Tinnitus

Perception of ringing, buzzing, or humming sounds in the ears

Definition

Tinnitus is the perception of sound (ringing, buzzing, hissing) without an external source. It may be temporary or chronic, unilateral or bilateral.

Causes

Noise-induced hearing loss
Presbycusis (age-related hearing loss)
Ménière's disease
Cerumen impaction
Medications: ASPIRIN (toxicity), aminoglycosides, loop diuretics, cisplatin, quinine
Acoustic neuroma
TMJ disorders

Nursing Interventions

Identify contributory medications (especially aspirin toxicity; tinnitus is classic warning sign). Refer to audiology. Reassure patient when cause is not dangerous. Teach noise protection (hearing protection at work, limit loud music). Sound-masking devices or hearing aids may help. Address underlying cause.

NCLEX Relevance

Tinnitus = classic ASPIRIN TOXICITY cue. Hold aspirin and notify provider.