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ENCEPHALITIS (MEDICAL MANAGEMENT (Anti-inflammatory drugs: To relieve…
ENCEPHALITIS
MEDICAL MANAGEMENT
- Anti-inflammatory drugs: To relieve symptoms like fever, pain.
- eg. Ibuprofen · Acetaminophen · Naproxen Sodium
- Antivirals: To clear the virus causing infection.
- eg. Acyclovir · Ganciclovir · Foscarnet
- Anticonvulsants: To stop or prevent seizures, if any.
-
PATHOPHYSIOLOGY
- After multiplying, viremia of varying duration ensues
- Virus is transported to the target organ (brain)
- Virus enters the body through the bite of an insect vector
- Virus proliferates and damages neural tissue
- Thereby elicits nervous manifestations
DIAGNOSTIC TESTS
-
- CSF( cerebrospinal fluid) examination eg. lumbar puncture
- MRI (shows edema in the temporal lobe)
- Polymerase chain reaction (PCR)
NURSING INTERVENTIONS
-
- administer analgesic agents as prescribed
-
- body weakness & decreased level of consciousness
- monitor signs of neurologic status with GCS
-
- bedrest with supine resting position, no pillows
- give treatment as prescribed
- assist patient on the bed and put up side rails
- give treatment as prescribed
- monitor twitching of hands, feet and mouth or other facial muscles
DEFINITION
- Acute inflammation of the brain tissue commonly caused by herpes simplex virus
-
CLINICAL MENIFESTATIONS
MILD
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- Pain in muscles and joints
-
SEVERE
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- Hallucination or confusion
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- Partial or complete paralysis
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