Becky Candelora
STUDENT NAME _____________________________________
Meningitis
DISORDER/DISEASE PROCESS __________________________________________________________ 12
REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
Inflammation of the meninges, Caused by bacteria, a virus, or fungus in
the cerebrospinal fluid. Vascular
Hand hygeine; Vaccination;
which are connective tissue that dissemination from an infection elsewhere. Avoid crowded living conditions;
cover the brain and spinal cord. Direct implantation after penetrating wound. helmet during risky activities.
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Patients should be
Fever, Chills, Headache, Vomiting, Alt. in sensorium, placed on droplet
Viral agents; bacterial agents; Seizure, Irritability, Agitation, Photophobia, Delirium, precautions until they
Injuries that provide direct access Hallucinations, Aggression, Drowsiness, Stupor, have completed 24
Coma, Nuchal rigidity, Positive Kernig & Brudzinski
to CSF; crowded living conditions signs, Hyperactive/variable reflex response, Rash, hours of appropriate
Joint involvement, Chronically draining ear, Poor antibiotic threapy.
feeding, Bulging fontanel, Subdural empyema. Chemoprophylaxis
shoudl be given to
household contacts,
Laboratory Tests Diagnostic Procedures childcare contacts,
and people who had
Blood culture, CBC Lumbar puncture: pressure direct exposure to the
measured, Gram stain, blood cell patient's oral
count, glucose and protein secretions through
kissing, sharing
content. CT to rule out IICP, MRI utensils, or
toothbrushes.
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education Hearing loss;
Early and complete treatment for
cortical blindness;
Keep room quite, minimal stimuli, low Anitpyretics, cranial nerve
light, bed slightly elevated, side lying upper respiratory infections;
position, comfort measures, monitor Antibiotics, maintain appropriate vaccinations; dysfunction;
v/s neuor status, LOC, urinary output, Corticosteroids, complete medication regimen; paralysis;
maintain afebrile, administer fluids and keep follow-up appointments
nourishment, monitor I/O. Analgesics muscular
hypertonia; ataxia;
memory/concentrat
ion problems;
Therapeutic Procedures Interprofessional Care
epilepsy;
Isolation precautions, Neurology; Infectious amputation;
antimicrobial therapy, disease; Respiratory neurologic
hydration, ventilation, reduce dysfunction.
ICP, mgmt. of systemic shock,
control seizures, control temp.,
treat complications.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11