ENCEPHALITIS
Definition
Encephalitis is a condition that affect the brain tissues ,
it is a Acute inflammatory condition of the cerebral
tissue that alters the normal neurological functioning
Causes
1. Bacteria
2. Viruses
Arthopod borne
HSV
3. Primary (virus directly affects the brain and spinal
cord)
4. Secondary (due to other infections)
• Childhood viruses
mumps/measles
• Arboviruses (ticks/mosquitoes)
• Japanees Encephalitis
Risk Factors
Older adults
Children under the age of 1 year
People with weak immune system
Herpes Simplex Encephalitis
Caused by two HSV’s
a. HSV-1
b. HSV-2
Pathophysiology
Due to Etiology
Results in local necrotizing hemorrhage
Cause generalized hemorrhage
Cause Edema
Progressive deterioration of the nerve cell
Clinical Features
Fever
Head ache
Confusion
Hallucinations/Altered LOC/Hemiparesis
Behavioral changes
Assessment and Diagnosis
1. Careful HC/PE
2. CSF studies
3. Blood Examination (Sugar/urea/electrolytes)
4. CT and MRI
5. EEG
Medical Management
1. Drug therapy
Antiinflamatory (acetaminophen/ibuprofen/naproxen sodium)
2. Antiviral drugs
acyclovir
gancyclovir
3. Mannitol
4. Corticosteroids
5. Antibiotics
6. Vitamin and minerals
7. Anticonvulsive
8. IV fluid therapy
Non pharmacological treatment
oxygen administration
mechanical ventilation
Nursing Management
Assessment
a. HC/PE
b. Assess neurologic status
c. Check for meningeal signs
d. Assess for hearing loss
e. Enhance cerebral tissue perfusion
Assess LOC/ vitals/signs of ICP/neuro functions
Maintain calm and quite environment
Prepare for lumbar puncture
Maintain fluid balance
g. Reduce fever
h. Reduce pain
i. Rehabilitative functions
J. Comfort measures
Preventive management
• Practice good hygiene
• Vaccination
• Prevention of mosquito bites
• Use insecticides

Encephalitis.pptx inflamation of cerebral cells