6 December 2011

Nursing Care Plan Diagnosis Intervention for Bacterial Meningitis Client

Bacterial meningitis is generally a serious infection. It is caused by three types of bacteria: Haemophilus influenzae type b, Neisseria meningitidis, and Streptococcus pneumoniae bacteria. Meningitis caused by Neisseria meningitides is known as meningococcal meningitis, while meningitis caused by Streptococcus pneumoniae is known as pneumococcal meningitis. People become infected when they are in close contact with the discharges from the nose or throat of a person who is infected.

• Monitor  vital signs every 2 hours.
• Provide sponge baths if temperature continues to rise.
• Provide a quiet, nonstimulating environment with the shades
• Provide oral care every 4 hours.
• Measure and compare intake and output every 2 hours.
• Perform  neurologic assessments every 2 to 4 hours.
• Monitor  for and report seizure activity and decreasing level of
• Keep bed in low position with side rails elevated.
• Administer prescribed intravenous antibiotics.

• Have  a decrease in body temperature
  Become  less restless and agitated.
• Remain free of injury

Nursing DIAGNOSES of Bacterial Meningitis
• Hyperthermia, related to infection and abnormal temperature regulation by hypothalamus
• Disturbed thought processes, related to intracranial infection
• Ineffective protection, related to progression of illness

Nursing interventions Nursing Care Plans for Bacterial Meningitis

  • Pain Management: Alleviation of pain or a reduction in pain to a level of comfort that is acceptable to the patient
  • Analgesic Administration: Use of pharmacologic agents to reduce or eliminate pain
  • Environmental Management: Comfort: Manipulation of the patient’s surroundings for promotion of optimal comfort
  • Anxiety Reduction: Minimizing apprehension, dread, foreboding, or uneasiness related to an unidentified source or anticipated danger
  • Calming Technique: Reducing anxiety in patient experiencing acute distress
  • Temperature Regulation: Attaining and/or maintaining body temperature within a normal range
  • Fever Treatment: Management of a patient with hyperpyrexia caused by non environmental factors
  • Malignant Hyperthermia Precautions: Prevention or reduction of hyper metabolic response to pharmacological agents.
  • Respiratory Monitoring: Collection and analysis of patient data to ensure airway patency and adequate gas exchange
  • Oxygen Therapy: Administration of oxygen and monitoring of its effectiveness
  • Airway Management: Facilitation of patency of air passages
  • Fluid Monitoring: Collection and analysis of patient data to regulate fluid balance
  • Hemodynamic Regulation: Optimization of heart rate, preload, afterload, and contractility
  • Skin Surveillance: Collection and analysis of patient data to maintain skin and mucous membrane integrity
  • Pressure Management: Minimizing pressure to body parts
  • Pressure Ulcer Prevention: Prevention of pressure ulcers for a patient at high risk for developing them