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Herpes simplex virus encephalitis https://emedicine.medscape.com …
Herpes simplex virus encephalitis
https://emedicine.medscape.com
Definition
Acute illness that causes general and focal signs of cerebral dysfunction
Pathophysiology
Primary infection within host
Enters sensory nerve terminals
Enters trigeminal nerve ganglion
Establishes latency
Reaction of virus
Recurrent infection
Symptoms
Aches in joints and muscle
Fatigue and weakness
Confusion
Fever
Seizures
Headache
Diagnostic tests
Electroencephalogram
Blood or urine tests
Brain biopsy
Spinal tap
Brain imaging
Treatment
Anti inflammatory drugs
Antiviral drugs
Adequate intake of fluids
Bed rest
Risk factors
Weakened immune system
Age
Geographical region
Diet therapy
Eat antioxidant food
Avoid refined food
Use olive oil or vegetable oil when cooking
Nursing Care
Nursing Intervention
Administer analgesics
Monitor signs of neurologic status
Bed rest with supine sleeping position
Monitor vital signs
Limiting noise
Provide ambulation assistance
Evaluation
No signs of increased intracranial pressure
Improved patient's clinical status and no signs of seizure
Vital signs are within normal limits
Nursing diagnosis
Risk for ineffective cerebral tissue perfusion
Risk for injury
Acute pain related to meningeal irritation