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Discussion

Case Study for bacterial meningitis

I have a case study with a 54 yr old male with multiple chronic medical problems, type 2 diabetes, now insulin dependent, kidney transplant, HTN, remote peptic ulcer disease. Seen for left ear, mastiod, and sinus pain. Dx with sinusitis and Candida albicans, given keflex and nystatin. Develops nausea, hematemeis, and weakness taken to local ER admitted with IV antibiotics he worsens with dyspnea and unable to speak. Flown to tertiary hospital intubated end route. Decreased LOC with periods of total unresponsiveness, weakness, and cranial nerve deficits. Dx is meningitis complicated by an aspiration pneumonia and a fib. Continued fever and leukocytosis, despite aggressive antibiotic therapy.

My question that having trouble with is...... outline the nursing management of current problems related to his risks for infection, seizures, increased ICP, hypovolemia, and acute pain.

Can someone at least point me in the right direction.

Thanks

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