Clinical manifestations of meningitis?
altered mental status
increased ICP (decreasing LOC)
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
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