Encephalitis.pptx inflamation of cerebral cells

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Ram Prasad

Neurological examination makes clear understanding about the disease

Healthcare

Definition
Encephalitis is a condition that affect the brain tissues ,
it is a Acute inflammatory condition of the cerebral
tissue that alters the normal neurological functioning

Causes
1. Bacteria
2. Viruses
Arthopod borne
HSV
3. Primary (virus directly affects the brain and spinal
cord)
4. Secondary (due to other infections)

• Childhood viruses
mumps/measles
• Arboviruses (ticks/mosquitoes)
• Japanees Encephalitis

Risk Factors
Older adults
Children under the age of 1 year
People with weak immune system

Herpes Simplex Encephalitis
Caused by two HSV’s
a. HSV-1
b. HSV-2

Pathophysiology
Due to Etiology
Results in local necrotizing hemorrhage
Cause generalized hemorrhage
Cause Edema
Progressive deterioration of the nerve cell

Clinical Features
Fever
Head ache
Confusion
Hallucinations/Altered LOC/Hemiparesis
Behavioral changes

Assessment and Diagnosis
1. Careful HC/PE
2. CSF studies
3. Blood Examination (Sugar/urea/electrolytes)
4. CT and MRI
5. EEG

Medical Management
1. Drug therapy
Antiinflamatory (acetaminophen/ibuprofen/naproxen sodium)
2. Antiviral drugs
acyclovir
gancyclovir

3. Mannitol
4. Corticosteroids
5. Antibiotics
6. Vitamin and minerals
7. Anticonvulsive
8. IV fluid therapy

Non pharmacological treatment
oxygen administration
mechanical ventilation

Nursing Management
Assessment
a. HC/PE
b. Assess neurologic status
c. Check for meningeal signs
d. Assess for hearing loss

e. Enhance cerebral tissue perfusion
Assess LOC/ vitals/signs of ICP/neuro functions
Maintain calm and quite environment
Prepare for lumbar puncture

Maintain fluid balance
g. Reduce fever
h. Reduce pain
i. Rehabilitative functions
J. Comfort measures

Preventive management
• Practice good hygiene
• Vaccination
• Prevention of mosquito bites
• Use insecticides

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Headache, Dizziness, Syncope and Palpitations 1. What are the primary causes of meningitis? What are the common manifestations associated with meningitis? How does meningitis alter normal physiological function and cause each of the manifestations that you listed above? 2. What are the primary causes of encephalitis? What are the common manifestations associated with encephalitis? How does encephalitis alter normal physiological function and cause each of the manifestations that you listed above? 3. List the two primary causes of increased intracranial pressure. Explain at least two mechanisms by which the increased intracranial pressure alters neural tissue function. Solution Ans 1: Causes of meningitis: Meningitis is typically caused by an infection with microorganisms. Viral infections are the most common cause of meningitis, followed by bacterial infections and, rarely, fungal infections. Bacterial meningitis is generally a serious infection. It is caused by three types of bacteria: Haemophilus influenzae type b, Neisseria meningitidis, and Streptococcus pneumoniae bacteria. Bacteria that enter the bloodstream and travel to the brain and spinal cord cause acute bacterial meningitis. But it can also occur when bacteria directly invade the meninges. This may be caused by an ear or sinus infection, a skull fracture, or, rarely, after some surgeries. Several strains of bacteria can cause acute bacterial meningitis, most commonly: Viral meningitis: Viral meningitis is usually mild and often clears on its own. Most cases in the United States are caused by a group of viruses known as enteroviruses, which are most common in late summer and early fall. Viruses such as herpes simplex virus, HIV, mumps, West Nile virus and others also can cause viral meningitis. Chronic meningitis: Slow-growing organisms (such as fungi and Mycobacterium tuberculosis) that invade the membranes and fluid surrounding your brain cause chronic meningitis. Chronic meningitis develops over two weeks or more. The symptoms of chronic meningitis — headaches, fever, vomiting and mental cloudiness — are similar to those of acute meningitis. Fungal meningitis: Fungal meningitis is relatively uncommon and causes chronic meningitis. It may mimic acute bacterial meningitis. Fungal meningitis isn\'t contagious from person to person. Cryptococcal meningitis is a common fungal form of the disease that affects people with immune deficiencies, such as AIDS. It\'s life-threatening if not treated with an antifungal medication. Other meningitis causes: Meningitis can also result from noninfectious causes, such as chemical reactions, drug allergies, some types of cancer and inflammatory diseases such as sarcoidosis. Common manifestations associated with meningitis are as follows: Bacterial meningitis symptoms may develop within hours or days. Viral meningitis symptoms may also develop quickly or over several days. These are common signs and symptoms of both types. Not all symptoms may appea.

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