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Peds Exam 2 > Meningitis > Flashcards

Meningitis Flashcards

1
Q

which 4 organisms cause bacterial meningitis

A

strep pneumonia
group B strep
e coli
meningococcus

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2
Q

which 4 things may cause aseptic meningitis

A

virus
allergy
fungus
parasitic

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3
Q

what is the worst strain of meningitis

A

meningococcus

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4
Q

what are the 4 risk factors of meningitis

A

neural tube defects
HIV
sinus fracture
head trauma

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5
Q

what is the most common type of aseptic meningitis

A

viral

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6
Q

what are the 2 most common viral causes

A

HSV

enterovirus

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7
Q

how soon do symptoms of aseptic meningitis resolve

A

3-10 days

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8
Q

which meds are used to treat TB meningitis

A

INH

Rifampin

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9
Q

what are the 2 types of acute bacterial meningitis

A

strep pneumonia

meningococcal

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10
Q

what are the 2 types of subacute bacterial meningitis

A

H flu

e coli

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11
Q

what is a common symptom of meningococcal meningitis

A

frontal headache

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12
Q

is the glucose value high or low with meningitis

A

low

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13
Q

what is the protein level & color of CSF with aseptic meningitis

A

protein level normal

color - clear

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14
Q

what is the protein level & color of CSF with bacterial meningitis

A

protein level elevated

color turbid/cloudy

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15
Q

what is the most important thing to do with a lumbar puncture

A

get a culture

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16
Q

what position should the pt be in after a lumbar puncture

A

supine

17
Q

s/s are subtle in infants, but what might you see

3

A

poor feeding
apnea
vomiting

18
Q

what position is a late sign of meningitis with an arched back

A

opisthotonus

19
Q

which sign is positive when the pt resists extension of the knees

A

Kernig’s sign

20
Q

which sign is positive when flexion of the neck causes flexion of the knees/hips

A

Brudzinski’s sign

21
Q

why are fluids restricted for the 1st 24-48 hours

A

SIADH - do not want to hold fluids

22
Q

which antibiotics are given for meningitis (5)

A 
ampicillin
cefotaxime
ceftriaxone
gentamycin
vancomycin
23
Q

which antibiotic is given to treat Neisseria (2)

A

penicillin

chloramphenical

24
Q

which med is given to treat HSV meningitis

A

acyclovir

25
Q

what should the nurse assess for (4)

A

seizures
photophobia
staggering gait
incontinence

26
Q

which 2 things make for a poor prognosis

A

young

long duration

27
Q

what are 5 common complications

A 
sequelae
subdural effusions
hydrocephalus
learning deficit
arthritis

Peds Exam 2 (34 decks)

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