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INFECTIVE CONDITIONS (BRAIN ABSCESS) (NURSING MANAGEMENT (Nursing…
INFECTIVE CONDITIONS (BRAIN ABSCESS)
DEFINITION
is a localised collection of pus within the brain tissue.
CAUSES
it is caused by bacteria, which gain access to the brain tissue in direct invasion of brain tissue via penetrating trauma, surgery, open skull fractures and CSF leaks, especially from the areas such as nose or the back of the throat
spread of infection from nearby sites, such as the sinuses, mastoid or middle ear
spread of infection from remote sites in the body, such as septic emboli from heart valves or lung infection.
ASSESSMENT
SUBJECTIVE DATA- headache, convulsions, nusea and vomitting, pyrexia
OBJECTIVE DATA- focal or localising signs such as hemiparesis, raised intracranial pressure is typical of a brain abscess
PATHOPHYSIOLOGY
The pathogenesis of an invading organism that has inoculated the brain parenchyma is variable and dependent on the initial site of infection, host factors and geographic location.
NURSING MANAGEMENT
Nursing interventions should support the medical treatment, as do patient teaching activities that adress neurosurgical procedures
patients and families need to be advised of nneurologic deficits thast masy remain after treatment
Frequently assess neurologic status, especially LOC, speech and sensorimotor and cranial nerve function
always provide safety measures
CLINICAL MANIFESTATIONS
edema, brain shift
headache
fever
vomitting