Meningitis/Encephalitis

Clinical Features:

• 1)high temperature.(menigitis)
• 2)cold hands and feet.
• 3)vomiting.
• 4)confusion.
• 5)breathing quickly.
• 6)muscle and joint pain.
• 7)pale, mottled or blotchy skin.
• 8)spots or a rash.

 3 CARDINAL sign of meningitis:

• 1) Neck rigidity
• 2)Kernig sign positive
• 3)Brudzinski's sign positive

Encephalitis:

• Short history 

INVESTIGATIONS:

• 1)CBC 
• 2)RBS
• 3)CSF STUDY
• 4)CT SCAN

Rx:

• Bed Rest
  
• 02 Inhallation sos
  
• Continous Catheterization 
  
• Change posture 2 hrly
  
• NG Feeding = 200ml - 2 hourly (8am-10pm)
  

1. Inf. Normal Saline (1L) IV 10 d/min

2. Inj.Oricef([post id="398" title="Ceftriaxone"])(1gm)...1 vial I/V stat & BD

3.  Inj.Maxpro([post id="392" title="Esomeprazole"]) (40mg)...1apm I/V stat & BD

4. Inj. Oradexon 1 amp IV stat & 6 hourly

6. Supp. Napa([post id="449" title="Paracetamol"]) (500mg) 1 stick P/R if temp > 102'F

If we suspect encephalitis:

•  Inj. Virux([post id="612" title="Acyclovir"]) (500mg) 1vial I/V TDS/QDS

🚏If convulsion: 

• Inj. Sedil([post id="476" title="Diazepam"]) 1amp I/M stat & sos

OR

• Tab. Barbit (30mg) o+o+1

🚏 If Bacterial Meningitis:

• Inj.[post id="437" title="Vancomycin"]/Covan(1gm)...1 vial Dissolved with 200ml N/S over 1 hour....BD 

Discharge of Meningitis:

1.Cap.Denver([post id="399" title="Cefixime"])(400mg)..1+0+1....7 days১+০+১....৭ দিন 

2.Cap.Maxpro([post id="392" title="Esomeprazole"])((20mg) 1+0+1(30min before meal)...15 days

3.Tab.Cortan(20mg)...1+0+0....7 days

4.Tab.Barbit(30mg)...0+0+1....15 days

❤❤অতীতকে ভুলে যাও। অতীতের দুশ্চিন্তার ভার অতীতকেই নিতে হবে। — ডঃ আসলার❤❤