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CD > DIPTHERIA > Flashcards

DIPTHERIA Flashcards

1
Q

what is diptheria?

A

acute febrile infection of the throat, tonsils, larynx, nose

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2
Q

microorganisms can produce _____ that destroys _____

A

toxins
healthy tissues

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3
Q

causative agent for Diptheria

A

coryne bacterium diptheriae
klebs loeffler bacillus

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4
Q

causative agent for Diptheria

A

coryne bacterium diptheriae
klebs loeffler bacillus

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5
Q

classification of diptheria

A

bacterial
which is a gram positive

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6
Q

diptheria is a gram positive bacteria which means?

A

color purple in microscope and thick

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7
Q

incubation period

A

2-5 days

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8
Q

period of communicability

A

3-4 weeks

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9
Q

patient should be??

A

isolated

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10
Q

mode of transmission??

A

droplet
contact
milk vehicle

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11
Q

what to do to soiled linens??

A

boil first for 30 minutes before washing them

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12
Q

susceptibility?

A

Infants born of mothers who had diphtheria = immune but
disappears before the 5 months after birth

(di sure paki clarify)

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13
Q

pathognomonic signs??

A

pseudomembrane
bullneck appearance

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14
Q

what is pseudomembrane?

A

group of death tissue

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15
Q

color of pseudomembrane?

A

grayish/whitish

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16
Q

what is bullneck appearance?

A

inflammation of the neck

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17
Q

enumerate the types of diptheria

A

nasal diptheria
laryngeal diptheria
pharyngeal diptheria

18
Q

in nasal diptheria, where do microorganisms attack?

A

nasal area

19
Q

Side effects ng nasal diptheria

A

coryza “runny nose”

epistaxis

adenitis or lymphadenitis “lymphadenopathy” (inflammation of the lymph nodes)

20
Q

in laryngeal diptheria, where do microorganisms attack?

A

larynx

21
Q

SE of laryngeal diptheria

A

hoarseness of voice

22
Q

in pharyngeal diptheria, where do microorganisms attack?

A

pharynx

23
Q

SE of pharyngeal diptheria

A

Sore throat
tonsilitis
bullneck appearance

24
Q

what are the diagnostic test for diptheria?

A

SHICK’S TEST

MOLONEY’S TEST

25
Q

what is schick’s test

A

Determines susceptibility and immunity to diphtheria

26
Q

what is maloney’s test

A

Determines hypersensitivity to the diphtheria toxoid

27
Q

how many ml of diptheria toxoids to be injected?

A

0.1 ml (both diagnostic test)

28
Q

route of the two diagnostics tests?

A

ID

29
Q

where do they inject the diptheria toxoids?

A

left forearm

30
Q

induration of the two diagnostics test?

A

10mm

31
Q

result reading??

A

after 2-3 days

32
Q

give me the 4 nursing management of diptheria

A

strict isolation
coughing etiquette
pasteurization
vaxx

33
Q

strict isolation:

A

5-7 days because the patient is highly contagious

34
Q

coughing etiquette?

A

wear mask

maintain distance to 3 ft

cover mouth when talking, sneezing

35
Q

what are the drug of choice for diptheria?

A

antibiotics (penicillin, erythromycin)

36
Q

penicillin

A

250 mg PO QID for 14 days

37
Q

erythromycin

A

500 mg (10mg/kg children) PO every 6hrs for 14 days

38
Q

prevention??

A

DPT or pentavalent

39
Q

DPT

content:
given when:
dosage:
# of doses:
route:
old sched:
new sched:
side effects:

A

content: weakened toxin
given when: 6-10-14 weeks
dosage: 0.5 ml
# of doses: 3
route: IM
old sched: 6-10-14
new sched:6-10-14
side effects: LOCAL SORENESS, FEVER

40
Q

absolute contraindications of DPT1?

A

neurologic disorders such as meningitis, hydrocephalus, cerebral palsy, etc

41
Q

absolute contraindications of DPT2 and DPT3?

A

convulsions/seizures within 72 hrs after the 1st dose

42
Q

contraindications for any vaxx?

A

chemotherapy
corticosteroids therapy
fever 38.5

CD (11 decks)

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