Meningitis



ScreeningNeurologist rules out disorders with similar symptoms and verify the conditionSigns/SymptomsSudden high feverSevere headache that isn’t easily confused with other types of headacheStiff neckVomiting or nausea with headacheConfusion or difficulty concentratingSeizuresSleepiness “Red flags”Early: Fever, headache, stiff neckLate: Flexion of legs with neck flexion, seizures, vomiting, comaClinical GuidelinesMonitor consciousness, agitation, sensitivity to light and sound, vital signs, Glascow Coma ScaleMaintain mobility of trunk and neck, calm environment, Patient and family educationNeurological rehabilitationLab or Medical TestsLumbar puncture, blood samples, brain imaging MedicationsIndicationsContraindicationsPotential Adverse effectsAntibiotics (Vancomycin)Severe intestinal condition C-diff, bacterial infections of stomach, methicillin-resistant staphylococci, staphylococcal endocarditis Known hypersensitivity to antibioticsNausea, upset stomach, dizziness, difficulty hearing, change in amount of urine, fever, chills, persistent diarrheaAnticonvulsant (Dilantin)Control seizuresHeadache, confusion, skin rash, vomiting, loss of appetite, abdominal pain, weight gain or loss, swollen feet, do not suddenly stop withdrawals, suicide and suicidal thoughtsFever Medicine (Acetaminophen)Pain reliever, fever reducer Liver disease, alcoholismNausea, itching, dark urine, jaundiceSteroids (Dexamethosone)Prevent inflammationPregnancy, breast feedingAgitation, aggression, depression, shortness of breath ................
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