                 Respiratory rate 20
                                                  i.  Whisper                                         breaths/min,
                                                      Test                                            Temperature 36.8°C
                                                  ii.  Weber                                        Eye Examination:
                                                      Test                                            Marked conjunctival
                                                  iii.  Rinne Test                                    redness in the right
                                           c.  Audiometry                                             eye, corneal edema
                                           d.  Auditory Brain                                         noted, pupil mid-dilated
                                               Stem Response                                          and non-reactive to
                                           e.  Oculovestibular                                        light on the affected
                                               Test ( Caloric Ice                                     side
                                               Water Test)
                                           f.  Electronystagmog                               Diagnostic Examination
                                               raphy                                          Results:
                                           g.  Platform
                                               Posturography                                        Intraocular Pressure
                                           h.  Dix-Hallpike                                           (IOP): Right eye: 48
                                               Manuever                                               mmHg; Left eye: 14
                                           i.  Middle Ear                                             mmHg
                                               Endoscopy
                                    3.  Nursing Diagnosis

                           F-ODI-2056
                                                                                                                                     Revision No. 07 January 31, 2024
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