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Causes
Predisposing Factors
Assessment
Brudzinski’s sign. Severe neck stiffness causes a patient’s hips and knees to flex when the neck is flexed. Kernig’s sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. Possible Complications
Primary Nursing Diagnosis
Diagnostic Evaluation
A lumbar puncture, or spinal tap, is a procedure to collect cerebrospinal fluid to check for the presence of disease or injury. A spinal needle is inserted, usually between the 3rd and 4th lumbar vertebrae in the lower spine. Once the needle is properly positioned in the subarachnoid space (the space between the spinal cord and its covering, the meninges), pressures can be measured and fluid can be collected for testing. Medical Management
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Nursing Care Plan
Sample Nursing Care Plan for Meningitis
Nursing Diagnosis
Acute pain
Related to- infection process
- toxin in the circulation
Nursing Intervention for Meningitis:
- Place the ice bag on his head, cool clothing above the eyes, provide a comfortable head position a little bit high, range of motion exercises and active or passive masage neck muscles.
- Support to find a comfortable position (head rather high-).
- Give range of motion exercises active / passive.
- Use a warm moisturizer, neck or hip.
Nursing Diagnosis
Impaired Physical Mobility
Related to- neuromuscular damage.
Nursing Intervention for Meningitis:
- Assess the degree of immobilization of the patient.
- Assistive range of motion exercises.
- Give skin care, massage with moisturizer.
- Check the area experiencing tenderness, give air mattresses or water body alignment are functionally notice.
- Provide training programs and the use of mobilization.