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35 Cards in this Set

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CHICKEN POX/VARICELLA ZOSTER VIRUS
SOURCE
RESPIRATORY SECRETIONS/WEEPING LESIONS NOT FROM SCABS
CHICKEN POX/VARICELLA ZOSTER VIRUS
INCUBATION PERIOD
2-3 WEEKS
CHICKEN POX/VARICELLA ZOSTER VIRUS
COMMUNICABILITY
ONE DAY BEFORE LESIONS TO 6 DAY AFTER 1ST VESICLES WHEN CRUSTS HAVE FORMED ON ALL LESIONS
CHICKEN POX/VARICELLA ZOSTER VIRUS
TRANSMISSION
DIRECT CONTACT, DROPLET/AIRBORNE AND FOMITES
NEED NEG. PRESSURE ROOM
CHICKEN POX/VARICELLA ZOSTER VIRUS
WHAT IT LOOKS LIKE
rash includes papules (raised) vesicles (filled with fluid) and crusts. all present at same time.
starts centripetal spreading from body OUT/less on distal limgs
CHICKEN POX/VARICELLA ZOSTER VIRUS
beside rash other symptoms
fever, lymphdenopathy, irritability and pruritis
CHICKEN POX/VARICELLA ZOSTER VIRUS
treatment
acyclovir, VZ immune globin in exposed high risk children
treat itiching with calamine
use benadryl PO vs. topical
avoid asa- reyes syndrome
is immune globin passive/active
is vaccine passive/active
Immune globulin-passive

vaccine-active
CHICKEN POX/VARICELLA ZOSTER VIRUS
prevention
immunization
FIFTHS DISEASE
ERYTHEMA INFECTIOSUM
RASH ON face "slapped" appearence
appears on extremities-proximal to distal
malculopapular red spots
precautions: standard and droplet for kids with aplastic cirisis
ROSEOLA
HUMAN HERPES
limited to 6mo - 2y
high fever drops rapidly
discrete rose pink macules or maculopapules
rash on trunk first
associated w/ lymphadenopathy and cold s/s
complications: febrile seizures(due to temp spiking rapidly)
MEASLES/ Rubeola
transmission-direct contact w/ droplets of infected person
PRECAUTIONS: standard +airborn for 4d after onset of rash
communicable from 4d before to 5d after rash appears
discete rash and the confluent(little red than alot red)
lymphadenopathy
what is the classic sign of measles?
the koplick spots in the mouth (on buccal mucosa)
MUMPS/paramyxovirus
Transmission:direct contact w/droplets
parotitis glands and others
PRECAUTIONS: standard plus droplet for 9 days after onser of parotid swelling.
hot/cold compresses per order or comfort
ORCHITIS-support scrotum possible w/stretch swim suit
RUBELLA VIRUS/german measles
transmission:direct contact, fomite contact esp. w/ nasopharyngeal secretions
PREcautions: standard and contact for the duration of the illness. low level fecal shedding indicate MAINTAINING ISOLATION for entire hosp. stay. discrete reash spreads to head toe then disappears in about 3d
greatest danger is to newborn and fetal teratogenic effect
SCARLETT FEVER/ FROUP a B-HEMOLYTIC STREP
how do you prevent complications
prevention of complications is by cultureing sore throats and treating strep infections with erythormycin and pcn
Scarlett s/s
strawberry tounge, pinpoint rash on body with face appearing flushed only
red tonsils with patches of exudate
BORDETELLA PERTUSSIS
whooping cough
transmission;direct and indirect contact with resp secretions
S/S short rapid cough followed by whooping or high pitched crowing w/ face turning blue or red
eye buldging and tounge may protrude
LOOK V. DISTRESSED WITH COUGH
PERTUSSIS
PRECAUTiONS
STANDARD and droplet for 5d after initiation of effective therapy or 3wk after initial paroxysms.
observe for signs of obstruction and intubate
rehydrate
humidity and o2 prn
contact percautions
private room
gloves
gown
mask if colonization in resp tract ie rsv
airborne percautions
private room
neg air pressure
N95 resp mask
transport-place mask on pt
nursing care
prevent spread and use precautions
isolate if undiagnosed rash or URI or diarrhea % vomiting
nursing assessments on admission include
recent exposure
prodromal signs
immunization record
infectious diseas hx
NN TO KNOW TIMELINE
HEP B VACCINE
GIVEN: birth, 1-2mo,final dose at age>/= 24wks
Diptheria, tetnus and pertussis DTaP
can't give if had 7th b-day
2/4/6 and 15-18mo & 4yr
Tdap
Tetnus and diphtheria, pertusiss for teens
H influenzae
for prevention of bacterial infections 2/4/6
Measles Mumps Rubella
MMR
12-15mo and 4-6y
varicella vaccine
12-18mo
must be after first b-day though
Meningococcal MCV4/MPSV4
MCV4 used for children 11-12yo
MPSV4- 2-10yo
Polio
IPV used only now not OPV which was a live vaccine
2/4 mo and
4-6y
Influenza
only given yearly
for healtly people 5-49 live attenuated used
pneumococcal vaccine
PCV and PPV available
PCV is for children age 2-23mo and certain kids 24-59mo
PPV is in addition to high risk kids
not annual
hep A
recommended for all childrean a 1year
PEDIATRIX
is a DTaP, polio and Hep B give for shots b/w 2mo and up to day before 7th b-day