Terms in this set (132)

● Viral (or aseptic) meningitis usually requires only supportive care for recovery.
● Bacterial (or septic) meningitis is a contagious infection. The prognosis depends on how quickly care
is initiated.
Incidence of bacterial meningitis has decreased in all age groups except infants under the age
of 2 months since the introduction of the Hib and pneumococcal conjugate vaccines (PCV).

Subjective Data
◯ Photophobia
◯ Nausea
◯ Irritability
◯ Headache

■ CSF analysis indicative of meningitis. via lumbar puncture
☐ Bacterial
X Cloudy color
X Elevated WBC count
X Elevated protein content
X Decreased glucose content
X Positive Gram stain**
☐ Viral
X Clear color
X Slightly elevated WBC count
X Normal or slightly elevated protein content
X Normal glucose content
X Negative Gram stain**


-put npo immediately after diagnosis
-Maintain NPO status if the client has a decreased level of consciousness. As the client's condition
improves, advance to clear liquids and then to a diet that the client can tolerate
◯ Correct fluid volume deficits and then restrict fluids until no evidence of increased ICP and serum
sodium levels within the expected range.

◯ Corticosteroids - dexamethasone (Decadron)
-bacterial only

■ Acetaminophen (Tylenol) with codeine may be used to relieve discomfort.

Encourage parents to maintain appropriate immunizations for the client. Children should
receive the Hib and PCV vaccines at 2, 4, and 6 months of age, then again between 12 and
15 months of age.

-monitor for signs of ICP increase