ATI Unit 2 - Neurosensory Disorders (Josh) Flashcards
Which vaccines have decreased the incidence of Bacterial Meningitis?
Hib
PCV
— is a life threatening disorder that involves acute encephalopathy and fatty changes of the liver.
Reyes Syndrome
When are Brudzinksi’s and Kernig’s signs reliable for diagnosing Meningitis?
2 years and up
Which Meningitis describes the following CSF appearance?
- cloudy
- elevated WBC
- elevated Protein
- decreased glucose
- positive gram stain
Bacterial Meningitis
What is the definitive test for meningitis?
lumbar puncture
What should we teach regarding postop for lumbar puncture?
client to remain in bed in flat position for 4-8 hrs
What do we assess prior to administering Acetaminophen or Ibuprofen for pain from Meningitis?
temperature b/c they can mask a fever
Which type of Meningitis is corticosteroids useful for?
Bacterial
- help w/ initial ICP
Reye Syndrome primarily affects which organs?
liver
brain
When is peak incidence of Reye Syndrom?
flu season (Jan-March)
Reye Syndrome can be mistaken for:
Meningitis
SIDS
Poisoning
Diabetes Mellitus
Psychiatric Illness
Why is Vit K given with Reyes?
improves synthesis of blood clotting factors in the liver
- subQ
If they have meningitis and decreased LOC, why should they be NPO?
risk for aspiration is high
Reye typically follows a – illness such as –
viral
Flu, Gastroenteritis, or Varicella
Meds for Seizures
Corticosteroids for ICP
Mannitol for ICP
Antiseizures
Antibiotics for CSF leakage, lacerations, or penetrating injuries
Analgesis (acetaminophen) for head ache / pain
