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  • Bacterial Meningitis

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    Christine V. Fernandez
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    1. Andria Arechita was admitted to the hospital on March 23, 2012 with symptoms including headache, restlessness, changes in motor and sensory responses, difficulty swallowing, and skin discolorations. 2. The nursing diagnosis was risk for ineffective cerebral tissue perfusion related to cerebral edema, which can occur in bacterial meningitis as an exudate forms around the brain and cranial nerves, restricting cerebrospinal fluid flow and increasing intracranial pressure. 3. The nursing care plan includes interventions to decrease stimuli, maintain neutral head position, limit activities to reduce intracranial pressure, administer oxygen and medications as needed, and encourage rest.

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    1. Andria Arechita was admitted to the hospital on March 23, 2012 with symptoms including headache, restlessness, changes in motor and sensory responses, difficulty swallowing, and skin discolorations. 2. The nursing diagnosis was risk for ineffective cerebral tissue perfusion related to cerebral edema, which can occur in bacterial meningitis as an exudate forms around the brain and cranial nerves, restricting cerebrospinal fluid flow and increasing intracranial pressure. 3. The nursing care plan includes interventions to decrease stimuli, maintain neutral head position, limit activities to reduce intracranial pressure, administer oxygen and medications as needed, and encourage rest.

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    7K views2 pages

    Bacterial Meningitis

    Uploaded by

    Christine V. Fernandez
    1. Andria Arechita was admitted to the hospital on March 23, 2012 with symptoms including headache, restlessness, changes in motor and sensory responses, difficulty swallowing, and skin discolorations. 2. The nursing diagnosis was risk for ineffective cerebral tissue perfusion related to cerebral edema, which can occur in bacterial meningitis as an exudate forms around the brain and cranial nerves, restricting cerebrospinal fluid flow and increasing intracranial pressure. 3. The nursing care plan includes interventions to decrease stimuli, maintain neutral head position, limit activities to reduce intracranial pressure, administer oxygen and medications as needed, and encourage rest.

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    NAME: Andria Arechita DATE OF ADMISSION: March 23, 2012

    ASSESSMENT S : sakit akong ulo as verbalized by patient O: >Restlessness. >Changes in motor or sensory responses. > Difficulty Swallowing >Skin discolorations >decreased motor response V/s- T: 37.7 P: 50 R: 12 Bp: 130/90 NURSING DIAGNOSIS Nursing Diagnosis: Risk for ineffective cerebralTissue perfusion related to cerebraledema. INFERENCE Theoretical Basis: Bacterial meningitis begins insidiouslywith a gradual fluctuating fever, fatigue,weight loss, behavior changes,headache, and vomiting. This earlyphase is followed by neurologic deficits,loss of consciousness, or convulsions. Adense gelatinous exudates (outpouring)forms and envelops the brain arteriesand cranial nerves. It creates abottleneck in the flow of thecerebrospinal fluid, which leads tohydrocephalus.

    NURSING CARE PLAN FOR BACTERIAL MENINGITIS


    PLANNING After 8 hrs. of nursinginterventions, the client willa. demonstrate stable vitalsigns and absence of signs of intracranial pressure.b. Demonstrate behaviours/ lifestylechanges to improve circulation INTERVENTION Promotion: : Decrease extraneous stimuli andprovide comfort measures like back massage,quiet environment, softvoice. Instruct patient to avoid or limit coughing,Vomiting, straining at defecation, bearing downas possible. elevate head and maintain head/neck inmidline neutral position Prevention: Observe for seizure activity and protectpatient from injury. I : Maintain head or neck in midline orneutral position, support with smalltowel rolls and pillows I RATIONALE EVALUATION

    R: Provides calming effect, reducesAdverse physiological response andpromotes rest to maintain or lowerintracranial pressure. R: These activities increase thoracic and intra-abdominal pressure which can increaseintracranial pressure. R: to promote circulation/venous drainage

    R: Seizure can occur as resultof cerebral irritation, hypoxia or increaseintracranial pressure. .R: Turning head to one side compresses the jugular veins and inhibits cerebral venousdrainage, thereby increasing intracranialpressure. R: Continual activity can increase intracranial pressure.

    : Provide rest periods between care activitiesand limit duration of procedures.

    Curative: I : Administer supplemental oxygen as indicated. Investigate reports of pain out of proportionto degree of injury : Administer medications (antihypertensive,diuretics) Rehabilitation: : Encourage quiet, restful atmosphere : Limit daily activities and caution client toavoid strenuous activities.

    .R: Reduces hypoxemia. R: May reflect developing compartmentsyndrome R: used to decrease edema

    .R: Conserves energy and lowers oxygendemands

    R: over exertion may cause dizzines

    SIGNED BY: CHRISTINE V. FERNANDEZ APPROVED BY: MR. ROSAURO P. CATABAY, RN, MAN OIC-ASSISTANT CHIEF NURSE FOR TRAINING

    MS. CORAZON AQUINO/ MS. CORAZON CASTRO NURSE TRAINEE OIC-CHIEF NURSE

    NOTED BY:

    MS. LIZA P. MAMARIL, RN SENIOR NURSE

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