Ch. 12: Reye Syndrome Flashcards
What is Reye syndrome?
A life threatening disorder that involves acute encephalopathy and fatty changes of the liver
____ and Reye syndrome have similar manifestations and are both sometimes preceded by ____ infections. Testing is necessary to differentiate between the two
Meningitis; viral
Reye syndrome primarily affects the liver and brain, causing what?
Liver dysfunction
Cerebral edema
What is peak incidence of Reye?
When influenza is most common–Jan, Feb, and March
What other disorders is Reye mistaken for?
- Encephalitis
- Meningitis
- Poisoning
- SIDS
- Diabetes
- Psychiatric illness
There is potential associated between between using _____ products for treating fevers caused by viral infections and the development of Reye Syndrome
Aspirin
Reyes syndrome typically follows a ____ infection such as flu, gastroenteritis, varicella
Viral infection
How does Reye syndrome present?
In clinical stages based on the severity of liver and neurologic findings
What are some characteristics of Reye syndrome?
- Lethargy
- Irritability
- Combativeness
- Confusion
- Delirium
- Profuse vomiting
- Convulsions
- LOC
If client has Reye, what lab tests will be done and what will tests look like?
Elevated liver enzymes (ALT and AST)
Elevated serum ammonia
Altered serum electrolytes
Coagulation times may be extended
What is the diagnostic procedure for Reye?
Liver biopsy
A liver biopsy consists of taking a piece of liver tissue via a large bore needle, and sending this tissue to the pathology department. Care should be taken to ensure that the _____ are WNL prior to procedure
Clotting studies are WNL
What nutritional status is needed prior to liver biopsy?
NPO
What is monitored post procedure of liver biopsy?
Hemorrhage
Assess VS
Should a lumbar puncture be done?
Yes, to rule out meningitis
Maintain ____ while preventing _____
Maintain hydration while preventing cerebral edema
How should client be positioned?
Maintain head in a midline neutral position
HOB elevated 30degree
Is it okay to do extreme flexion, extension, or rotation exercises with the client with Reye?
No, avoid this!
What should be monitored and prevented?
Monitor coagulation and prevent hemorrhage
Provide private time for the family to be with the client if _____
Death is imminent
Why would a diuretic be prescribed to pt. with Reye? What diuretic would be given?
To decrease cerebral swelling; osmotic (mannitol)
What Vit. may be given and why?
Vit. K–improves synthesis of blood clotting factors in the liver
What injection route is preferred for Vit K administration?
SQ
Care after discharge: Teach parents to avoid giving salicylate to children and to read labels of OTC drugs to make sure salicylate aren’t in them. What are salicylate?
ASPIRIN
After Reye’s do clients regain liver function? What about the neurological status?
Yes, regain liver function
May have neurological deficits
What are complications of Reye?
Neurologic sequalea
Death
A nurse is caring for a school age client with possibly has Reye syndrome. Which of the following is a risk factor for developing Reyes?
A. Recent history of infectious cystitis caused by candid
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Ham. influ meningitis
C
