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10 Cards in this Set
- Front
- Back
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NSG CARE FOR HERPES ZOSTER-SHINGLES
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-GOOD HANDWASHING TO DECREASE SPREAD
(DRESSING TO CONTAIN SECRETIONS) -OINTMENT APPLICATIONS -MAY BE IN CONTACT ISOLATION |
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S/S OF HERPES ZOSTER-SHINGLES
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-FEVER AND MALAISE
-BURNING,SHOOTING PAINS,AND ITCHING ALONG NERVE GANGLIA TRACTS -3 TO 4 DAYS LATER ERUPTION OF VESICLES ON RED SWOLLEN SKIN -VESICLES BECOME PURULENT AND FORM CRUST -**OPHTHALMIC EMGERGENCY -ERUPTIONS ARE UNILATERAL |
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HEALIING TIME FOR HERPES ZOSTER-SHINGLES
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VARIES FROM 1 WK TO 4
-POSTTHERPETIC NERVE PAIN CAN LAST 1-2 YRS IN 50% OF ELDERLY PTS |
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HERPES SIMPLEX 1
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CALLED FEVER BLISTER OR COLD SORE
-CAUSED BY HERPES VIRUS TYPE 1 |
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DX OF HERPES SIMPLEX 1
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BASED ON APPEARANCE AND VIRAL CULTURES
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TXT FOR HERPES SIMPLEX 1
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-ADEQUATE SUNSCREEN ON LIPS AND FACE
(TOPICAL DRYING AGENTS SPEED HEALING) -CAMPHOR IN ALCOHOL -IF SEVERE:ACYCLOVIR AND TOPICAL ANESTHETICS -PREVENT RECURRENCES |
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DX OF HERPES ZOSTER-SHINGLES
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BASED ON CLINICAL S/S
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S/S OF HERPES SIMPLEX 1
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-SELF LIMITING ERYTHEMATOUS VESICLES THAT ERUPT SINGLY OR IN GROUPS
-CONTAINS EXUDATE THAT CRUSTS WHEN LESIONS RUPTURE -TINGLING,ITCHING,AND ERYTHEMA ARE SYMPTOMS THAT PROCEDE ERUPTIONS OF FEVER BLISTER BY MINUTES TO HOURS -COMMONLY OCCUR IN PERIORAL AREA -TRIGGERS LIKE SUNLIGHT,STRESS, MAY CAUSE RECURRENT EPISODES -ONSET ACCOMPANIED BY HIGH FEVER,REGIONAL LYMPHADENOPATHY AND MALAISE |
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HERPES ZOSTER-SHINGLES
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-CAUSED BY:VARICELLA ZOSTER VIRUS
-SPONTANEOUS REACTIVATION OF A VARICELLA INFECTION THAT REMAINED LATENT AND IS REACTIVATED BY A DECLINE IN THE IMMUNE RESPONSE -TRASMITTABLE TO:PERSON WHO HAS NOT HAD CHICKEN POX -INICIDENCE OF OCCURANCE INCREASES WITH AGE |
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TXT FOR HERPES ZOSTER-SHINGLES
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-RELIEVE PAIN WITH NON ADDICTING ANALGESICS
-**ACYCLOVIR PO/IV SPEEDS HEALING AND DECREASES PAIN,ALSO HAULTS PROGRESSION (SHOULD BE STARTED WITHIN 24 HRS OF ERUPTION -LIBERAL APPLICATION OF DRYING AGENTS AND CORTICOSTEROIDS-TOPICAL SQ |
