Nursing implementation : Inflammatory Brain Disorder
Nursing implementation : Inflammatory Brain Disorder https://urgentcarenearmetx.com/wp-content/themes/corpus/images/empty/thumbnail.jpg 150 150 Tony Guo Tony Guo https://secure.gravatar.com/avatar/aa9bbdf8f1e6bbf534778ecea7c0c925?s=96&d=mm&r=g- Tony Guo
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Nursing implementation
- Health Promotion
- Vaccinations for pneumonia and influenza
- Meningococcal vaccines
- MCV4 (Meningococcal conjugate vaccine), MPSV4 (Meningococcal polysaccharide vaccine), Serogroup B
- Early, vigorous treatment of respiratory tract and ear infections
- Prophylactic antibiotics for anyone exposed to bacterial meningitis
- Bacterial meningitis is a medical emergency. Rapid diagnosis based on history and physical examination is crucial because the patient is usually in a critical state when health care is sought. When meningitis is suspected, antibiotic therapy is instituted after the collection of specimens for cultures, even before the diagnosis is confirmed.
- Acute Care
- Revolve around the nursing diagnoses of
- Decreased intracranial adaptive capacity
- Risk for ineffective cerebral perfusion
- Increased fever
- Acute pain
- Close observation and assessment
- Provide relief for head and neck pain
- Position for comfort
- Darkened room and cool cloth over eyes for photophobia
- Minimize environmental stimuli
- Provide safety
- Revolve around the nursing diagnoses of
- Observe and record seizures
- Prevent injury
- Administer antiseizure medications
- Vigorously manage fever
- Fever increases cerebral edema and the frequency of seizures
- Neurologic damage may result from high, prolonged fever
- Assess for dehydration
- Evaluate fluid intake and output
- Compensate for diaphoresis in replacement fluids
- Maintain therapeutic blood levels of antibiotics
- Respiratory isolation until cultures are negative (Droplet precautions)
- Ambulatory Care
- Provide for several weeks of convalescence
- Increase activity as tolerated
- Stress adequate nutrition
- Encourage adequate rest and sleep
- Progressive ROM exercises and warm baths for muscle rigidity
- Ongoing assessment for recovery of vision, hearing, cognitive skills, motor and sensory abilities
- Tend to signs of anxiety and stress of family and caregivers
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