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학습 자료 둘러보기 →The highest priority in the acute phase of bacterial meningitis is monitoring neurological status every 15 minutes to assess for signs of increased intracranial pressure (ICP). Cerebral edema and purulent exudate can obstruct CSF flow, risking rapid deterioration and brain herniation.
Key assessments include level of consciousness, pupillary response, motor function, and vital signs for Cushing's triad (bradycardia, hypertension, irregular respirations). Any change necessitates immediate reporting.
Avoid oral fluids due to aspiration risk with altered consciousness. Minimize environmental stimulation, as it can raise ICP. Maintain droplet precautions for 24 hours after effective antibiotic initiation, not 48 hours.
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