8 meningitis

Question 1

Meningitis

Answer 1

Inflammation of the membranes and the fluid space surrounding the brain and spinal cord

Question 2

meningitis types

Answer 2

septic

aseptic

Question 3

septic meningitis

Answer 3

due to bacteria (Streptococcus pneumoniae, Neisseria meningitidis)

Question 4

aseptic meningitis

Answer 4

to viral infection, lymphoma, leukemia, or brain abscess

Question 5

N. meningitidis

Answer 5

s transmitted by secretions or aerosol contamination, and infection is most likely in dense community groups such as university campuses

Question 6

signs meningitis

Answer 6

headache, fever, changes in LOC, behavioral changes, nuchal rigidity(stiff neck), positive Kernig’ssign, positive Brudzinski’ssign, and photophobia

Question 7

Prevention meningitis

Answer 7

by vaccination against H. influenzae and S. pnuemoniae for all children and at-risk adults

Question 8

meningitis medical management

Answer 8

Strict bed rest
High doses of antibiotics IV initially
Penicillin (ampicillin, pipercillin) Cephalosporin (cefotaxime, ceftriaxone)Dexamethosone
Mannitol for increased ICP Phenytoin (Dilantin) IV

Question 9

Nursing interventions meningitis

Answer 9

IV therapy
Clear fluids as desired
Aspirin/Panadol for fever
Codeine for headache
Elevate head of bed 30 degrees to relieve headache
Darken patient’s room
Noise kept to a minimum
Avoid unnecessary stimulation of patient
Keep family fully informed

Question 10

Brain Abscess

Answer 10

Collection of infectious material within brain tissue

Question 11

high risk brain abscess

Answer 11

Risk is increased in immunocompromised patient

Question 12

Prevent brain abscess

Answer 12

treating otitis media, mastoiditis, sinusitis, dental infections, and systemic infections promptl

Question 13

signs brain abscess

Answer 13

headache that is usually worse in the morning, fever, vomiting, neurologic deficits, and signs and symptoms of increased ICP

Question 14

diagnosis brain abscess

Answer 14

MRI or CT

Question 15

CT-guided aspiration brain abscess

Answer 15

to identify the causative organisms

Question 16

Medical management brain abscess

Answer 16

Control ICPDrain abscessAdminister appropriate antibiotic therapy; corticosteroids may be used to treat cerebral edema

Question 17

brain abscess Nursing management

Answer 17

Conduct frequent and ongoing neurologic assessment and responses to treatmentEnsure patient safety and protect him from injuryProvide supportive care