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19 Cards in this Set
- Front
- Back
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How is VIRAL meningitis usually resolved?
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with out treatment.
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What is inflammation of the meninges?
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Meningitis
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What kind of meningitis is a contagious infection with a high mortality rate?
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Bacerial, or septic
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what is a risk factor for viral meningitis?
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Viral illnesses ex: mumps, measles, herpes
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Name 4 risk factors for bacterial meningitis.
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Upper respiratory infections
immunosuppression injuries that provide direct access to cerebrospinal fluid Overcrowded living conditions |
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what age group are there usually no classic signs of meningitis?
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2 months to 2 years
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A pt is admited to the ER with flexion of extremities occurring with deliberate flexion of the neck what is this called, what would you document?
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positive Brudzinski's sign
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A patient is resisting extension of the leg from a flexed position what would you document based on these findings.
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positive Kernig's sign
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what is a common first sign of meningitis?
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seizures
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what is an indication of neural problems seen in a 2 month old
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High-pitched cry
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poor feding a vomiting is often an indication of what
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meningitis in a 2month old to two year old.
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what are some signs and symptoms of meningitis that may be seen in a 2month old?
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high-pitched cry, seixures, fever, poor feeding and vomiting, extremely irritable, bulging fontanels, nuchal rigidity.
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why is Dx of meningitis so difficult to diagnose in a neonate?
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because clinical signs are vague and nonspecific.
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what is the most definitive diagnostic procedure to dx meningitis.
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CSF analysis done by lumbar puncture
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when preforming a lumbar puncture what position should the child be in?
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fetal position
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When preforming a lumbar puncture what two medication are commonly used for sedation?
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Fentanyl (sublimaze)
& midazolam (Versed) |
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after having a lumbar puncture what positioning should be used for how long and why?
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The child should remain in bed for 4-8 hrs, flat position to prevent leakage and a resulting spinal headache.
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name a few nursing diagnoses for a patient with meningitis.
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Acute pain
imbalanced nutrition: less than body requirements. Anxiety Ineffective tissue perfusion (cerebral) |
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when should a child be isolated
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as soon as it is suspected.
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