Focus on Inflammatory Brain Disorders

Question 1

Bacterial meningitis

Answer 1

Acute inflammation of meningeal tissue (med emer)
-always arachnoid mater and cerebrospinal infection

…..?????????

Question 2

Baccterinal Meningitis

Answer 2

Organisms enter from CNS…..?????

Question 3

What do you see with BM?

Answer 3

Purulent secretions spread…..?????

Question 4

clinical manifestations of BM

Answer 4

fever
severe headache
N/V
Nuchal rigidity (rigid neck)
Positive Kernig's sign
Positive brudzinskys

Question 5

Kernig’s sign

Answer 5

examiner will flex hip, then extend, pt will complain of pain in thigh

Question 6

Brudziski’s sign

Answer 6

Examiner flexes neck and pt’s hips will flex in return

Question 7

Complications of BM

Answer 7

Increased ICP (major cause of unconsciousness)
Rsidual neurologic dysfunction (vision and hearing loss) 
Acute Cerebral edema

Question 8

What does acute Cerebral edema cause

Answer 8

Bradycardia
seizuress
etc…..????

Question 9

Diagnostic studies for BM

Answer 9

blood culture
lumbar puncture and analysis of CSF
c-rays of skull
CT scan
MRI

Question 10

BM collaborative Care

Answer 10

rapid dx
abx therapy
examination of fundus of eyes before LP to identify increased ICP

Question 11

BM ND

Answer 11

disturbed sensorry patterns

acute pain

Question 12

BM Nursing Implementation

Answer 12

vaccination against resp inf’s
early and appropriate tx of resp inf
prophylactic abx for those exposed to meningitis
careful recording of assessment

Question 13

BP pt care

Answer 13

comfortable positioning
pain medication
decreased lighting
observe for seizures
admin anti-seizure meds
manage fever
assess for dehydration
initial resp isolation
** steroids w/ abx have decreased death rate and sxs such as hearing loss

Question 14

Viral Meningitis

Answer 14

Most common are enterovirus, …….

Question 15

diagnosis

Answer 15

b

Question 16

VM tx

Answer 16

symptomatic management w/ full recovery expected