pathophysiology of indirect hernia
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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