Bacterial and Viral Meningitis
Acute inflammation of the meningeal tissues surrounding the brain
What is Meningitis
Accumulation of pus within the brain tissue that can result from a local or systemic infection
What is brain abscess
Risk factors include HTN, heart disease, diabetes mellitus, smoking, obesity and sleep apnea
What are modifiable risk factors for stroke
Main goal of therapy for hemorrhagic stroke
What is Blood pressure control/management of hypertension
Includes: BP screening, ensuring patient adherence to antihypertensive meds, Control DM, stop smoking, teach families F.A.S.T
What is health promotion for stoke
Caused by strep pneumonia and neisseria meningitis
What is bacterial meningitis
Direct extension from an ear, tooth, mastoid or sinus infection
What is the primary cause of brain abscess
Include conditions like atrial fibrillation, myocardial infarction, infective endocarditis, and atrial septal defects
What is embolic stroke
Drugs contraindicated with hemorrhagic stroke
What is anticoagulants and platelet inhibitors
Nursing interventions for airway management with stroke patients include?
What is screening for dysphagia, assess airway patency, providing oxygenation, suctioning, promoting patient mobility, positioning patient to prevent aspiration, and encouraging deep breathing
Used to rapidly diagnose viral meningitis
What is the Xpert EV test
Encephalitis is transmitted by
What is ticks and mosquitoes
For a patient who does not undergo fibrinolytic therapy, Use of drug to lower BP is recommended in Ischemic stroke if
What is Bp greater than 220/120
Commonly caused by ruptured cerebral aneurysm, trauma and illicit drug use
What is subarachnoid hemorrhage
Nursing intervention that prevents external rotation of the hip
What is trochanter roll
Position of comfort for patient with meningitis?
What is often curled up with head slightly extended HOB slightly elevated
Three clinical manifestations of encephalitis include
What is nonspecific symptoms(fever, headache, nausea and vomiting), CNS abnormality(hemiparesis, tremors, seizures, cranial nerve palsy, amnesia, and dysphagia
Conditions for for ischemic fibrinolytic therapy include
What is BP must be less than 185/110 before and then maintained at 180/105 for at least 24 hours after fibrinolytic therapy. What is TPA must be administered within 3 to 4 and half hours
Commonly given to prevent vasospasm with subarachnoid hemorrhage
What is Nimodipine (Nimotop)CCB
How long does the nurse plan to position the patient on the paralyzed side to prevent skin breakdown
What is 30 minutes
800 ml/day for respiratory losses and 100 ml for each degree of temperature above 100.4 degrees
What is calculate replacement fluids
Drug therapy for encephalitis
What is Antivirals-Acyclovir and vidarabine. What is antiseizure drugs
Screening with TPA includes
What is Non contrast CT scan/MRI, blood tests for glucose level and coagulation disorders, recent hx. of GI bleeding, stroke or head trauma within past 3 months, major surgery within14 days, or recent active Internal bleeding within 22days
Use vasopressors e.g. norepinephrine/dopamine indicated in?
What is hemodilution induced HTN
Helping the patient to compensate by arranging the environment within the patient’s perceptual field helps this problem
What is homonymous hemianopsia