Meningitis REVIEW MODULE 6
DISORDER/DISEASE PROCESS CHAPTER
Alterations in Health Pathophysiology Related Health Promotion and
(Diagnosis) to Client Problem Disease Prevention
Inflammation of the Caused by bacteria, a virus, or fungus Hand hygiene; Vaccination;
in the cerebrospinal fluid. Vascular Avoid crowded living conditions;
meninges, which are dissemination from an infection
helmet during risky activities.
connective tissue that cover elsewhere. Direct implantation after
the brain and spinal cord. penetrating wound.
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
Fever, Chills, Headache, Vomiting, Alt. in sensorium, Patients should be
Viral agents; bacterial agents; Seizure, Irritability, Agitation, Photophobia, Delirium, placed on droplet
Injuries that provide direct
Hallucinations, Aggression, Drowsiness, Stupor, precautions until they
Coma, Nuchal rigidity, Positive Kernig & Brudzinski
have completed 24
access to CSF; crowded living signs, Hyperactive/variable reflex response, Rash,
Joint involvement, Chronically draining ear, Poor hours of appropriate
conditions feeding, Bulging fontanel, Subdural empyema antibiotic threapy.
Chemoprophylaxis
shoudl be given to
household contacts,
Laboratory Tests Diagnostic Procedures childcare contacts, and
people who had direct
Lumbar puncture: pressure exposure to the patient's
Blood culture, CBC measured, Gram stain, blood cell oral secretions through
count, glucose and protein content. kissing, sharing utensils,
CT to rule out IICP, MRI or toothbrushes.
PATIENT-CENTERED CARE Complications
Hearing loss;
cortical
Nursing Care Medications Client Education
blindness;
Keep room quite, minimal stimuli, Early and complete treatment for
low light, bed slightly elevated, side
cranial nerve
upper respiratory infections;
lying position, comfort measures, maintain appropriate dysfunction;
monitor v/s neuor status, LOC, Antipyretics, vaccinations; complete paralysis;
urinary output, maintain afebrile, medication regimen; keep
administer fluids and nourishment, Antibiotics, muscular
follow-up appointments
monitor I/O. Corticosteroids, hypertonia;
Analgesics ataxia;
memory/concent
Therapeutic Procedures Interprofessional Care ration problems;
Isolation precautions,
Neurology; epilepsy;
antimicrobial therapy, hydration,
ventilation, reduce ICP, mgmt. of Infectious disease; amputation;
systemic shock, control seizures, Respiratory neurologic
control temp., treat complications. dysfunction.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11