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– inflammation of the brain and the spinal meninges.

Note: Droplet precaution have to be maintained until antibiotic therapy is given.

Causes:

  • – Head Trauma
  • – Skull Fracture
  • – Bacteria: Haemophilus Influenzae, Neissria Meningitidis
  • – Viruses

DIAGNOSIS:

Lumbar Puncture Procedure – (increased CSF pressure and increase in WBC count .

POSITION: Sidelying with head down to the chest w/ legs pulled up.

Needle is inserted at Lubar area (L4-L5)

Pre-Op

– Let pt. empty bladder

– Position: Lateral recumbant w/ knees flexed

ASSESSMENT (Meningitis):

  • – Confusion
  • – Lethargy
  • – Fever
  • – Nuchal Rigidity/ Stiff Neck

* Increased Intracranial pressure (ICP)

Tests for Meningitis

Brudzinski’s Sign

  • INVOLUNTARY FLEXION OF THE HIP AND KNEE WHEN THE NECK IS FLEXED.

Kernig’s Sign

  • LOSS OF THE ABILITY OF A SUPINE CLIENT TO STRAIGHTEN THE LEG WHEN FLEXED AT THE KNEE AND HIP.

TREATMENT:

– Bed Rest

– Antibiotics

  • Penicillin G
  • Ampicillin (Omnipen)
  • Tetracycline

– Steroids

– Anticonvulsants

  • Phenytoin (Dilantin)
  • Phenobarbital

– Diuretics

  • Mannitol

– Corticosteroids

Interventions:

Make sure to monitor neuorological funtion.

Make sure to detect early signs of increased ICP.

Maintain a quiet environment and darken the room.

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