Microsoft word - vng instructions ver 1.docx

www.RiversideMC.net
PATIENT NAME: _______________________________________ DATE: _
____________
Riverside Hearing and Balance

What is a VNG/ENG?
The VNG/ENG is a test of the balance function of the inn
eye movements in response to stimulation of the ear and changes in body position. The time required for an ENG alone is about 1 hour. The test may make you feel “off-balance or dizzy”, and we strongly suggest that you bring someone with you appointment.
How is the test done?
An audiologist performs the test. You will be positioned on an examining table and goggles with
video cameras in them will be placed on your forehead and in front of your eyes. If you wear
glasses, it is usually best to remove them before the test begins. The test consists of 3 parts:
 You will be asked to visually follow a series of lights and patterns.  You will be asked to move from one positionn to another (e.g. from sitting to lying  Air will be gently directed into your ear canals. This part of the test is the most likely ***PLEASE PAY CAREFUL ATTENTION TO THE SPECIAL
INSTRUCTIONS BELOW***

Certain medications and substances can influence the results of the test. You must check with
your prescribing ph
hysician(s) who will decide if you may discontinue these medications for
48, preferably 72 hours, prior to the test. If you have continued w
with any of these
medications without checking with your physician, it may be necessary to reschedule the
test.

Anti-Nausea Medications
Including but not limited to: Dramamine, Compazine, Merezine, Phenergan, Reglan, Tagamet
and Zantac
Anti-Vertigo Medications
Including but not limited to: Antivert, Transderm patchess, Meclizine, and Scopolamine
Tranquilizers
Including but not limited to: Valium, Librium, Atarax, Equanil, Miltown, Serax, Etrafon, Buspar,
Zanax, and Thorazine
Anti-Anxiety Medications
Depression Medications
Sedatives
Including but not limited to: Halcion, Dalmane, Doriden, Placidyl, Quaalude, Butisol, Elavil,
Triavil, Ambien, or other sleeping pills
Narcotics and Barbituates
Including but not limited to: Seconal, Nembutal, Phenobarbital, Codeine, Demerol, Dilaudid,
Perodan, Phenaphen and Dilantin
Stimulants
Including but not limited to: Amphetamine, Cocaine
www.RiversideMC.net
PATIENT NAME: _______________________________________ DATE: _
____________


Alcohol, Caffeine, Tobacco
Alcohol in any quantity (including beer and wine), and ccough mediccines containing alcohol (ex-
Nyquil); tobacco, caffeine including coffee, tea, soda pop, and chocolate

If it is necessary to continue the use of certain medications or anything else listed above,
please inform the audiologist at the time of your appointment.

Contact Lenses and Glasses
If you wear glasses, bring them with you. If you wear contact lenses, please bring your glasses with in case they are needed. Food Restrictions
In preparation for the test, you should only eat a light meal. Nausea is not common during testing, but is possible if dizziness during testing is experienced. Because eye movements are recorded with video cameras, it is essential that the cameras be able to pick-up movement of the pupils. This means that facial make-up should not be worn (especially eye make-up such as eye-liner or mascara). If you do wear make-up, be prepared to remove it prior to the exam. Hearing Test
If a hearing test has not been completed within the last 6 months, it will be performed in addition
as part of the balance assessment.
If any questions arise, please feel free to contact our office and ask to
speak with the audiologist.
If restrictions are not followed, it may be necessary to reschedule your
appointment.
Please fill out all attached paperwork THE DAY BEFORE your
testing and bring it with you.

Source: http://www.riversidehealthcare.org/assets/forms/ent/vng-instructions.pdf