PBL 4 session 3

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PBL 4 session 3 by Mind Map: PBL 4 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. concepts not to give bacteral static wide spectrum therapy

2.1.2. goals of treatment eradicate the infection and avoid any further damage prevent mortality vital signs and neurological deficite prevent any spreading

2.1.3. initial need to be diagnosed imediatly antibiotec giving immediatly door to antibiotic 30 min CT is indicated when LP in contraindicated embrical therapy embrical therapy start with vancomycin third G cephalocporins dexamethasone gd prognosis for the ear and hearing loss so prevent hearing loss to prevent complication reduce mortality rate in a study they said it is giving ?? some giudlines prefer dexamethasone and some refuse IV fluid and fluid monitoring liver , renal test and serum duration 10-14 days aith at least 5 afebrile days reported to WHO analgeseia pain management fever control abscess location should be determined from the CT cerebellat abscess penicillin has some resistance

2.1.4. on going supportive care moniter heart BP RR assessment of neurlogical function check lens consult an ENT for mastoditis fluid monitring immune system problem monitring intracranial pressure rifambin and sepro as prophylactice with people who had contact

2.1.5. prognosis

2.2. Prevention

2.2.1. treating early would prevent complication

2.2.2. vaccination pneumococcal conjugate vaccine

2.2.3. vaccine before going to crowded area ((alhajj))

2.2.4. hygen

2.2.5. capmgain to increase awareness

2.2.6. educate about complince

2.2.7. prophylaxis eradication from nasopharix

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes