pathophysiology of indirect hernia

2
Predisposing Factors Age (pre teens) Race African Americans Gender (male) Precipitating Factors Invasion of pathogens Streptococcus pneumoniae Lifestyle Cigarette smoking Alcoholism Pregnancy Compromised immune system Head trauma Neurosurgical procedure With medical, surgical and nursing intervention Medical intervention Diagnostics Throat Culture Radiologic studies Lumbar puncture Pharmacologic Anti-bacterial Ceftriaxone Ampicillin Gentamicin Corticosteroid Dexamethasone Nursing intervention Assess neurologic function often Maintain adequate nutrition and elimination Monitor fluid balance Optimum level of functioning Without medical, surgical and nursing intervention Disease process progresses Neurologic Kidney failure Shock High fever Nuchal Rigidity Brudzinski’s sign Kernig’s sign Headache Nausea and vomiting Joint or muscle pain Photophobia Hearing loss Blindness Memory loss Loss of speech Learning disability Pathophysiology of Bacterial Meningitis Bacteria lodges in the nasopharynx Mucosal invasion Bacteria enters the blood stream Bacteria finds its way to the choroid plexus Bacteria crosses the blood-brain barrier And enters cerebrospinal fluid (CSF) Body reacts with an inflammatory response BACTERIAL MENINGITIS Legend: Related to client M Flow of disease Signs and symptoms Legend: Related to client Flow of

Upload: claire-alcantara

Post on 18-Apr-2015

170 views

Category:

Documents


3 download

TRANSCRIPT

Page 1: Pathophysiology of Indirect Hernia

Predisposing Factors Age (pre teens)Race

African Americans Gender (male)

Precipitating Factors Invasion of pathogens

Streptococcus pneumoniae Lifestyle

Cigarette smokingAlcoholism

PregnancyCompromised immune systemHead traumaNeurosurgical procedureLiving in a Community settingWorking with domestic animals

With medical, surgicaland nursing intervention

Medical interventionDiagnostics

Throat CultureRadiologic studiesLumbar puncture

PharmacologicAnti-bacterial

CeftriaxoneAmpicillinGentamicin

Corticosteroid Dexamethasone

Nursing intervention Assess neurologic function often Maintain adequate nutrition and elimination Monitor fluid balance

Optimum level of functioning

Good prognosis

Without medical, surgical and nursing intervention

Disease process progresses

Neurologic damage Kidney failure

Shock

Bad prognosis

Death

High feverNuchal RigidityBrudzinski’s signKernig’s signHeadacheNausea and vomitingJoint or muscle painPhotophobiaDrowsinessSeizuresConfusionPetechiae Rash

Hearing lossBlindnessMemory lossLoss of speechLearning disabilityBehavioral problemBrain damageParalysis

Pathophysiology of Bacterial Meningitis

Bacteria lodges in the nasopharynx

Mucosal invasion

Bacteria enters the blood stream

Bacteria finds its way to the choroid plexus

Bacteria crosses the blood-brain barrierAnd enters cerebrospinal fluid (CSF)

Body reacts with an inflammatory response

BACTERIAL MENINGITIS

Legend: Related to client M Flow of disease

Signs and symptoms

Legend: Related to client Flow of disease

Signs and symptoms