Diagnostic studies : Inflammatory Brain Disorder

Diagnostic studies : Inflammatory Brain Disorder 150 150 Tony Guo

Diagnostic studies

  • Blood culture
  • CT scan and  MRI
  • Diagnosis verified
    • Lumbar puncture
    • Analysis of CSF (for protein, WBC, and glucose)
    • Specimens of secretions are cultured to identify causative organism
    • Gram-stain to detect bacteria
  • Neutrophils are predominant WBC in CSF
  • X-rays of skull

Interprofessional care

  • Bacterial meningitis is a medical emergency
  • Rapid diagnosis crucial
    • Patient  usually critical when health care is initiated
    • Antibiotic therapy instituted before diagnosis is confirmed

Nursing Assessment

  • Initial assessment should include
    • Vital signs
    • Neurologic assessment
    • Fluid intake and output
    • Evaluation of lungs and skin

Nursing diagnosis

  • Decreased intracranial adaptive capacity related to decreased cerebral perfusion or increased ICP
  • Risk for ineffective cerebral tissue perfusion related to reduction of blood low and cerebral edema
  • Hyperthermia related to infection
  • Acute pain related to headache and muscle aches

Planning

  • Overall Goals
    • Return to maximal neurologic functioning
    • Resolve the infection
    • Control pain and discomfort

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