T3-Blueprint: Meningitis, Encephalitis, Rabies, & Reye Syndrome Flashcards Preview

Pediatrics-MJ > T3-Blueprint: Meningitis, Encephalitis, Rabies, & Reye Syndrome > Flashcards

Flashcards in T3-Blueprint: Meningitis, Encephalitis, Rabies, & Reye Syndrome Deck (39):
1

Irritation of meninges of the brain due to a bacterial or aseptic infection; potentially fatal

Meningitis

2

What happens in meningitis?

Infection reaches the CNS, CSF then circulates the pathogens through the brain and SC

3

What are the 3 different types of meningitis?

Bacterial
Viral
TB

4

TB meningitis is the biggest sequel to ____

Hydrocephalus

5

What are subjective s/s to meningitis?

Photophobia
Nausea
Irritability
Headache

6

What position should we put a meningitis pt in to relieve discomfort?

Opithotinic position--neck and head hyperextended

7

What is nuchal rigidity

Pain with neck flexion

8

Do meningitis patients have fever?

Yes, as well as lethargy and irritability

9

Meningitis is slow or abrupt onset?

Abrupt

10

How do meningitis patients eat--good or bad?

Poor feeding

11

Meningitis patients may have increased ICP..What are signs of increased ICP?

Seizures
Chill cry
Vomiting
Bulging fontanel

12

What is the kerning sign?

Raise the childs leg with knee flexed, then extend childs leg at the knee--if any resistance is noted or pain is felt, it is a positive sign for meningitis

13

What is the brudinski sign?

Flex the childs head while supine--if this action makes the knees or hips flex involuntarily, this is a positive sign

14

What is the lab signs for bacterial?

-CSF: cloudy, turbulent
-Glucose= reduced (0-15 mg/dL)
-WBC elevated
-Protein elevated (100-500)
-Positive gram stain

15

What are the lab signs for viral meningitis?

-CSF: Slightly cloudy
-Protein normal or slightly elevated (30-100)
-Glucose=Normal
-WBC elevated
-Negative gram stain

16

What may be the initial sign of meningitis?

Seizure

17

What should we monitor if our patient is getting gentmycin to treat their meningitis?

Monitor hearing loss

18

If a patient has meningitis do they go to isolation?

Yes, isolation for 24 hours if on antibiotics

19

How do we treat cerebral edema?

Mannitol

20

Should we elevate the head of a meningitis pt.?

Yes

21

How do we reduce stimulation for meningitis pts?

Dark room
Limit visitation
IV fluids

22

What helps prevent meningitis?

H flu faccine

23

Inflammation of the brain usually caused by a viral infection (ex: like meningitis)

Encephalitis

24

What is the most common cause after newborn period for a baby to get encephalitis?

HSV1

25

Enteriovirus also can cause encephalitis. What are examples?

1. Echovirus
2. Adenovirus
3. Arbovirus
4. Rabies
5. Hep B
6. Bacteria
7. Parasites

26

Etiology of encephalitis..What is echovirus?

Non pruritic, discrete, red, maculo-papular rash

27

What are symptoms of encephalitis?

Febril illness with neurologic signs

-personality changes, hallucinations, disorientation, ataxia, seizure, coma, etc

28

T/F: Insect bites can cause encephalitis

TRUE

29

T/F: If meningitis is caught early, then the patient may be ok

True

30

With encephalitis, ______ normally occurs

Neurological impairment

31

Encephalitis usually always end up in the ____

ICU

32

A chronic condition that is a complication of an acute condition that begins during that acute condition

Sequalae

33

Viral infection affecting the CNS

Rabies

34

What are symptoms of rabies?

Fever
Malaise
Sore throat
Choking fro laryngospasm

35

Immediately after getting bitten by an animal, what should happen?

Get a vaccine--need multiple shots---day of and days 3, 7, 14, and 28

36

Toxic encephalopathy

Reyes syndrome

37

What is symptoms of Reyes?

-Fever
-Impaired consciousness (cerebral edema)
-Dysfunctional liver (fatty chagnes, increased ammonia levels)

38

What does Reye syndrome usually follow?

Flu, varicella---some sort of viral illness

39

What can cause Reyes?

ASPIRIN---use of sacalytes (that word is spelt wrong, but something like that)

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