Meningitis
inflammation of the meninges, which are the membranes that protect the brain and spinal cord.
<Viral, Fungal, Bacterial>
Management of care
Assessment
Lab Tests
Objective and Subjective
Risk Factors
Dx Procedures
Potential Complications
Client Education
Collaborative Care
Meds
Interdisciplinary care
Nursing Care
care after D/C
Client outcomes
Surgical Interventions
HP & prevention
S: constant HA, nuchal rigidity, photophobia
O: F, chills, N/V, altered OC, hyperactive DTR
Positive Brudzinski’s sign
Urine, throat, nose, and blood culture and sensitivity
CBC
CSF analysis
CT & MRI
Monitor increased ICP
decrease environmental stimuli
isolate with suspected dx and maintain precautions
increased ICP
SIADH
Septic emboli
avoid increasing ICP (coughing, sneezing)
Ceftriaxone (Rocephin) or cefotaxime (Claforan) in combination with vancocin (Vancomycin)
Phenytoin (Dilantin)
Decadron (dexamethasone)
Corticosteroids
Acetaminophen (Tylenol), ibuprofen (Motrin)
Ciprofloxacin (Cipro), rifampin (Rifadin), or ceftriaxone (Rocephin)
High protein, low glucose, elevated WBC, elevated CSF pressure
flexion of neck elicits flexion of extremities
Positive Kernig’s sign
resistance and pain with leg extension