Exam (elaborations)
NSG 123 Exam 3 Meningitis (1)
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NSG 123 Exam 3 Meningitis (1)
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NSG 123 Exam 3 Meningitisbacterial - ANS-what is the most severe type of meningitis?
the inflammatory process within the meninges leads to increased turbidity and a sluggish flow of
CSF leading to organisms inoculating and this leads to increased cranial pressure and can lead
to herniation of the brain- ANS-pathophysiology of bacterial pneumonia?
-fever/chills
-headache
-altered mental status
-light sensitivity
-tachy cardia
-nuchal rigidity
-opisthotonos
-petechial rash - ANS-Clinical manifestations of meningitis?
a diagnostic sign for meningitis marked by the person's inability to extend the leg completely
when the thigh is flexed upon the abdomen causing back pain - ANS-Kernig's sign
Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed. -
ANS-Brudzinski's sign
-the pressure at the time of puncture
-appearance of fluid
-glucose, protein, WBC - ANS-What do we test for in the CSF fluid for meningitis?
low glucose and high protein and WBC - ANS-What will be the results of a CSF draw with
bacterial meningitis?
-decreased LOC
-pupillary changes
-impaired intraocular movements - ANS-What are s/s of increased cranial pressure?
Keep HOB at 30 degrees or higher and no excessive coughing - ANS-What is nursing
interventions for increased ICP?
-administer meds
-control seizures/prevent injuries
-isolation precautions
-alleviate symptoms
-reduce fever
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