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26 Cards in this Set
- Front
- Back
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Chicken Pox (Varicella) - Give
Incubation Period - Infectious Period - Care of Skin Lesions - Home Care Instructions |
Incubation - 14 to 21 days
Infectious Period - From 1-2 days prior to and anytime up til all pustules scabbed Care of Skin Lesions & Home Care - Cool Compresses, Calamine Lotion, (not benadryl lotions), Cool baths w/ baking soda, trim fingernails, oral anti-itching meds (benadryl, claritin, zyrtec), antipyretics, drink fluids, avoid hot/spicy/acidic foods if lesions in mouth, stay home until all crusted. |
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Rubeola (7 Day Measles) - Give Clinical Manifestations
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Koplick Spots (small red w/ bluish white center, irregular spots on the buccal mucosal floor)
Fever Visual Disturbances (photophobia, conjunctivitis) Cough Red Rash (starts face & works downward, itchy, lasts @ 7 days) |
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Rubella (German Measles/3 day measles) - Give
CM Complications |
CM:
Mild Symptoms * slight fever / enlarged cervical lymph nodes Pink Rash on face/trunk lasts 2-3 days May complain of joint pain Complications - Teratogenic in 1st trimester (can cause abortion or birth defects - cardiac, hearing/vision |
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Scarlet Fever - Give CM
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High Fever
Malaise HA Enlarged Tonsils (covered w/ exudates) Swollen Tongue (starts white, sloughs off, then bright red, like strawberry tongue) Pin point rash on body Sloughing of skin on palms/soles |
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Impetigo - Give
CM Treatment Parent Education |
CM - Small Red Macules (typically on face), Honey Colored Crusts on Lesions
Treatment - Remove Crusts & Apply Antibiotic Ointment Parent ed - Highly contagious, Home from School, Trim Nails, Don't Share Towels or Other Personal Items |
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Cellulitis - Give
Assessment CM Treatment |
Assessment - Hx of skin disruption, Temperature, Document location/distribution/describe drainage, palpate for lymphadenopathy, Blood Cultures
CM - Erythema, Swelling, Pain, Warmth @ Site Treatment - Antibiotics (usually broad spectrum), Tylenol for fever, Pain meds, elevate extremity |
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Pediculosis Capitis (Head Lice) - Give
CM Treatment Nursing Implications |
CM - Generalized Itching, lesions from scratching (can become infected), Visual Nits (scalp & behind ears, eyelashes, eyebrows)
Treatment - Permetherin (Nix) Shampoo Nursing Implications - Remove nits once shampoo put in, Put Vaseline on eyelashes to kill lice, Clean every in very hot water, Treat everyone in the house, Don't share personal items |
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Scabies - Give CM
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Intense Itching
Linear Grayish Brown Burrow Tracks (rash) w/ black dot @ end (mite) Lesions between fingers, toes & @ bends of body |
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Tinea Corporis/Capitis (Ringworm) - Give
CM Treatment |
CM - Circular Scaly Itchy Red Patches
Treatment - Oral/Topical Griseofulvin, Lamisil, (if oral give w/ food or milk), Topical Meds: Lotrimin, Miconazole |
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What is a contraindication to all vaccines?
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A severe anaphylactic reaction to a vaccine or any of the vaccines components OR moderate to severe illness with or without fever
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What is a contraindication to the DTP/DTap Vaccine?
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Encephalopathy within 7 days of receiving a prior dose
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What is a contraindication to the IVP vaccine?
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Anaphylactic reaction or reaction to neomycin or streptomycin
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What is a contraindication to the MMR or Varicella vaccine?
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Anaphylactic reaction to neomycin, gelatin, Currently Pregnant or Immunosuppressed
Plus Reaction to eggs (Specific to MMR) |
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On what schedule should the DTap Immunization be given?
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2 mo., 4 mo., 6 mo.,
15 - 18 mo., 4-6 yrs Tdap Booster - 11 to 12 years & repeat |
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On what schedule should the IVP immunization be given?
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2 mo., 4 mo.,
12 - 18 mo., 4 - 6 yrs |
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On what schedule should the MMR vaccine be given?
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12 - 15 mo.,
4 - 6 yrs. |
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On what schedule should the Varicella Virus Vaccine be given?
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12 - 15 mo.,
4 - 6 yrs. |
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On what schedule should the Hepatitis B Vaccination be given?
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Birth
1 - 2 mo. 6 - 18 mo. |
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On what schedule should the Pneumococcal vaccine (Prevnar) be given?
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2 mo., 4 mo., 6 mo.,
12 - 15 mo. |
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On what schedule should the Haemophilus Influenzae Type B (HIB) Vaccination be given?
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2 mo., 4 mo., 6 mo.,
12 - 15 mo. |
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What are the clinical manifestations of Corrosives (Drain Cleaner) Poisoning?
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Edema of lips
Burns of mouth/throat Violent vomiting White Swollen Mucous Membranes (DO NOT INDUCE VOMITING) |
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What are the 2 topics of Poison Education that can be provided?
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1 - Poison Control (Phone #)
2 - Poison Prevention * Meds locked up safe * Out of reach * Cabinets w/ locks * No longer use syrup of ipecac |
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What is the general assessment of the poisoning victim?
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1 - Assess & Stabilize ABC's
* Airway * Breathing * Circulation 2 - Health history & details of toxin, time & nature of ingestion 3 - Physical exam * Hypo or hypertension * Hypo or Hyperthermia * Resp Depression or Hyperventilation * Miosis (pupillary contraction) or Mydriasis (pupillary dilation) * Mental status, Skin moisture & color, Bowel sounds Lab & Diagnostic Testing * Chem panel * ECG * LFT * Urine & Blood Tox Screens * Drug levels if substance known or suspected |
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Syrup of Ipecac
Action - CI - |
Action - Induces Vomiting
CI - No longer used b/c could cause prolonged vomiting |
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Gastric lavage
Clinical Indications - |
* Can be initiated 1-2 h after ingestion
* Very helpful if substance is toxic * CI if Corrosive Ingestion (drain cleaner) |
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Activated Charcoal
Clinical Indications - |
* Odorless fine powder put in patient that absorbs compound
* Can be mixed w/ diet coke * Can cause aspiration * CI if Corrosive Ingestion (drain cleaner) |
