How are patients monitored for systemic complications of acute bacterial meningitis?

Updated: Jul 16, 2019
  • Author: Rodrigo Hasbun, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Signs of hydrocephalus and increasing intracranial pressure (ICP) should be watched for. Fever and pain should be managed, straining and coughing controlled, seizures prevented, and systemic hypotension avoided. In otherwise stable patients, sufficient care includes elevating the head and monitoring neurologic status. When more aggressive maneuvers are indicated, some authorities favor early use of diuresis (ie, furosemide 20 mg IV or mannitol 1 g/kg IV), provided that circulatory volume is protected.


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