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G.C.R.G.
COLLEGE OF NURSING
PRESENTATION
ON
MENINGITIS
SUBMITTED TO:
MR. HABEEB KHAN
ASSISTANT PROFESSOR
SUBMITTED BY:
SANGEETA
GNM 2nd YEAR
INTRODUCTION
 Meningitis is the inflammation of the protective
membrane surrounding the brain and spinal cord.
 It can be caused by infection topically bacterial or Viral.
symptoms include fever, headache,and a stiff neck.
DEFINITION
 Meningitis is a disease
characterized by inflammation of
meninges of the brain and spinal
cord. ( Dura mater,
Arachnoid and piamater).
ETIOLOGY
 Infection of meningitis by bacteria, virus,
fungus and protozoa.
 Organism inters into CNS through upper
respiratory tract or blood stream.
 Streptococcus pneumonia, Neisseria,
meningitis, Homophiles influenza
PATHOPHYSIOLOGY
Due to etiological factor
 Organism enter into blood stream.
 Cross blood brain barrier.
 Inflammation occurs in meninges.
 Reduce blood supply and also reduce the circulationof CSF in
Cerebral.
 Increase ICP( intra cranial pressure)
SIGN AND SYMPTOMS
 Headache.
 Sudden high fever.
 Chills.
 Nausea and vomiting.
 Photo phobia.
 Neck stiffness.
 Drowsiness.
 Confusion.
DIAGNOSTIC EVALUATION
 History collection.
 Physical examination.
 Blood test.
 Lumber puncture.
 EEG.
 CT scan and MRI.
 X-Ray.
 CSF culture.
 Gram staining.
MEDICAL MANAGEMENT
 Bacterial meningitis.
 Vancomycin is the drug of choice for bacterial infection.
 Steroid therapy to reduce inflammation like dexamethostone.
 Antipyretic therapy to reduce fever and symptomatic treatment like fluid
therapy
 Viral meningitis -. In viral meningitis antibiotics are not effective so provide
symptomatic treatment like bed rest, oral fluid, good nutrition, antipyretic
drugs and antimetic drugs.
 Fungal Meningitis - High dosa of anti fungal medication are effective in the
treatment of fungal meningitic. ( Ketaconozale, Terbinafine).
NURSING MANAGEMENT
 Assess vital on admission.
 Monitor intake- output hourly.
 Monitor factor that may further increase cerebral edema and ICP.
 Place emergency equipments such as oxygen, suction near the bed side table.
 Weight the patient daily.
 Provide a flexible feeding schedule with small feeding of favourt foods.
 Administer antiemetic to control nausea and vomiting.
THANK YOU

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Presentation nursing.pptx VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV

  • 1. G.C.R.G. COLLEGE OF NURSING PRESENTATION ON MENINGITIS SUBMITTED TO: MR. HABEEB KHAN ASSISTANT PROFESSOR SUBMITTED BY: SANGEETA GNM 2nd YEAR
  • 2. INTRODUCTION  Meningitis is the inflammation of the protective membrane surrounding the brain and spinal cord.  It can be caused by infection topically bacterial or Viral. symptoms include fever, headache,and a stiff neck.
  • 3. DEFINITION  Meningitis is a disease characterized by inflammation of meninges of the brain and spinal cord. ( Dura mater, Arachnoid and piamater).
  • 4. ETIOLOGY  Infection of meningitis by bacteria, virus, fungus and protozoa.  Organism inters into CNS through upper respiratory tract or blood stream.  Streptococcus pneumonia, Neisseria, meningitis, Homophiles influenza
  • 5. PATHOPHYSIOLOGY Due to etiological factor  Organism enter into blood stream.  Cross blood brain barrier.  Inflammation occurs in meninges.  Reduce blood supply and also reduce the circulationof CSF in Cerebral.  Increase ICP( intra cranial pressure)
  • 6. SIGN AND SYMPTOMS  Headache.  Sudden high fever.  Chills.  Nausea and vomiting.  Photo phobia.  Neck stiffness.  Drowsiness.  Confusion.
  • 7. DIAGNOSTIC EVALUATION  History collection.  Physical examination.  Blood test.  Lumber puncture.  EEG.  CT scan and MRI.  X-Ray.  CSF culture.  Gram staining.
  • 8. MEDICAL MANAGEMENT  Bacterial meningitis.  Vancomycin is the drug of choice for bacterial infection.  Steroid therapy to reduce inflammation like dexamethostone.  Antipyretic therapy to reduce fever and symptomatic treatment like fluid therapy  Viral meningitis -. In viral meningitis antibiotics are not effective so provide symptomatic treatment like bed rest, oral fluid, good nutrition, antipyretic drugs and antimetic drugs.  Fungal Meningitis - High dosa of anti fungal medication are effective in the treatment of fungal meningitic. ( Ketaconozale, Terbinafine).
  • 9. NURSING MANAGEMENT  Assess vital on admission.  Monitor intake- output hourly.  Monitor factor that may further increase cerebral edema and ICP.  Place emergency equipments such as oxygen, suction near the bed side table.  Weight the patient daily.  Provide a flexible feeding schedule with small feeding of favourt foods.  Administer antiemetic to control nausea and vomiting.