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학습 자료 둘러보기 →Bacterial meningitis causes cortical irritability and cytotoxic edema, which significantly lower the seizure threshold. A seizure in a patient with altered mental status can rapidly lead to hypoxia, aspiration, and increased intracranial pressure (ICP).
Implement seizure precautions immediately: pad side rails, ensure suction equipment and oxygen are at the bedside, and keep the bed in the lowest position. This is the highest priority to prevent secondary brain injury.
Do not delay precautions for vital signs or medication administration. A seizure in an altered patient with nuchal rigidity poses an immediate risk of airway compromise and irreversible neurological decline.
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