PLANNING AND IMPLEMENTATION Bacterial Meningitis
• 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
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Ditulis oleh: Shahzad Khan - 6 December 2011