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Clinical manifestations of meningitis?
- altered mental status
- increased ICP (decreasing LOC)
- Nuchal rigidity
- positive Kernig's sign - stiffness of hamstring
- Positive Brudzinski's sing - involuntary hip flexion when neck is passively flexed.
Glucose is _____ in bacterial meningitis
Glucose is _______ in viral meningitis?
Most often normal but may be decreased
The most significant lab test used in diagnosis of meningitis is the _______.
- analysis of CSF
- CSF is analyzed for cell count, differential count, and protein.
- Glucose concentrations are determined
- culture sensitivity and gram stain studies are performed
Appearance of CSF in bacterial vs viral meningitis
- bacterial - cloudy, turbid
- viral - clear
Protein in bacterial vs viral meningitis
- bacterial - increased
- viral - slightly increased
In both bacterial and viral meningitis the WBC count is ______
elevated well above normal level
Explain how the meningococcal rash progresses.
Begins as a macular rash that progresses to lg purpura. Extremities turn black.
Drug therapy for pts with parkinson's disease
dopamine enhancing drugs
Priority care and management for parkinsons
- Provide devices to help with mobility
- Physical therapy to keep pt limber
- fall precautions
People who have been in close contact with pt with bacterial meningitis should be treated with what?
- Prophylaxis treatment with
- or ceftriaxone (Rocephin)
Treatment for ICP and seizures in bacterial meningitis
Hyperosmolar agents and antiepileptic drugs
Meds for pts with meningitis
- A broad-spectrim abx immediately
- * if IV access can not be established
- quickly give IM abx
- Abx require a 2 week course