NURSING CARE PLAN 5
Thepatient needs to be taken to the primary care unit room. Patientshaving bacterial meningitis are treated by primary care. The primarycare should be provided in consultation with various specialists suchas infectious diseases specialists, neurosurgeons, and neurologists.
Apatient diagnosed with bacterial meningitis may exhibit otheradditional signs and symptoms. The signs and symptoms may include apatient having a stiff neck and pain, which makes it hard for thepatient to touch his chin to his chest (Ackley & Ladwig, 2011).The patient may also seem to be confused and disoriented, which isindicated through the patient acting goofy (Tunkel& Scheld,2001). Besides, the patient may show sensitiveness when exposed tobright light and may show signs of sluggishness or drowsiness. Inaddition, the patient may have an appetite loss. In a more severecase, the patient may depict the symptom of seizure and coma.
Laboratorytests are critical in the diagnosis of bacterial meningitis. CSFexamination is the first laboratory examination used in establishingthe presence of bacterial meningitis. The following abnormalities areassociated with bacterial meningitis during CSF test
Increased protein concentration (>45 mg/dl)
Decreased glucose concentration (>45 mg/dl)
Pleocytosis WBC counts > 10 cells/mm3
Increased opening pressure (>180 mm water)
Anothertest involves imaging. X-rays as well as computerized tomography (CT)scans of the chest, head, or sinuses may help in revealinginflammation or swelling. These tests can also aid physician inlooking for infection in other parts of the body, which may be linkedwith meningitis (Tunkel& Scheld,2001). Besides, blood should be tested for presence of bacteria. Inthis case, blood cultures are drawn from the patient’s veins andtested whether the cultures contain bacteria. In case the patient isdiagnosed with bacterial meningitis, blood samples would havebacteria (Tunkel& Scheld,2001).
Oneof the medical management aspects that the nurse should anticipatefor the patient entails ensuring that temperature of the patient goesdown. The patient’s temperature is 104°F, but normal temperatureshould be 98.6°F. Thus, the nurse should anticipate bringing thetemperature of the patient down. The nurse also anticipates makingthe patient manage the severe, persistent headache that he has. Thesevere headache may cause extra pain to the patient hence, it needsto be managed. Since the patient has decreased glucose concentration,the nurse should anticipate increasing the glucose concentration.Besides, the nurse should anticipate controlling bacterial infectionthat the patient is suffering from.
Thefollowing is the nursing care that should be provided for thepatient
Since the patient may be diagnosed to have swellings and seizures, a nurse may provide the patient with intravenous antibiotics in order to mitigate the risks complications emanating from swellings and seizures. Cortisone medications can also help the patient in recovering from swellings and seizures. The antibiotic or a combination of antibiotics provided depends on the kind of bacteria that causes the infection (Berger & Gideon Informatics, 2015).
Draining of the infected mastoids or sinuses is also another care that a nurse should provide to the patient. Since the patient is diagnosed to have bacterial meningitis, it is likely that he has some infected mastoids or sinuses that would need draining.
A nurse should also ensure that the glucose level of the patient goes back to normal. This can be through providing medication that would improve the glucose level. Besides, a nurse should ensure that the body temperature of the patient goes back to normal.
Ackley,B. J. & Ladwig, G. B. (2011). Nursing Diagnosis Handbook. (9thed.). St. Louis: Mosby Elsevier.
Berger,S., & Gideon Informatics, Inc. (2015). Bacterialmeningitis: Global status.LosAngeles, California : GIDEON Informatics, Inc.
Tunkel,A. R., & Scheld, W. M. (2001). Bacterialmeningitis.Philadelphia [u.a.: Lippincott Williams & Wilkins.