P1: OXT/OZN/JDO P2: PSB
0521779407-E-01 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:10
524 Encephalitis Enteral and Parenteral Nutritiondifferential diagnosis
■Drug reaction
■Neoplastic; tumors/limbic encephalitis
■Strokes
■Autoimmune
management
■Vigorous support
➣Respiratory support
➣Monitor electrolytes and glucose
➣Control seizures
➣Monitor and control cerebral edema
specific therapy
■Acyclovir often started empirically, especially if focal temporal lobe
involvement
■Specific therapy depends on agent diagnosed or highly suspected –
e.g., if TB suspected, start anti-TB drugs; for Rickettsia, doxycycline,
etc.
■Steroids and/or IVIG are often used in post-infectious cases.
follow-up
n/a
complications and prognosis
n/aEnteral and Parenteral Nutrition.........................
PATSY OBAYASHI, MS, RN, CNSD, CDE
history & physical
History
■inability to meet nutrition needs orally
Signs & Symptoms
■hypermetabolism
➣major surgery
➣sepsis
➣trauma
➣burns
➣organ transplantation
➣AIDS