CHICKEN POX/ VARICELLA Flashcards
q is a highly contagious disease of sudden onset
q itchy rash
q with small, fluid-filled, between 250 -500 blisters.
CHICKEN POX/ VARICELLA
CHICKEN POX/ VARICELLA rash is itchy or not?
itchy rash
CHICKEN POX/ VARICELLA have small, fluid-filled, between how many blisters?
250-500 blisters
CHICKEN POX/ VARICELLA other term:
Varicella zoster
CHICKEN POX/ VARICELLA causative agent:
“HAHV3”
Human Alpha Herpes Virus 3
think of Harvey “HAHV3”
this is causative agent:
- varicella-zoster virus
- a member to the herpesvirus group
Human Alpha Herpes Virus 3
CHICKEN POX/ VARICELLA CLASSIFICATION:
virus
CHICKEN POX/ VARICELLA Mode of Transmission:
“DAD”
§ Droplet (secretion of respiratory tract)
§ Airborne
§ Direct (contact with contaminated linen and
fomites)
CHICKEN POX/ VARICELLA
incubation period
Incubation: 13-17 days
2 DX TEST of CHICKEN POX/ VARICELLA:
- Vesicular fluid test 2. Tzanck smear
Sample of fluid from a vesicle and viewed under a microscope. What dx test?
Vesicular fluid test
Unroof/scrape the covering of scab and add a
staining reagent to identify the virus. What dx test?
Tzanck smear
CHICKEN POX/VARICELLA
PROGRESSION OF RASH
“Mga - Pre - Vital - Signs”
- Macule: flat
- Papule: elevated
- Vesicle: fluid filled
- Scab (not infective)
Macule:
flat
Papule:
elevated
Vesicle:
fluid filled
Scab
(not infective)
CHICKEN POX/ VARICELLA
F-I-L-M-HA
Fever
Irritating rash
Loss of appetite
Malaise
HeadAche
CHICKEN POX/ VARICELLA DISTRIBUTION of rash:
Starts from the COVERED area of the body (Chest, head, back)
“C” “Covered”
Periphery to CENTER
CENTRIpetal
Center to PERIPHERY
centriFUGAL
o Bed rest (malaise)
o Fluids (fever, diaphoresis, Increase OFI)
o Antipyretics
o Daily luke warm/ TSB (to relieve pruritus)
o Cut fingernails short to and keep clean
o Don mittens (pruritic and may cause tissue
laceration)
Baking soda: add ? cup
(EFFECTIVE: __-__ mins)
Baking soda: add 1 cup of baking soda to a
shallow luke warm bath. Soak for 15 mins
(EFFECTIVE: 15-30 mins)
PREVENTION
Varicella- zoster Immune Globulin (VZIG)
When should Varicella- zoster Immune Globulin (VZIG) be given?
Should be given WITHIN 10 days of exposure