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% mortality rate and an even higher rate of morbidity. 
• Pneumococcal meningitis has the highest rates of mortality (21%) and morbidity (15%). 
NURSING HEALTH HISTORY 
Patient’s Profile 
Case Number : 34815 
Name : Ms. Sleeping beauty 
Age : 10 years old 
Sex : Female 
Birthday : March 14, 1998 
Birthplace : N. Serina, Socorro, Surigoo del Norte 
Home Address : N. Serina, Socorro, Surigao del Norte 
Civil Status : Single 
Religion : Iglesia Filipina Independiente (IFI) 
Nationality : Filipino 
Occupation : None 
Educational Attainment : Elementary Level 
Weight before Hospitalization : 25 kgs 
Weight during Hospitalization : 24 kgs 
Date/Time of Admission : July 15, 2008, 09:24 pm 
Manner of Admission : Stretcher 
Vital Signs upon Admission 
Temperature : 40 °C 
Pulse : 140 bpm 
Respiration : 34 cpm 
Admitting diagnosis/Impression : Acute Pneumonitis 
Bacterial Meningitis 
Final Diagnosis : Acute Pneumonitis 
Bacterial Meningitis 
Admitting Physician : Dr. L. Chua 
Attending Physician : Dr. L. Chua 
Hospital : Surigao Medical Center 
Ward : Labor Room (Station 2) 
Date of Discharge : July 23, 2008 
Chief Complaint / Reason for Admission: Fever, seizure, vomiting, 
History of Present Illness: 
Patient initially experienced cold and cough (productive) after exposure to the changing climate three (3) weeks before admission. Her mother gave remedies such as increasing fluid intake, and was left unattended. Three days after, they went to a “quack” doctor to have “hilot” for they believed that it was just an ordinary cough and fever. Symptoms persist and were followed by dyspnea and fever. Antipyretic medication such as Paracetamol was given without physician‘s prescription. Fever was reduced and relieved after two days of medication. One day after, two (2) weeks before admission fever reoccurred. Home remedies like TSB was done and Paracetamol was given three times a day without consulting any physician. A week before the admission, series of vomiting and lost of appetite occurred. Experienced rigidity of both extremities, stiff neck and level of consciousness decreases followed by convulsion and seizure. On July 15, 2008, the family to brought the child in the city and crossed the sea. They rode a boat for five hours from 4:00 p.m. and arrived at around 9:30 p.m. The child was brought directly to Caraga Regional Hospital and diagnosed with bacterial meningitis. Assessed by the physician on duty with (+) brudzinski’s and Kernig’s sign. Given D5LR 1L regulated at 60-70 mgtts/min and O2 inhalation in nasal canula @ 2 L/min. At 9:45 p.m. Patient was transferred to Surigao Medical Center, for the reason that the family was not satisfied with the care given at the said hospital. Child was received in SMC in a stretcher and unconscious. Skin was warm to touch having initial vital signs of temperature (40oC), heart rate (140bpm), and respiratory rate (34cpm). She was admitted on July 15, 2008 at 9:45 p.m. under the care of Dr. L. Chua. 

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