1. Clinical manifestations of meningitis?
    • Fever
    • headache
    • altered mental status
    • photophobia
    • 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.
    • N&V
  2. Glucose is _____ in bacterial meningitis
  3. Glucose is _______ in viral meningitis?
    Most often normal but may be decreased
  4. 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
  5. Appearance of CSF in bacterial vs viral meningitis
    • bacterial - cloudy, turbid
    • viral - clear
  6. Protein in bacterial vs viral meningitis
    • bacterial - increased
    • viral - slightly increased
  7. In both bacterial and viral meningitis the WBC count is ______
    elevated well above normal level
  8. Explain how the meningococcal rash progresses.
    Begins as a macular rash that progresses to lg purpura.  Extremities turn black.
  9. Drug therapy for pts with parkinson's disease
    dopamine enhancing drugs
  10. Priority care and management for parkinsons
    • Provide devices to help with mobility
    • Physical therapy to keep pt limber
    • fall precautions
  11. People who have been in close contact with pt with bacterial meningitis should be treated with what?
    • Prophylaxis treatment with 
    • rifampin
    • ciprofloxacin
    • or ceftriaxone (Rocephin)
  12. Treatment for ICP and seizures in bacterial meningitis
    Hyperosmolar agents and antiepileptic drugs
  13. 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
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