Nursing implementation : Inflammatory Brain Disorder

Nursing implementation : Inflammatory Brain Disorder 150 150 Tony Guo

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

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