CLIPP 23 - meningitis

Question 1

critically ill findings

Answer 1

• lethargy
• flushed or cool/clammy
• decreased urine output
• respiratory rate, increased WOB, cyanosis
• rapid progression
• underlying medical conditions

Question 2

Findings in critically ill patients (6)

Answer 2

• lethargy
• flushed or cool/clammy
• decreased urine output
• respiratory rate, increased WOB, cyanosis
• rapid progression
• underlying medical conditions

Question 3

types of shock

Answer 3

• distributive (intravascular hypovolemia due to vasodilation, increased capillary permeability, and 3rd space fluid losses)
• hypovolemic (inadequate fluid intake to compensate for output)
• cardiogenic (dysrhythmias, cardiomyopathy, tamponade)
• septic (toxin release)

Question 4

types of shock (4)

Answer 4

• distributive (intravascular hypovolemia due to vasodilation, increased capillary permeability, and 3rd space fluid losses)
• hypovolemic (inadequate fluid intake to compensate for output)
• cardiogenic (dysrhythmias, cardiomyopathy, tamponade)
• septic (toxin release)

Question 5

life-threatening causes of fever/rash

Answer 5

• meningococcal sepsis (blood culture + abx)
• TSS
• Rocky Mountain Spotted Fever (palms and soles)
• Bacterial Endocarditis

Question 6

clinical findings of bacterial meningitis

Answer 6

• nuchal rigidity
• fever
• AMS
• Kernig’s/Brudzinski’s signs
• bulging fontanelle/seizures

Question 7

clinical findings of bacterial meningitis (5)

Answer 7

• nuchal rigidity
• fever
• AMS
• Kernig’s/Brudzinski’s signs
• bulging fontanelle/seizures

Question 8

Leading cause of bacterial meningitis in children

Answer 8

Neisseria meningitidis

Question 9

Risk factors for bacterial meningitis

Answer 9

• close accommodations
• complement deficiency
• anatomic or functional asplenia

Question 10

Risk factors for bacterial meningitis (3)

Answer 10

• close accommodations
• complement deficiency
• anatomic or functional asplenia