Purulent meningitis treatment and care.doc

 PAGE \* MERGEFORMAT 5 Purulent meningitis treatment and care [Keywords:] purulent meningitis; treatment; nursing Purulent meningitis is caused by a suppurative bacterial infection of acute brain and spinal cord pia mater, arachnoid, and cerebrospinal fluid inflammation, with acute onset, severe illness, can be life threatening if not treated in time or serious neurological sequelae characteristics. Zhenjiang Municipal People’s Hospital, Department of Neurology January 2008 to August 2009 were treated 12 cases of purulent meningitis, now nursing are summarized below. 1 Clinical data 1.1 General information on 12 cases of meningitis patients were 8 males and 4 females, the oldest 58 years old, minimum 18-year-old was .10 patients had a history of cold, 1 patient had a history of chronic otitis media, no formal treatment. 1.2 The clinical manifestations in 12 cases of meningitis in 10 cases with fever, headache as the first symptom in 2 patients with disturbance of consciousness accompanied by convulsions admitted. 1.3 Treatment and prognosis according to patient’s economic situation and the patient’s condition were selected antibiotics, usually with penicillin, chloramphenicol, and Fortum, in this based on the use of mannitol dehydration reduce intracranial pressure and maintaining water and electrolyte balance, improve brain metabolism of drugs. serious condition with hormone. 10 patients recovered after treatment, 1 patient died due to infection with diabetes mellitus, and 1 patient transferred from outside the local hospital for treatment for economic reasons, the result is unknown. 2 Care 2.1 General care to maintain patient ventilation, suitable temperature, ventilation time, various nursing procedures should focus on to reduce the stimulation of the patient, keep quiet, patients are advised to calm severe anxiety to avoid seizures caused by increased intracranial pressure, cerebral hernia. ensure adequate caloric intake, should be g