Management of Meningitis
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| Management of Meningitis |
The management in meningitis resembles that of the
management of other infections. If the causative agent is likely to be a
bacteria, antibiotics are readily introduced to the patient even before the result
of the lumbar puncture this is to decrease any instances of worsening the
disease before the results was read. Drugs that are commonly used are Cefotaxime,
Ceftriaxone or Cloramphenicol, in some
instances one of which is combined with another strong drug such as vancomycin
or ampicillin. Some practitioners also add steroids as adjuvant treatment due
to the relevant decrease of hearing loss in patients on the antibiotic adjunct
with steroids, to include that better prognosis is also observed.
In cases of viral meninges meningitis, the manage is mostly
consisted of supportive therapy. This
means that there is no particular drug that is given to the patient, the
management is mainly consist of increasing fluid intake, bedrest and pain
relievers.
Lastly, fungal meningitis, it is treated by intravenous
amphoteracin B with or without oral flucytosine or fluconazole. Also
amphotheracin can be administered intrathecal, injecting it to the spinal cord.
This is done in combination with the intravenous administration when the
patient does not respond to the IV administrations. Oral fluconazole is used as
suppressive therapy when the CSF analysis becomes has a negative result of the
organism for it is better tolerated by patients and less toxic than amphoteracin.
The patient should be carefully turned when positioning and
be given with a healthy nutritious diet during the course of treatment. The
dura mater contains spaces called dural venous sinuses which collect blood from
the small veins of the brain. The arachnoid’s crucial function is the
production of cerebrospinal fluid, it also has unique finger-like projections
that absorb CSF thus preventing too much CSF accumulation. The last most inner
layer, the pia mater, tightly bounds the surface of the brain and the spinal
cord.
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