Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 3512 - Class 7-12 > Week 10 - Meningitis > Flashcards

Week 10 - Meningitis Flashcards

1
Q

what is meningitis

A
  • inflammation of the meninges (coverings of the brain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are 2 causes of meningitis? which is the most serious

A
  1. bacterial –> more serious

2. viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how do microorganisms gain entry to the brain in bacterial meningitis (4)

A

via:

  • bloodstream
  • resp tract
  • penetrating wounds
  • skull fracture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

describe the severity of bacterial meningitis

A
  • medical emergency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are signs of bacterial meningitis (9)

A
  • severe HA
  • fever
  • NV
  • nuchal rigidity
  • positive kernigs sign
  • positive brudinski sign
  • photophobia
  • seizures
  • petechial rash
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a complication of bacterial meningitis

A
  • decreased LOC that can lead to coma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

describe recovery of bacterial meningitis

A
  • may have long-term residual effects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what typically causes viral meningitis (3)

A
  • enterovirus
  • aboviruses
  • HIV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

describe symptoms of viral meningitis

A
  • symptoms not as severe

- usually no IICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are symptoms of viral meningitis (4)

A
  • HA
  • fever
  • nuchal rigidity
  • photophobia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

describe recovery of viral meningitis

A
  • full recovery expected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what diagnostics are used for bacterial & viral meningitis (3)

A
  • blood cultures
  • CT scan
  • LP –> CSF analysis (confirm diagnostics)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the treatment of meningitis aimed at

A
  • preventing increased ICP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what meds are used in treatment for bacterial meningitis (4)

A
  • antibiotics immediately (even before dx confirmed) –> urgent
  • steroids (dexamethasone)
  • antipyretics (fever)
  • anticonvulsants

prevent IICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is included in mngmt of bacterial meningitis (8)

A
  • cooling blankets & cool cloths (to prevent increased temp which = IICP)
  • pad siderails (d/t r/o seizures)
  • low lighting & stimuli (prevent IICP)
  • calm approach
  • family present if possible
  • encourage rest
  • position for comfort
  • fluids & supplemental feedings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe isolation r/t bacterial meningitis

A
  • resp isolation initiated for 48 hrs after antibiotics initiated (very contagious)
17
Q

what is included in mngmt/treatment of viral meningitis (3)

A
  • self-limiting
  • manage symptoms
  • expect full recovery
18
Q

describe the use of antiviral drugs for viral meningitis

A
  • not used for viral meningitis
19
Q

a nursing diagnosis r/t bacterial meningitis is acute confusion. what nursing interventions are done for this (4)

A
  • monitor LOC and orientation
  • monitor VS
  • note complaint of HA (sign of IICP)
  • monitor response to stimuli
20
Q

what delirium management is used for pts w bacterial meningitis (8)

A
  • monitor neuro status
  • admin PRN meds for anxiety or agitation
  • provide low-stimulation enviro
  • approach pt slowly and from the front
  • provide approp lvl of supervision
  • reorient the pt to the HCP with each contact
  • communicate w simple, direct, descriptive statements
  • assist w needs related to nutrition, elimination, hydration, and person hygeine
21
Q

a nursing diagnosis r/t bacterial meningitis is hyperthermia. what nursing interventions are done for this (5)

A
  • monitor temp and VS
  • monitor I&O, be aware of changes in insensible fluid loss
  • monitor for fever-related complications
  • encourage fluid consumption
  • admin meds or IV fluids
22
Q

a nursing diagnosis r/t bacterial meningitis is acute pain. what nursing interventions are done for this (6)

A
  • perform assessment of pain
  • provide optimal pain relief
  • utilize pharm & non-pharm measures for pain relief
  • reduce or eliminate factors that increase pain
  • control enviro factors that may influence the pt’s response to discomfort (ex. lighting, noise)
  • institute and modify pain control measures based on the pt’s response
23
Q

a nursing diagnosis r/t bacterial meningitis is seizure activity. what nursing interventions are done for this (4)

A
  • monitor for seizure activity
  • keep side rails up and padded
  • admin sedative and antiseizure drugs
  • carry out interventions to treat underlying causes of inflam. brain condition to prevent seizures

NURS 3512 - Class 7-12 (49 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions