Bacterial Meningitis

Subject: Medical and Surgical Nursing I (Theory)

Overview

Bacterial meningitis, it's etiology, clinical manigfestation diagonostic evaluation and medical management are explained in this note for Medical Students 

Bacterial meningitis

The meningeal bacterial infection is frequently preceded by a minor respiratory tract illness in which a few germs reach the bloodstream.

Etiology of the disease:

  • Meningococci
  • Pneumococci
  • Harmophilus influenza
  • Traunophilus influenza
  • Streptococcus pneumonia
  • Systemic infection
  • Anatomic defects
  • Otitis media

Clinical manifestation of Meningitis

  • Rigid Neck
  • Photophobia (Fear of Light) 
  • Irritation of the meninges
  • Fever
  • Nausea
  • Vomiting
  • Chill 
  • Headache
  • Illusion
  • Cloudy CSF

Diagnostic evaluation

Following tests are required to evaluate:

  • CSF Glucose
  • WBC
  • CSF Protein
  • Biopsy

Medical management

  • Bacterial meningitis is classified as a medical emergency.
  • Antibiotics such as penicillin or ampicillin are used to treat cns.
  • Antibiotics are only administered intravenously: sodium, cephalosporin, ceftriaxone

Complications that can occur:

  • Acute septic shock
  • Paralysis
  • Ataxia
  • Vasomotor failure
  • Seizures
  • Swelling of the brain
  • Overflow of fluids

How can we manage Bacterial Meningitis with nursing practices?

The Following measures should be taken for managing Bacterial Meningitis:

  • Keep fluid balances in check.
  • Fever should be reduced.
  • Monitor vital signs, lungs, airway clearance, and so forth.
  • Body weight, serum, electrolytes, urine, volume, and specific gravity should all be monitored.
  • The Glasscow coma scale is used to monitor neurological examinations.
  • Maintain a quiet environment with dim lighting.
  • Determine the degree of discomfort.
  • Diversification treatment should be provided.
  • Give the sedative.
  • Keep track of your vitals.
Things to remember

© 2021 Saralmind. All Rights Reserved.