8 Encephalitis

Question 1

Encephalitis

Answer 1

Acute, inflammatory process of the brain tissue

Question 2

Encephalitis causes

Answer 2

viral infections (herpes simplex [HSV], vector-borne viral infections (Murray Valley, Japanese B), and fungal infections

Question 3

Manifestations Encephalitis

Answer 3

eadache, fever, confusion, changes in LOC, vector-borne rash, flaccid paralysis, and Parkinson’s-like movements

Question 4

Medical management Encephalitis

Answer 4

Acyclovir for HSV infection, ribavirin for Murray Valley, amphotericin and/or other antifungal agent for fungal infection

Question 5

Nursing management Encephalitis

Answer 5

Frequent and ongoing assessment Supportive care

Question 6

FIBROMYALGIA and signs

Answer 6

A chronic disorder characterised by: chronic fatigue,Muscle aching and stiffness

Question 7

FIBROMYALGIA epidimiology

Answer 7

2-10% of population in Australia affectedSix times more frequent in women than me

Question 8

Aetiology FIBROMYALGIA

Answer 8

Genetic factors

Infectious trigger

Question 9

FIBROMYALGIA Pathophysiology

Answer 9

Alteration in neuroendocrine/neurotransmitter regulation

Question 10

Alteration in neuroendocrine/neurotransmitter regulation

FIBROMYALGIA due to

Answer 10

Increased substance P in the in spinal fluid
Low levels of blood flow to the thalamus
Dysfunction of the hypothalamic-pituitary-adrenal(HPA)axis

Question 11

Treatment FIBROMYALGIA

Answer 11

NSAIDs for diffuse muscle aches and stiffness
Ibuprofen or naproxen
Antidepressants
E.g. amitriptyline
Individualised exercise programs

Question 12

Collaborative Management FIBROMYALGIA

Answer 12

Massage and ultrasound
Alternating hot and cold packs
Limit consumption of sugar, alcohol, and caffeine Vitamin and mineral supplements
Yoga and Tai Chi
Cognitive behavioural therapy
Individual and group counselling