Medical-surgical Nursing Demystified

(Sean Pound) #1

(^228) Medical-Surgical Nursing Demystified
enters the healthcare system the better. Some patients will incur permanent dis-
ability from the irreversible damage that occurs to the brain. These patients may
be in need of long-term custodial care.
HALLMARK SIGNS AND SYMPTOMS



  • Fever due to infection

  • Nausea and vomiting due to increased intracranial pressure

  • Stiff neck due to meningeal irritation

  • Drowsiness, lethargy, or stupor due to increased intracranial pressure

  • Altered mental status—irritability, confusion, disorientation, personality change

  • Headache due to increased intracranial pressure

  • Seizure activity possible due to irritation of brain tissue


INTERPRETING TEST RESULTS



  • Blood cultures used to help identify organism when patient is febrile.


TREATMENT



  • Monitor respiratory status for compromise.

  • Monitor vital signs for widened pulse pressure and bradycardia—signs of
    increased intracranial pressure.

  • Monitor neurologic function for change.

  • Administer corticosteroid to decrease inflammation:

    • dexamethasone



  • Administer antipyretics to reduce fever:

    • acetaminophen



  • Administer anticonvulsants to decrease chance of seizure activity:

    • phenytoin, phenobarbital



  • Administer diuretics to decrease cerebral edema, if indicated:

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