Nursing implementation : Inflammatory Brain Disorder

• July 22, 2020
• Tony Guo
• no comments

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
• 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