T3-Meningitis

Question 1

Irritation of meninges of the brain due to a bacterial or aseptic infection; potentially fatal

Answer 1

Meningitis

Question 2

Signs and symptoms of meningitis?

Answer 2

• Nuchal rigidity
• Fever
• Lethargy, irritability
• Abrupt onset
• Poor feeing
• Seizures
• Shrill cry
• Bulging fontanels
• Vomiting

Question 3

For meningitis, what signs do we test for?

Answer 3

Kernig and Brudzinski signs

Question 4

How do we test Kernig sign?

Answer 4

Raise childs leg with knee flexed, then extend the childs leg at the knee…if any resistance is noted or pain is felt that means positive Kernig sign

Question 5

How do we test the Brudzinski sign?

Answer 5

Flex childs head while in supine position. If this actions makes the knees or hips flex involuntarily, then it is a positive Brudzinski sign

Question 6

What vaccine decreases incidence of meningitis?

Answer 6

H. flu (Hib)

Question 7

What may be the initial sign of meningitis?

Answer 7

Seizure

Question 8

What is nuchal rigidity?

Answer 8

Pain with neck flexion

Question 9

How do we treat cerebral edema with meningitis?

Answer 9

Osmotic diuretic, mannitol

Question 10

What is the biggest sequalae of tuberculous meningitis?

Answer 10

Hydrocephalus

Question 11

Hearing loss is a possible problem associated with meningitis. What drug do we especially need to be on the lookout for hearing loss if we administer it?

Answer 11

Aminoglycoside antibiotic

Question 12

Meningitis treatment: How should HOB be? What about lights in room? Visitors allowed?

Answer 12

HOB elevated slightly

Dark room

Limit visitation