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Saturday, March 10, 2012

Ineffective Tissue Perfusion Nursing Interventions for Meningitis

Ineffective Tissue Perfusion related to increased intracranial pressure


Meningitis is an inflammation of the lining of the brain (arachnoid and piamater). Bacteria and viruses are the leading cause of meningitis.

  • The patient returned to the state of the neurological status before the illness
  • Increased patient awareness and sensory function

Expected results:
  • Vital signs within normal limits
  • Head pain was reduced
  • Increased awareness
  • An increase in cognitive or loss and no signs of increased intracranial pressure.

Action Plan

Impaired Tissue Perfusion Nursing Interventions for Meningitis

1. Patient's total bed rest with supine sleeping position without a pillow.
Rationale: Changes in intracranial pressure will be able to mislead the risk for brain herniation.

2. Monitor signs of neurological status with a GCS.
Rational: To reduce further brain damage.

3. Monitor vital signs such as BP, pulse, temperature, respiration, and caution in systolic hypertension.
Rational: In the normal state of autoregulation to maintain a state of altered systemic blood pressure fluctuations. Autoreguler failure would lead to cerebral vascular damage can be manifested by an increase in systolic and diastolic pressure followed by a decline. While the increase in temperature can describe the course of infection.

4. Monitor intake and output.
Rational: Hyperthermia can lead to increased IWL and increased risk of dehydration, especially in patients who are not aware, nausea which decreases oral intake.

5. Help the patient to limit vomiting, coughing. Instruct patient to exhale when moving or turning in bed.
Rationale: This activity can increase intracranial pressure and intra-abdominal. Exhale when moving or changing positions to protect themselves from the effects of Valsalva.

6. Collaboration
Give intravenous fluids with strict attention.
Rationale: Minimizing the burden of vascular and fluctuations in intracranial pressure, fluid and fluid vetriksi can reduce cerebral edema.

7. Monitor blood gas analysis of oxygen delivery when needed.
Rational: The possibility of acidosis accompanied by the release of oxygen at the cellular level may lead to ischemic cerebral.

8. Provide appropriate treatment advice doctors
Rational: The therapy is given to decrease capillary permeability, decrease cerebral edema, and lower metabolic cells / consumption and seizures.

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