(SHL) is defined as greater than 30 d B hearing reduction, over at least three contiguous frequencies, occurring over 72 hours or less. It occurs most frequently in the 30 to 60 year age group and affects males and females equally. Although called sudden, it seems unlikely that hearing loss is abrupt but rather it probably evolves over a few hours. SHL is usually unilateral (that is, it affects only one ear); and is often accompanied by tinnitus, aural fullness, vertigo, or any combination. The amount of hearing loss may vary from mild to severe, and may involve different parts of the hearing frequency range. About one third of people with SHL awaken in the morning with a hearing loss. A discussion of sudden bilateral hearing loss is found here. SHL also should be "sensorineural" meaning that it is not caused by a mechanical process such as ear wax (which causes a "conductive" loss). Our experience is that most patients who complain of "sudden hearing loss" actually have ear wax impactions. Looking in the ear canal is the usual way these people are quickly identified. These people are not "diagnosed" as SHL, although they do have sudden -- hearing -- loss. prednisone nursing implications Vitamins are organic compounds necessary for various metabolic processes in the body. They are needed in small amounts to perform a specific metabolic function or prevent an associated deficiency disease. Most vitamins cannot be manufactured by the body and must be supplied through the diet. Consult your physician prior to taking any supplement. Prednisone is a corticosteroid used to treat a variety of ailments. Corticosteroids mimic the effect of the adrenal hormones the body naturally produces. When taken in doses higher than the body produces, corticosteroids can suppress inflammation alleviating symptoms of arthritis and asthma as well as suppressing the immune system. 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