NEUROLOGICAL DISORDERS NURSING DIAGNOSIS REYE SYNDROME
1. Risk for infection r/t communicability of Is an acute multisystem disorder that
meningitis. follows a mild viral infection usually
2. Risk for injury r/t CNS irritability and influenza or varicella.affecting children
seizures. between 6 to 12 years of age.
3. Pain r/t nuchal rigidity, opisthotonos Studies have confirmed a relationship
position, increased muscle tension between aspirin administration during a
sensory/perceptual alterations related to viral infection (ex.chickenpox)
seizures and changes in level of Cause: Unknown
consciousness. Reye syndrome is characterized by
4. Altered nutrition, less than body METABOLIC ENCEPHALOPATHY and
requirements r/t fever and poor oral fatty degeneration of the visceral
intake organs, particularly the liver.
5. Knowledge deficit
IMPLEMENTATION
1. Prevent spread of infection
BACTERIAL MENINGITIS
2. Promote safety and prevent injury/
ASSESSMENT seizures
3. Maintain adequate nutrition
1. Abrupt onset; initial sign maybe a 4. Promote optimal growth and
seizure following an episode of upper development and minimize anxiety.
respiratory infection (uri) acute otitis 5. Improve cerebral tissue perfusion
media chills and fever, headache, neck ASSESSMENT
pain, photophobia, altered loc, delirium, EVALUATION
1. Onset typically follows a viral illness just
stupor, increased intracranial pressure,
1. No spread of infection noted as child appears to be recovering.
nuchal rigidity, opisthotonos position
2. Safety maintained 2. Early s/s-rapidly progressing behavioral
(head is drawn backward into
3. Adequate nutrition and fluid intake changes; irritability, agitation,
overextension, bulging fontanel,
maintained permanent combativeness, hostility, confusion,
hyperactive reflexes related to cns
4. Child recovers without permanent apathy, lethargy
irritability
neurological damage
Prepared by: Sosa, Reycel Jean A.
1. Risk for infection r/t communicability of Is an acute multisystem disorder that
meningitis. follows a mild viral infection usually
2. Risk for injury r/t CNS irritability and influenza or varicella.affecting children
seizures. between 6 to 12 years of age.
3. Pain r/t nuchal rigidity, opisthotonos Studies have confirmed a relationship
position, increased muscle tension between aspirin administration during a
sensory/perceptual alterations related to viral infection (ex.chickenpox)
seizures and changes in level of Cause: Unknown
consciousness. Reye syndrome is characterized by
4. Altered nutrition, less than body METABOLIC ENCEPHALOPATHY and
requirements r/t fever and poor oral fatty degeneration of the visceral
intake organs, particularly the liver.
5. Knowledge deficit
IMPLEMENTATION
1. Prevent spread of infection
BACTERIAL MENINGITIS
2. Promote safety and prevent injury/
ASSESSMENT seizures
3. Maintain adequate nutrition
1. Abrupt onset; initial sign maybe a 4. Promote optimal growth and
seizure following an episode of upper development and minimize anxiety.
respiratory infection (uri) acute otitis 5. Improve cerebral tissue perfusion
media chills and fever, headache, neck ASSESSMENT
pain, photophobia, altered loc, delirium, EVALUATION
1. Onset typically follows a viral illness just
stupor, increased intracranial pressure,
1. No spread of infection noted as child appears to be recovering.
nuchal rigidity, opisthotonos position
2. Safety maintained 2. Early s/s-rapidly progressing behavioral
(head is drawn backward into
3. Adequate nutrition and fluid intake changes; irritability, agitation,
overextension, bulging fontanel,
maintained permanent combativeness, hostility, confusion,
hyperactive reflexes related to cns
4. Child recovers without permanent apathy, lethargy
irritability
neurological damage
Prepared by: Sosa, Reycel Jean A.
