a nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis This is a topic that many people are looking for. voteyesons.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, voteyesons.org would like to introduce to you Pediatric Nursing – Meningitis. Following along are instructions in the video below:
In this video. We are starting part two of my pediatric nursing video series if if you are following along with cards. Im on card 34.
Which is like starts like the pink stack. So well be talking about pediatric disorders. By body system.
So first up lets talk about meningitis. So meningitis is inflammation of the meninges and the cerebral spinal fluid. So the meninges are the connective tissue that covers the brain and the spinal cord.
So with meningitis viral meningitis is more common and will often resolve. Without treatment. Bacterial meningitis on the other hand is much more serious with a higher mortality rate and definitely requires treatment so in terms of prevention of meningitis the hip and the pcv vaccines can help prevent bacterial meningitis signs and symptoms of meningitis are super important for you to know so this can include photophobia.
So kind of pain with light. Like difficulty having light.
Headache. Nausea. And vomiting is very common irritability.
A high pitched cry like an infant. As well as poor. Feeding fever is another symptom and as well as nuchal rigidity.
So thats like stiffness in the neck. And then bulging fontanels in infants. That would be a late sign of meningitis so if you remember when we were talking about fontanels those should be soft and flat.
They should not be bulging or sunken seizures can also happen with meningitis and then you also get a positive bruise in skis and positive kernig sign so lets talk about those two signs because those are really important to know so with bruise in ski sign youre gonna have the patient kind of lay flat and youre gonna pull up on their head thats gonna cause pain and then theyre gonna flex up their knees. So the way i remember this is bruising skis if you pull up on their neck. Theyre like bro that hurts so bro in skis.
Thats kind of how i remember kernig sign youre also gonna have the patient lie supine. Youre gonna have them bend their knees and try to straighten that leg and straightening that leg at the knee will hurt a lot in a patient who has meningitis.
So that would be a positive kernig sign and the way. I remember that one is that the word knee starts with k and kernig starts with k. So those kind of go together so definitely remember those two signs.
Were gonna have lots of signs that were going to talk about that are named after random people so ill always try to have a trick to help you remember those and then lastly petechiae. Which are like kind of like red dots on the skin that can happen with meningitis as well okay in terms of a lab test that you would do when you suspect meningitis. Were going to need to do a csf analysis.
Or cerebral spinal fluid analysis. And the way. We get that is through a lumbar puncture.
So once we get that specimen there are different attributes that you find with bacterial meningitis versus viral meningitis. So with bacterial meningitis the csf will be cloudy and you will have an elevated white blood cell count and elevated protein levels glucose levels will be decreased. And it will result in a positive gram stain with viral meningitis.
The csf will be clear you will have possibly a slightly elevated white blood cell count. And you will have normal levels of protein and glucose and a negative gram stain.
So really important to know the differences between those two in terms of when youre performing the lumbar puncture to get the cerebral spinal fluid you want to make sure the child empties. His or her bladder prior to the procedure. You want to apply that m.
Lok cream on the injection site about one hour before the procedure. Remember were putting the in la creme. Were placing an occlusive dressing.
Were waiting an hour taking the dressing off cleaning. The area thoroughly you want to place the child in a side lying cannonball position. So theyre going to be kind of rounding their back and tucking their head like theyre doing a cannonball into a pool and then afterwards you want to ensure that the child remains flat for up to 12 hours after the procedure to prevent the leakage of csf or cerebral spinal fluid.
If they have leakage then that can result in a very severe headache okay so nursing care of patients with meningitis you want to implement droplet precautions right away if meningitis is suspected and you want to maintain droplet precautions for at least 24 hours following the initiation of antibiotics for like a bacterial meningitis. You want to provide keep the patient npo so nothing by nothing by mouth. No food or drinks.
If he or she has a decreased level of consciousness. Because if their level of consciousness.
Is decreased. Then their swallowing may also be impaired and theyre at risk for aspiration you want to provide a dark quiet environment. Because of that photophobia really we want to decrease stimulation and you want to administer medications.
As ordered so this can include iv antibiotics and corticosteroids for bacterial meningitis in terms of you definitely when a patient has meningitis you need to be observing them for signs of increased inter cranial pressure or icp. So its very important for you to know what those signs are so those. Include bulging fontanelles.
A high pitched cry. An increase in head circumference in the child irritability bradycardia. A headache seizures and respiratory changes.
So im going to stop here when we pick it up in my next video. We will go over race syndrome. And some more neuro type disorders.
Okay thanks for watching. .
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