GC Encephilitis

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1.

Virus
✓ Herpes simplex (HSV), Varicella- 1. Lumbar puncture
zoster, enterovirus, Epstein-Barr, 1. microb menceroboh tisu-tisu otak • CSF for polymerase chain reaction (PCR) -
Japanese B encephalitis, Rabies, • thru blood stream/ meninges/ lymphatic system kesan DNA atau RNA virus dalam CSF
Cytomegalovirus, adenovirus 2. Microb membiak – inflamasi berlaku & merebak • CSF for C&S - kenalpasti microb penyebab
2. Bakteria ke cerebral cortex (white matter & meninges) 2. Electroencephalogram (EEG)
3. Fungus 3. Neuron degeneration berlaku • analyze brain wave activities untuk kesan
4. Parasit 4. Kemusnahan white matter menyebabkan seizures.
✓ Malaria bleeding, edema, necrosis 3. CT Scan
5. Edema semakin merebak • menilai peningkatan ICP atau obstructive
hydrocephalus.
6. Peningkatan ICP
1. High fever (>38°C)
7. Herniation berlaku & boleh sebabkan kematian
2. Nausea & Vomiting
3. Stiff neck ( s/s of meningeal irritation)
4. Perubahan status mental 1. Ubatan
• Herpes Encephalitis – antiviral
• agitation, acute confusion, irritability • Acyclovir (Zovirax)
behaviour changes, vertigo • Fungal Encephalitis – antifungal
5. Motor dysfunction • amphotericin-B (Amphotec), flucytosine

ENCEPHALITIS
(Ancobon), fluconazole (Diflucan)
• dysphagia, muscle tremors, ataxic gait,
2. Airway Patency
increased tendon reflex, seizure
• Oxygen Therapy
6. Specific neurologic deficits • DBE
• Cranial nerve – e.g : Ocular palsies, :satu proses inflamasi melibatkan tisu • Deep Tracheal Suction (if needed)
facial weakness, nystagmus. otak yang menyebabkan kegagalan fungsi otak 3. Positioning 2hrly
7. Photophobia & phonophobia (noise disebabkan oleh jangkitan seperti virus (e.g. HSV)
- Tinggikan kepala katil 30°
sensitivity) 4. Pemerhatian
8. Fatigue • v/sign
• Keadaan am
9. s/s  ICP
1. Frequent Seizures • GCS Charting
• GCS charting - decreased LOC, stupor, 5. Therapeutic Condition
2. Coma
lethargic, coma • rancang perawatan dengan baik
3. Neurological Deficits
10. Sakit sendi • tempat malap & sunyi – kurangkan agitation
4. Motor dysfunction
11. Sakit kepala

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