Meningitis Emergency Nursing Care Plan

Meningitis Emergency Nursing Care Plan

Meningitis

Meningitis is a bacterial infection of the membranes covering the brain and spinal cord (meninges).

Signs of meningitis as follows:

• fever
• headache
• stiff neck
• photophobia and vomiting
• confused (possible)

Assessment - Emergency Nursing Care Plan Meningitis

Always use the ABCDE approach to assessment

Airway

• Make sure the airway clearance
• Prepare tools to facilitate the airway if necessary
• If there is a decrease in respiratory function immediately contact an anesthesiologist and treated in the ICU

Breathing

• Assess respiratory rate - less than 8 or over 30 is a significant sign.
• Assess oxygen saturation
• Perform blood gas
• Give oxygen via non re-breath mask
• Chest auscultation
• Make checks thoracic photo

Circulation

• Assess heart rate - more than 100 or less than 40 x / min is a significant sign
• Monitoring blood pressure
• Check the capillary refill time
• Attach infusion using a large cannula
• Attach Catheterization
• Check the lab for complete blood, urine, electrolyte
• Perform blood cultures
• Perform a throat swab for culture and sensitivity
• Record the temperature

Disability

• Assess level of consciousness
• Observations of focal neurological signs

Exposure

• Assess the ptechie

Sign of the threat to life:

If the patient shows signs of distress, showing patients should be brought immediately to the ICU as for the sign as follows :

• Redness more
• CRT more than 4 seconds
• Oliguria
• Breathing is less than 8, more than 30 per minute
• Heart rate less than 40, more dari140 times per minute
• Signs of impairment of consciousness
• Focal neurology
• Convulsions
• Bradycardia and hypertension
• Papiloedema

Emergency Nursing Care Plan - Meningitis