Meningitis Flashcards

1
Q

What is meningitis?

A

An infection of the meninges of the brain and spinal cord, specifically the pia mater and arachnoid.

There are viral and bacterial types.

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2
Q

What are some risk factors for meningitis?

A

A recent viral illness such as enterovirus, herpes, varicella, mumps or HIV.
* Age
* Decreased immune system
* Recent infections
* Recent head surgeries

Bacterial meningitis can be influenced by these factors.

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3
Q

Where can meningitis be found in the body?

A

In the pia mater or arachnoid, throughout the brain and spinal cord. Usually found on neuro floors.

These locations are critical for understanding its impact.

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4
Q

What are common signs and symptoms of meningitis?

A

Fever, headache, photophobia, increased ICP, nuchal rigidity, positive Kernig’s and Babinski’s signs, decreased mental status, focal neurological defects, nausea/vomiting.

Bacterial meningitis tends to have more severe symptoms than viral.

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5
Q

What diagnostics can be used to detect meningitis?

A

Lumbar puncture to evaluate CSF, CT scans, x-rays, blood cultures, lab work such as CBC or PCR gene testing.

These tests help confirm the presence of meningitis.

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6
Q

What are potential complications of meningitis?

A

Sepsis, seizures, SIADH, SIRS, brain damage, hydrocephalus, stroke, coma, paralysis, hearing loss.

These complications can significantly affect patient outcomes.

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7
Q

What are the treatment options for meningitis?

A

Broad spectrum antibiotics until cultures return, hyperosmolar agents (such as mannitol), anticonvulsants, steroids, vaccinations (preventative), non-pharmacological measures to reduce increased ICP.

Treatment varies based on the type of meningitis.

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8
Q

Fill in the blank: Meningitis can be caused by _______ types.

A

[viral and bacterial]

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9
Q

True or False: Bacterial meningitis usually has milder symptoms than viral meningitis.

A

False

Bacterial meningitis tends to have more severe symptoms.

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10
Q

What is the role of a lumbar puncture in diagnosing meningitis?

A

To evaluate CSF.

This procedure is essential for confirming the diagnosis.

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11
Q

What is increased ICP in the context of meningitis?

A

Increased intracranial pressure, a common symptom.

It can lead to serious complications if not managed.

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12
Q

What is meningitis?

A

Meningitis is the inflammation of the protective membranes covering the brain and spinal cord.

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13
Q

True or False: Meningitis can be caused by both bacteria and viruses.

A

True

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14
Q

What are common symptoms of meningitis?

A

Common symptoms include fever, headache, stiff neck, nausea, and sensitivity to light.

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15
Q

What initial nursing intervention should be performed for a patient suspected of having meningitis?

A

Obtain a thorough patient history and perform a physical assessment.

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16
Q

Fill in the blank: Patients with meningitis may require _______ isolation precautions.

17
Q

What is the purpose of administering antibiotics in bacterial meningitis?

A

To treat the infection and prevent complications.

18
Q

Which vital sign is crucial to monitor closely in a patient with meningitis?

A

Temperature

19
Q

What is the significance of a lumbar puncture in diagnosing meningitis?

A

It allows for the analysis of cerebrospinal fluid to determine the cause of meningitis.

20
Q

True or False: Corticosteroids may be administered to reduce inflammation in meningitis.

21
Q

What should a nurse educate the family about regarding meningitis transmission?

A

Meningitis can be contagious, and good hygiene practices should be maintained.

22
Q

What are some nursing interventions to manage headache in meningitis patients?

A

Administer prescribed analgesics and create a quiet environment.

23
Q

Fill in the blank: Patients with meningitis often experience _______ sensitivity.

24
Q

What is the role of monitoring neurological status in meningitis patients?

A

To detect any changes that may indicate complications such as increased intracranial pressure.

25
Q

What types of fluids may be administered to a patient with meningitis?

A

IV fluids, often isotonic solutions.

26
Q

True or False: A rash is a common symptom of viral meningitis.

27
Q

What is the recommended position for a patient with meningitis experiencing neck stiffness?

A

Keep the patient in a comfortable position, often with the head slightly elevated.

28
Q

What laboratory test is essential for diagnosing meningitis?

A

Cerebrospinal fluid analysis.

29
Q

What is the importance of immunization in preventing meningitis?

A

Vaccines can protect against certain types of bacterial meningitis.

30
Q

Which patient population is at higher risk for meningitis?

A

Infants and young children.

31
Q

What should nurses monitor for in patients receiving antibiotics for meningitis?

A

Signs of allergic reactions and effectiveness of treatment.

32
Q

Fill in the blank: _______ is a potential complication of meningitis that requires immediate attention.

33
Q

What is the recommended nursing intervention for managing fever in meningitis patients?

A

Administer antipyretics as prescribed and monitor temperature regularly.

34
Q

True or False: All patients with meningitis require hospitalization.

35
Q

What should be included in discharge instructions for a patient recovering from meningitis?

A

Follow-up appointments and signs of potential complications.

36
Q

What is one of the first actions taken if a patient shows signs of increased intracranial pressure?

A

Notify the healthcare provider immediately.

37
Q

True or False: Meningitis can be prevented through vaccination.