ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME _____________________________________
Acute Neurological Disorders Reportable Findings for a Client Who Has Meningitis
1,
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ 12
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
Viral- aseptic w/ good
prognosisBacterial - septic and
Inflamation of CNS and Hib&PCV vaccines @
contagious infection. Prognosis improves meninges 2,4,6,12 & 15 months
with quick care initiation.
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings - Droplet
Viral- CMV, adenovirus, mumps, herpes Newborns- vague expression, poor muscle tone, weak cry, poor
sucking, neck supple w/o nuchal rigidity and possible bulging precautions
simplex & arbovirus.Bacterial- meningococcal,
E. coli, Hib, pneumococcal.Injuries that
tontanels.3m-2yrs- seizures, high pitch cry, bulging fontanels, nuchal
rigidity, poor feeding, vomiting.2yr-adolescence- seizures, nuchal - Private room
expose nerves or brain material to the
rigidity, photophobia, fever, chills, restlessness, delirium, coma, rash,
ear drainage, joint swelling, petechiae/purpura - Isolation of
environment.Living in close conditions ie. medical
dormatory living at college
equipment to their
room
- Risk for
Laboratory Tests Diagnostic Procedures Increased ICP
CBC, blood cultures, CSF - Lumbar pucture w/ CSF analysis - Risk for siezure
analysis, CT scans - CT with analysis of posible sign of ICP - Risk for
or abscesses
- MRI with analysis for increased ICP or
hypersensitivity
abcesses reation to
medications
PATIENT-CENTERED CARE Complications
- Increased ICP can
Nursing Care Medications Client Education cause neurologic
- Monitor rashes - Corticosteriods - Maintain vaccines dysfunction and death.
- Vitals - Early and complete - Monitor for signs of
- Analgesics ICP
- I&O treatment of Upper
- LOC
- Antibacterials " - Reduce risk of ICP
- Seizure precautions non-viral" respiratory infections by prohibition of
- Antibiotics " coughing & straining.
Non-viral" - Reduce noxious
stimuli by low lighting,
- antipyretics comfortable
Therapeutic Procedures - diuretics w/ Interprofessional Care
positioning and
- Brudzinski's sign: Neck ICP - Infectious disease reduced
environmental stimuli.
stiffness with hips and - Neurology
legs flexed with neck
- Kernig's Sign: Unable to
straighten leg w/o pain
ACTIVE LEARNING TEMPLATES
STUDENT NAME _____________________________________
Acute Neurological Disorders Reportable Findings for a Client Who Has Meningitis
1,
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ 12
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
Viral- aseptic w/ good
prognosisBacterial - septic and
Inflamation of CNS and Hib&PCV vaccines @
contagious infection. Prognosis improves meninges 2,4,6,12 & 15 months
with quick care initiation.
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings - Droplet
Viral- CMV, adenovirus, mumps, herpes Newborns- vague expression, poor muscle tone, weak cry, poor
sucking, neck supple w/o nuchal rigidity and possible bulging precautions
simplex & arbovirus.Bacterial- meningococcal,
E. coli, Hib, pneumococcal.Injuries that
tontanels.3m-2yrs- seizures, high pitch cry, bulging fontanels, nuchal
rigidity, poor feeding, vomiting.2yr-adolescence- seizures, nuchal - Private room
expose nerves or brain material to the
rigidity, photophobia, fever, chills, restlessness, delirium, coma, rash,
ear drainage, joint swelling, petechiae/purpura - Isolation of
environment.Living in close conditions ie. medical
dormatory living at college
equipment to their
room
- Risk for
Laboratory Tests Diagnostic Procedures Increased ICP
CBC, blood cultures, CSF - Lumbar pucture w/ CSF analysis - Risk for siezure
analysis, CT scans - CT with analysis of posible sign of ICP - Risk for
or abscesses
- MRI with analysis for increased ICP or
hypersensitivity
abcesses reation to
medications
PATIENT-CENTERED CARE Complications
- Increased ICP can
Nursing Care Medications Client Education cause neurologic
- Monitor rashes - Corticosteriods - Maintain vaccines dysfunction and death.
- Vitals - Early and complete - Monitor for signs of
- Analgesics ICP
- I&O treatment of Upper
- LOC
- Antibacterials " - Reduce risk of ICP
- Seizure precautions non-viral" respiratory infections by prohibition of
- Antibiotics " coughing & straining.
Non-viral" - Reduce noxious
stimuli by low lighting,
- antipyretics comfortable
Therapeutic Procedures - diuretics w/ Interprofessional Care
positioning and
- Brudzinski's sign: Neck ICP - Infectious disease reduced
environmental stimuli.
stiffness with hips and - Neurology
legs flexed with neck
- Kernig's Sign: Unable to
straighten leg w/o pain
ACTIVE LEARNING TEMPLATES
