Exam (elaborations)
PEDIATRIC NURSING (BROWARD COLLEGE) COMMUNICABLE DISEASES 2024/2025
- Course
- Institution
PEDIATRIC NURSING (BROWARD COLLEGE) COMMUNICABLE DISEASES 2024/2025
[Show more]
Content preview
lOMoARcPSD|15963292PEDIATRIC NURSING (BROWARD COLLEGE)
COMMUNICABLE DISEASES 2024/2025
, lOMoARcPSD|15963292
Communicable
Diseases
Rubella • Transmission: Droplet spread (direct contact with nasal secretions)
(German Measles) • Incubation period: 14-21 days (2-3 weeks)
• Period of communicability: 7 days before and 7 days after the rash onset
• Prodromal stage:
~~ 5 days before rash ~~
- Low-grade fever
- Malaise; general ill feeling
- Coryza (inflammation of the mucus membranes of the nose)
- Sore throat
- Headache
- Photophobia
- Forschheimer spots
-Viral infection
that causes a red
rash to appear on
the body
Discrete, erythematous pinpoint or larger lesions on soft palate
- Lymphadenopathy – posterior auricular and suboccipital
• Rash stage: pink, maculopapular rash first appears on the face and rapidly spreads
downward to neck, trunk, and legs (fades in same sequence). Duration is 3 days. Gone
by third day.
• Complications:
- Greatest danger is the teratogenic effect on the fetus; congenital rubella
birth defects
- Arthralgia
- Encephalitis
• Prevention: childhood immunization
• Medical Management: Supportive (symptomatic) treatment. Antipyretics for fever
and analgesics for pain. Rubella is self-limiting in children. Full recovery is
expected.
• Nursing Management:
- Standard and droplet precautions
- Contact precautions – infants with congenital rubella until 1 year of age
- Isolate the child from pregnant women
- Encourage fluids and food; quiet activities
- Nonaspirin analgesics and antipyretics for any pain and fever
- Keep child away from daycare or school for 7 days after the rash
Measles (Rubeola) • Transmission: Direct contact with respiratory droplets and airborne spread; urine
• Incubation period: about 8-12 days
• Period of communicability: from 4 days before rash until 4 days after its
appearance
• Prodromal stage:
)
, lOMoARcPSD|15963292
Communicable
Diseases
~~ this stage lasts 1-3 days ~~
- High fever
- Malaise
- Cough
- Coryza
- Conjunctivitis
- Koplik spots
Blue-gray spots on an erythematous base that appear opposite the second
molars on the buccal mucosa (base that’s red with white spots)
• Stage 2:
~~ peaks in 2-4 days ~~
- Maculopapular rash from dark red to purple. This pruritic rash begins on
the face and spreads to the trunk and extremities. After 2-4 days, assumes
brownish appearance and fine desquamation occurs over areas of extensive
involvement.
• Other symptoms:
- Fatigue
- Photophobia
- Generalized lymphadenopathy
• Complications:
- Pneumonia
- Otitis media
- Laryngitis
- Diarrhea
- Encephalitis
• Prevention: childhood immunization
• Medical Management:
- Supportive care (no antiviral therapy) such as bed rest and antipyretics
during febrile periods.
- Antipruritics for itchy rash
- Antibiotics are used for secondary bacterial infections (pneumonia).
- MMR vaccine within 72 hours or immune globulin within 6 days of exposure
may help prevent or reduce severity.
)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller JUICYGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now