You are working in the emergency department of a regional hospital in rural Kentucky. - emergency department technician
A patient is brought by paramedics (EMT). The first report of meningitis is suspected because the patient has headaches and neck stiffness. The medics have added that seems to exacerbate the symptoms of meningitis the patient is rather sweet - always in motion of the neck and headaches do not take seriously. The patient's general condition is bad, but. It is very thin, has dark spots open on the face and upper body, and tries to bloody outbreaks on the mouth. The fever is 104 and his blood pressure is low. Also has severe diarrhea.
1. What is the first step in determining whether the patient has meningitis?
2. What is the pathogen most?
3. That antibiotics used to treat the disease? Explaining.
4. Which groups of people are at risk of infection?
5. As the patient is able to infect? Can it be avoided?
Sunday, January 24, 2010
Emergency Department Technician You Are Working In The Emergency Department Of A Regional Hospital In Rural Kentucky.
3 comments:
1. Blood tests, followed by microscopic examination of cerebrospinal fluid, which is the ultimate test. A higher WBC count in the blood to the infection and symptoms that you describe, a bacterial meningitis eliminate indicative.
2. The etiology of meningitis is determined by the specific cause of viral infection ... might be, could be of bacterial origin. The most common pathogens of bacterial meningitis is Haemophilus influenzae type B (not so common now) by vaccination, Neisseria meningitidis (meningococcal meningitis) or Streptococcus pneumoniae (pneumococcal meningitis).
3. Antibiotics fight bacterial infections, not viral. Viral meningitis is more common than bacterial, generally less severe and similar to the flu often. After a culture and sensitivity testing of the CSF would be elected to the antibiotic for the treatment of employees that the bacterium is sensitive. When antibiotic treatment before the results of the C & S is started, it is quite possible that the antibiotic was changed after the C & S for the most appropriate medication.
4. The viral exposure is common inChildren, especially those that develop be exposed to the flow of the nose or throat of persons infected with meningitis.
5. The exposure to a virus or bacteria that cause meningitis. What you describe is more like a bacterial meningitis and, yes, it is preventable. Vaccination, disease reporting, precautions when traveling travel to areas of outbreaks and treatment of close contacts with the need to help people.
1. I would be someone with medical training and experience.
2. It depends on what "etiolic.
3. Definite "maybe." I tried to voodoo, but I can not exclude it either.
4. Would in the absence of better data, I'll go with "all".
5. He was exposed to the disease. It could be prevented by avoiding exposure.
This can be as good as the response that will be in the legal department of Yahoo. Sorry.
Anyone who wait in this section, until he dies, and their asses dollar continues to languish for years to get in legal fees as possible, then settled in court.
:)
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