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DPT_NEURO_8

MENINGITIS

QuestionAnswer
3 layers of meninges DAP
Layer where it contains artery Epidural
Layer where it contains vein Subdural
Layer where it contains CSF Subarachnoid
Most common caused of meningitis Enterovirus
Causative agents causing meningitis in adults S. Pneumoniae, N. Meningitidis
Causative agents causing meningitis in pedia HIB
MOT of menigitis droplet
People that has the most risk factor in meningitis 1st year college students Military recruits
Dse that having these recently increases the risk factor of having meningitis URTI, Otitis media, Mastoiditis
Classic triad of meningitis FHN Fever Headache Nuchal rigidity
It is considered meningococcemia if which present s/sx Rash + fever
Meningeal signs where there is pain knees/legs extended and hips flexed Kernig's
Meningeal signs where if neck is passively flexed, there is flexion of hips, knees, and feet Brudzinski sign
DIAGNOSTIC TEST OF CHOICE in meningitis Lumbar puncture / spinal tap
Sites where to aspirate CSF for lumbar puncture BETWEEN L2-L3, L3-L4, L4-L5
It is the imaginary line between iliac crest Tuffler's line
Position for Lumbar puncture / spinal tap Side lying, fetal, shrimp, pos'n
Contraindications of Lumbar puncture / spinal tap 3 I's Increased effect Intracranial mass Imaging: mass effect
What to do before Lumbar puncture / spinal tap if suspected increased ICP MRI/CT scan
Intervention if patient is having anxiety prior to Lumbar puncture / spinal tap Educate (inform MD)
Before Lumbar puncture / spinal tap, what should be the bladder state Empty bladder
Position after Lumbar puncture / spinal tap Flat for 12-24 hrs
After Lumbar puncture / spinal tap, patient is manifesting bifrontal / occipital headache, what to suspect Post lumbar puncture headache
Post lumbar puncture headache worsens if Sitting/standing
Post lumbar puncture headache is relieved if Flat
What are assessed in lumbar puncture Opening pressure, WBC, Protein, Glucose
Normal opening pressure in lumbar puncture 8-15
Normal WBC in lumbar puncture 0-5
Normal protein in lumbar puncture <40
Normal glucose in lumbar puncture 40-70
Results of lumbar puncture in bacterial meningitis in terms of Opening pressure, WBC, Protein, and Glucose HHHL
Results of lumbar puncture in viral meningitis in terms of Opening pressure, WBC, Protein, and Glucose SH, H, SH, N
Results of lumbar puncture in FUNGAL/TB MENINGITIS in terms of Opening pressure, WBC, Protein, and Glucose HHHL
Pink or blood CSF in lumbar tap indicates Subarachnoid hemorrhage
CSF which is blood but clears eventually indicates Traumatic tap
Cloudy CSF indicates Infection
When is meningitis considered no longer contagious 24hrs after antibiotic therapy
Prevention for meningitis Meningococceal vaccine
Meningococceal vaccine to prevent meningitis can start administering at what age 11-12 y/o
Meningococceal vaccine to prevent meningitis booster dose can be given at what age 16 y/o
Which intervention is first done in meningitis MEDS first then TESTS next
Antibiotics to be given in meningitis Pen G Ceftriaxone Cefotaxine
Adjunct therapy for meningitis Dexamethasone & anticonvulsant
Which drug are given for close contacts of patients with meningitis Chemoprophylaxis
Chemoprophylaxis given to close contacts of patients with meningitis RCC Rifampicin Ceftriaxone Ciprofloxacin
Created by: ah_jusyyy
 

 



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