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Mary Chiles College

Gastambide St. Sampaloc Manila

A Case Study Of

Meningitis

By:

Borre !essa Anne

Ger"acio !onah Micah

#astrana $%%a Mae

Mangalus Maribel

BS&' $$$

Mr. (ligio S. )a%alan )&. MS& #h*

March + ,-/

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OBJECTIVES OF THE STUDY

General

0his case presentation aims to identify and determine the general health

problems and needs of the patient 1ith an admitting diagnosis of Meningitis. 0hispresentation also intends to help patient promote health and medical understanding of

such condition through the application of the nursing s2ills.

Specific

3 0o raise the le"el of a1areness of patient on health problems that she may

encounter. 3 0o facilitate patient in ta2ing necessary actions to sol"e and pre"ent the

identified problems 1ith the relati"es.3 0o help patient in moti"ating her to continue the health care pro"ided by the health

1or2ers

3 0o render nursing care and information to patient through the application of thenursing s2ills.

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Patients Data:

&ame: #t. M.G.C

Age: ,4y5o

Status: Single

Address: 4-,4 A. Bonifacio St. San *ionisio #arana6ue City

Birthday: !uly ,4+77

)eligion: Catholic

&ationality: 8ilipino

*ate of Admission: ,5,5/ :99 am.

*iagnosis: C&S infection prob. . Bacterial Meningitis

)*: 0B Meningitis "s. Bacterial Meningitis

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Chief C!plaint:

' 8e"er

Present histr":

' 4 days #0C #t. (perienced abdominal pain 1ith nape pain and intermittent

fe"er at maimum ;+ degree Celsius. Self medicated paracetamol 9--mg5tab.

Past histr":

' smo2er ' Occasional drin2er

Past !e#ical histr":

' #t. ?as admitted at #arana6ue and @as #inas ospital but the pt. 1as 1ithdra1n

and transferred to S@.

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Ph"sical $ssess!ent

BODY P$%TS TECH&I'UE &O%($)

FI&DI&GS

$CTU$) FI&DI&GS

S*I&

Hair an# scalp

&ails

inspectin

inspectin

Inspectin

+light to bro1n

' 1arm to touch

'no s1elling

' smooth and soft

' blac2

' e"enly distributed' no lesions and

nodules

')ound

' pin2 nail beds

&o lesions

a"e rashes

Blac2 and 1hite in color

&ormal

HE$D inspectin

+face is symmetrical

'centered head

position

Slightly (nlarged.

&EC* $nspection

''controlled

mo"ements &ormal

EYES

E"e li#s

$nspection

$nspection

'round

'blin2ing

symmetrically

'moist and pin2

Opens to pain.

&ormal

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E$%S Inspectin

'e6ual in si%e

'symmetrical color &ormal

&OSE Inspectin

'symmetrical comor

'in midline

'no nodules and

lesions

&ormal

UPPE%

E,T%E(ETIES

Inspectin

'e6ual )OM

'&o s1elling

rashes lesions

'no de"iation

?ith lesions on the fingers.

)O-E%

E,T%E(ETIES

Inspectin

'e6ual )OM

'&o s1elling

rashes lesions

'no de"iation

&ormal

$BDO(E& Inspectin

'no rashes lesions

'rounded abdomen &ormal

ital Signs :

B# -57-

0emp : ;4

C) : +-

)) : 7

GCS : (,,M;

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GO%DO&S HE$)TH P$TTE%&

F.nctinal health pattern BEFO%E

HOSPIT$)I/$TIO&

$FTE%

&UT%ITIO&$)+(ET$BO)IC

P$TTE%&

+ #atient eats 9

times a day as

"erbali%ed by the

guardian.

+ #atient has &G0.

E)I(I&$TIO& P$TTE%& ' #atient usually

defecates times a

day and urinates 9

times a day as

"erbali%ed by the

guardian.

+ 0he patient has

8oley Catheter.

S)EEP $&D %EST ' 0he guardian said

that she usually

sleeps around +'-

in the e"ening .

+ 0he patient is

Stuppurous.

%O)E+%E)$TIO&SHIP + 0he guardian said

that she lo"es his

family and his

friends.

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He!atl0"

Fe1r.ar" 2342567

)esult &ornal )esult

?BC'/.+, D.7'-.7

)BC

'D.D D.,'9.D

(MA0OC)$0

'-.;/ -.;4'-.D4

(MOG@OB$&

'+ ,-'/-

MCE

7.+ 7,'+7

MC,/.+ ,7';;

#@A0(@(0

9-'D--

)*?

;.-- D'D.-

&(E0)O#$@S

7/.,- D-'4-

@FM#OCF0(S

/.7- +'D7

(OS$&O#$@S-.- ,'7

MO&O#$@S

/.4- -'9

BASO#$@S

-.,- -'9

MCC

;,.7 9-'D--

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I&T%ODUCTIO&

(enin0itisis a relati"ely rare infection that affects the delicate membranes ''

called meninges

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(arly symptoms of meningitis broadly include:

omiting

&ausea

Muscle pain

igh temperature

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a disli2e of bright lights

"ery cold hands and feet

shi"ering

rapid breathing

red or purple spots that do not fade under pressure

%is8 Factrs :

6 )espiratory tract infection2 Otitis media; Mastoiditis

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crucial that he5she is recei"ing ade6uate amounts of fluids. $f the patient is

"omiting or cannot drin2 li6uids may be gi"en through an $.

Bl# tests' measuring the patients blood sugar and sodium is important as

1ell as other "ital body chemicals.

Se#ati@es' these are gi"en if the patient is irritable or restless.

DI$G&OSIS:

In@esti0atins:

8BC

)5@5B

C)#

CBG

Glucose

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$&$TO(Y $&D P$THOPHYSIO)OGY

Cere1rspinal Fl.i#

Cere1rspinal fl.i# CSFis a colorless transparent li6uid that continuously circulates

through the ca"ities of the brain and spinal cord and as such it acts as an internal

circulation system to transport nutrients and 1astes bet1een the bloodstream and the

brain and spinal cord. 0his reducdant circulation protects the brain and spinal cord from

chemical inHuries similar to the function of the blood'brain barrier. 0he CS8 also

protects the brain and spinal cord from physical inHuries by acting as a shoc2 absorber

bet1een the brain and spinal cord from the s2eletal structures

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(enin0es

0he !enin0es are three connecti"e tissue co"erings that encircle the spinal cord and

brain. 0he spinal !enin0es surround the spinal cord and are continuous 1ith

the cranial !enin0es4 1hich encircle the brain.

0he meninges lined the cranial and "ertebral ca"ities to protect the brain and the spinal

cord and they are also attached to the cranial bones inner surfaces 1hich facilitate the

crainal bones to stabili%e the positions of the brain blood "essels lymphatic "essels

and ner"es.

0hese three connecti"e tissue co"erings are #.ra !ater 1hich is composed of dense

irregular connecti"e tissue> arachni# !ater 1hich is composed of delicate collagen

fibers and some elastic fibers in a spiderJs 1eb arrangement and pia !ater 1hich is

a thin transparent connecti"e tissue layer consists of s6uamous to cuboidal cells 1ithin

interlacing bundles of collagen fibers and some fine elastic fibers .

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All three spinal meninges co"er the spinal ner"e roots structures that connect spinal

ner"es to the spinal cord up to the point 1here they eit the spinal column through the

inter"ertebral foramina. 0riangular'shaped membranous etensions of the pia mater

suspend the spinal cord in the middle of its dural sheath. 0hese etensions

called #entic.late li0a!ents are thic2enings of the pia mater. 0hey proHect laterally

and fuse 1ith the arachnoid mater and inner surface of the dura mater bet1een the

anterior and posterior ner"e roots of spinal ner"es on either side. (tending all along

the length of the spinal cord the denticulate ligaments protect the spinal cord against

sudden displacement that could result in shoc2.

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