l. katie mckenna. encephalitis: inflammation of the brain what is it?
TRANSCRIPT
• Mosquito borne viruses (arboviruses)
• Togaviridae Flaviviridae, and Bunyaviridae• Herpes Simplex Virus
• Herpes Zoster
• Epstein Barr Virus
• Poliovirus
• Rhabdovirus
• Chicken Pox, Mumps, Measles
VIRUSES
(Robinson, 2011)
• Headache
• Fever
• Lethargy
• Nausea and vomiting
• Visual disturbances
• Tremor
• Decreased consciousness
• Confusion or agitation
• Personality changes
SIGNS AND SYMPTOMS
(Robinson, 2011)
• 19 year old male Marine recruit
• Fever, change in personality, confusion, agitation, decreased consciousness
PATIENT CASE
Initial treatment
Antivirals
Antimicrobials
Anticonvulsants
Corticosteroids
What’s the cause?
• Acyclovir
• Ceftriaxone
• Azithromycin
• Doxycycline
• Dexamethasone
• Acetaminophen
Treatment according Pat ient ’s treatment
TREATMENT
(Robinson,2011)
• Japanese Encephalitis: Case-fatality: 30% - High rate of neurological deficits
• St. Louis Encephalitis: Case-fatality: 5 -30% - More common in elderly
PROGNOSIS
(CDC,2011) (Robinson, 2011)
Risk for disuse syndrome r/t impaired physical mobility (AEB) Patient not being able to reposition himself
NURSING DIAGNOSIS
Use bug spray!
CONCLUSION
• Know the signs
• Risk for seizures
• Risk for respiratory failure
• Vaccinations
THE REAL CONCLUSION
Cataletto, M. (2011).Nursing Central. Nursing Central from Unbound Medicine.
CDC - Reported Arbovirus Cases in U.S. - CDC Division of Vector-Borne Infectious Diseases
(DVBID). Centers for Disease Control and Prevention .
Robinson, R. "Encephalitis." The Gale Encyclopedia of Medicine. 4th ed. Vol. 2. Detroit:
Gale, 2011. 1532-1534. Gale Virtual Reference Library.
Stone, M. J., & Hawkins, C. P.
(2007). A medical overview of encephalitis. Neuropsychological Rehabilitation, 17(4/5),
429-449.
Sokol, D.,Kleiman M.,Garg,B.(2001) LaCrosse viral encephalitis mimics herpes simplex
viral encephalitis, Pediatric Neurology, 25(5), 413-415.
REFERENCES