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.
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.