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35 Cards in this Set
- Front
- Back
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CHICKEN POX/VARICELLA ZOSTER VIRUS
SOURCE |
RESPIRATORY SECRETIONS/WEEPING LESIONS NOT FROM SCABS
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CHICKEN POX/VARICELLA ZOSTER VIRUS
INCUBATION PERIOD |
2-3 WEEKS
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CHICKEN POX/VARICELLA ZOSTER VIRUS
COMMUNICABILITY |
ONE DAY BEFORE LESIONS TO 6 DAY AFTER 1ST VESICLES WHEN CRUSTS HAVE FORMED ON ALL LESIONS
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CHICKEN POX/VARICELLA ZOSTER VIRUS
TRANSMISSION |
DIRECT CONTACT, DROPLET/AIRBORNE AND FOMITES
NEED NEG. PRESSURE ROOM |
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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 |
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CHICKEN POX/VARICELLA ZOSTER VIRUS
beside rash other symptoms |
fever, lymphdenopathy, irritability and pruritis
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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 |
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is immune globin passive/active
is vaccine passive/active |
Immune globulin-passive
vaccine-active |
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CHICKEN POX/VARICELLA ZOSTER VIRUS
prevention |
immunization
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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 |
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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) |
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MEASLES/ Rubeola
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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 |
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what is the classic sign of measles?
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the koplick spots in the mouth (on buccal mucosa)
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MUMPS/paramyxovirus
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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 |
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RUBELLA VIRUS/german measles
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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 |
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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
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Scarlett s/s
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strawberry tounge, pinpoint rash on body with face appearing flushed only
red tonsils with patches of exudate |
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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 |
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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 |
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contact percautions
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private room
gloves gown mask if colonization in resp tract ie rsv |
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airborne percautions
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private room
neg air pressure N95 resp mask transport-place mask on pt |
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nursing care
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prevent spread and use precautions
isolate if undiagnosed rash or URI or diarrhea % vomiting |
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nursing assessments on admission include
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recent exposure
prodromal signs immunization record infectious diseas hx NN TO KNOW TIMELINE |
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HEP B VACCINE
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GIVEN: birth, 1-2mo,final dose at age>/= 24wks
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Diptheria, tetnus and pertussis DTaP
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can't give if had 7th b-day
2/4/6 and 15-18mo & 4yr |
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Tdap
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Tetnus and diphtheria, pertusiss for teens
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H influenzae
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for prevention of bacterial infections 2/4/6
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Measles Mumps Rubella
MMR |
12-15mo and 4-6y
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varicella vaccine
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12-18mo
must be after first b-day though |
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Meningococcal MCV4/MPSV4
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MCV4 used for children 11-12yo
MPSV4- 2-10yo |
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Polio
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IPV used only now not OPV which was a live vaccine
2/4 mo and 4-6y |
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Influenza
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only given yearly
for healtly people 5-49 live attenuated used |
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pneumococcal vaccine
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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 |
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hep A
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recommended for all childrean a 1year
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PEDIATRIX
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is a DTaP, polio and Hep B give for shots b/w 2mo and up to day before 7th b-day
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