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Neurologic Disorders

Meningitis

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Meningitis is an inflammation of the fluid and membranes (meninges) surrounding your brain and spinal cord.

Signs and symptoms:

  • Sudden high fever
  • Stiff neck
  • Severe headache that seems different from normal
  • Headache with nausea or vomiting
  • Confusion or difficulty concentrating
  • Seizures
  • Sleepiness or difficulty waking
  • Sensitivity to light
  • No appetite or thirst
  • Skin rash (sometimes, such as in meningococcal meningitis)

Diagnosis

Blood Cultures, CT-scan, X.-ray, MRI

Treatment

Inj Ranicef (Ceftriaxone) 500 mg IV for 5 days

Inj Danset (Ondansetron) 8 mg/4 ml 0.8 cc IV once

Inf Bofalgan (Acetaminophen) 1 g/100 ml 7ml IV once

Inj Midaron (Midazolam) 1 mg/ml 0.6 mg IV once

Inf Unizol (Dimenhydrinate) 500 mg/100 ml 8 ml IV TDS

Inj Epigran (Phenytoin sodium) 250 mg/5 ml 100 mg IV once in fluids followed by 50 mg BD