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Encephalitis (Nursing Care (Vital Signs (Pt must demonstrate stable VS,…
Encephalitis
Nursing Care
Vital Signs
Pt must demonstrate stable VS
Check Pupil Reactivity
Monitor BIL Grips
Monitor for Pain
Monitor Pt safety
Utilize padded siderails
Handle pt gently
Manage airway
Keep intubation equipment at bedside
Frequent re-positioning to prevent bedsores
Monitor I & O
Prevent dehydration
Monitor voiding patterns (utilize bladder scanner)
Educate pt and family
Clinical Manifestations
Mild Symptoms
Flu-like symptoms
Headache
Fever
Muscle Ache
Moderate Symptoms
Confusion
Hallucinations
Double Vision
Impaired speech
Severe Symptoms
Seizures
Paralysis
Loss of consciousness
Edema/Necrosis in brain
Increase in ICP
Hemorrhage and herniation
Management
Diagnostic
Brain Imaging
EEG
Spinal Tap
Specimens
Urine
Blood
Throat Cultures
Brain Biopsy
Medical
Physical Therapy
Respiratory Therapy
Bedrest
Pharmacological
Antivirals
Acyclovir
Foscavir
Cytovene
Anti-inflammatories
Tylenol
Motrin
Corticosteroids
Anticonvulsants
Dilantin
IV Fluids
Oxygen
Stool Softener to prevent straining
Pathophysiology
Inflammation of the brain most commonly due to viral infections
Causes an acute febrile disease with greatly impacts the nervous system leading to severe clinical manifestations