About
Inflammation of the brain and cerebrospinal fluid and spine caused by remains of a previous or current viral infection, including mumps, measles, herpes zoster, or HSV.
Assess
Fever, photophobia, headache, muscle aches, nausea, stiff neck, recent viral illness
Complications
Increased intracranial pressure; septic emboli; disseminated intravascular coagulation ( DIC); death
Diagnosis
- Pain related to infectious process and inflammation
- Risk for falls related to infectious process
- Excess fluid volume related to increased intracranial pressure
Goals
The client will be free from complications.
The client will verbalize understanding of treatment plan.
Interventions
- Monitor vital signs, neurological status, and circulation to extremities.
- Initiate seizure precautions.
- Keep in a quiet, darkened room to manage for photophobia.
- Administer medications ( analgesics, antibiotics, etc.) as ordered.
- Maintain standard precautions as indicated by agency protocol.
- Maintain head of bed up 30 degrees and monitor for s/s of increased intracranial pressure.
- Monitor for signs/ symptoms of complications.
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