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Managing children with raised intracranial pressure resulting from meningitis

Author: Siba Paul, Joanne Smith, Jessica Green, Adam Smith-Collins, Ravindranath Chinthapalli

Duration: 2 hours Last updated: 2019 Quality Assurance: Peer-reviewed Level: Qualified nurses Language: English

Course description

This module is the first of two, which aim to introduce the reader to the presentations, assessment, investigations and management of children presenting with signs of raised intracranial pressure. This first module aims to explain the mechanisms associated with intracranial pressure and to outline the intracranial pathology of meningitis.

Don't forget that you do not have to complete our two-hour learning modules all in one go. Tailor your learning to fit into your busy schedule by undertaking one or two sections at a time. You can stop and save your learning at any point and pick up where you left off when you return.

Learning aims and intended outcomes

  • Identify the signs and symptoms of raised intracranial pressure
  • List the normal ranges of intracranial pressure in children and explain how the body compensates for changes in pressure
  • Discuss the risk factors associated with intracranial pathologies in children
  • Describe the clinical presentation and management of meningitis


  • Introduction
  • Intracranial pressure in children
  • Meningitis
  • Clinical presentation
  • Management
  • Prognosis and prevention
  • Conclusions


Siba Paul
Specialty trainee year six in paediatrics, Bristol Royal Hospital for Children.
Joanne Smith
Head of children’s nursing, Great Western Hospital, Swindon.
Jessica Green
Specialty trainee, year three in paediatrics, Bristol Royal Hospital for Children.
Adam Smith-Collins
Clinical lecturer in neonatal medicine, St Michael’s Hospital, Bristol, and School of Clinical Sciences, University of Bristol.
Ravindranath Chinthapalli
Consultant paediatrician, Great Western Hospital, Swindon.


Please note that information provided by RCNi Learning is not sufficient to ensure competence in the skill. Assessment of competence should take place in line with local practice. Practice should always align with local protocols and procedures, latest guidelines and any regulatory code. All modules should currently be viewed together with available national and local Covid-19 guidelines. For advice, go to


  • Introduction
  • Intracranial pressure in children
  • Meningitis
  • Clinical presentation
  • Management
  • Prognosis and prevention
  • Conclusions

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