isolation precautions

Question 1

CONTACT ISOLATION

Answer 1

• hand hygiene
• gloves
• gown
• dedicated disposable equipment
• private room or cohort with same infections
• MRSA - methicillin-resistant staph aureus = USE PACKAGED PRE-MOISTENED CLOTHS CONTAINING CHLORHEXIDINE TO BATHE THE CLIENT or warm water with chlorhexidine
• VRE - vancomycin resistant drug = treatment is linezolid which has MAOI properties
• CONJUCTIVITIS
• DIPHTHERIA (cutaneous)
• RSV + droplet
• HERPES SIMPLEX VIRUS ( TREATED WITH ACYCLOVIR )
• HUMAN METAPNEUMOVIRUS
• PEDICULOSIS (lice)
• SCABIES
• POLIO
• STAPHLYCOCCUS AUEREUS

single-client-use equipments = don’t clean and use on someone else

OTHER DRUG RESISTANT ORGANISMS
- USE PACKAGED PRE-MOISTENED CLOTHS CONTAINING CHLORHEXIDINE TO BATHE THE CLIENT or warm water with chlorhexidine

LINEZOLID
- indicated for VRE
- has MAOI properties so avoid SSRIs
- SSRIs can be resumed 24 hours after linezolid therapy has been discontinued

Question 2

DROPLET ISOLATION

Answer 2

• hand hygiene
• mask (place surgical mask on client during transport)
• private room or cohort with same infection

DRREAM BHRIPP

• DIPHERTHIA (pharyngeal)
• Rubella
• RSV + contact precaution = use saline nose drops and suction the nares with bulb syringe prior to feeding
• Epiglottis
• Adenovirus
• Mumps
• Bacterial meningitis NOT VIRAL
• Haemophilus influenzae type B ( causes epiglottis)
• Rhinovirus
• Influenza
• Parvovirus (fifths disease)
• Pertussis

MMR are safe to administer to clients breastfeeding but contraindicated in preggo and immune compromised

Question 3

AIRBORNE PRECAUTION

Answer 3

• hand washing
• fitted N95 mask (place surgical on client during transport)
• Private room negative pressure DOOR CLOSED

GOWN AND GLOVES IF POTENTIAL CONTACT WITH BODILY FLUIDS

_**PRIVATE NEGATIVE ROOM PRESSURE IS ONLY FOR MTV (measles, tuberculosis, varicella)

• Tuberculosis = contact isolation are also used until vesicles are crusted
• Rubeola virus (measles)
• SARS
• Varicella virus (chickenpox)
• shingles (herpes zoster)
• small pox
• disseminated varicella Zoster Virus (VZV)

Question 4

CONTACT ENTERIC

Answer 4

HANDWASHING.
- hand hygiene with soap and water

• C difficile ( BLEACH SOLUTION (CHLORINE) IS MOST EFFECTIVE AGENT AGAINST IT) - alcohol not effective
• Noraviruses
• Rotavirus

ENTERIC (fecal/oral)
- c diff, hep a (anus), cholera, stapth infections, RSV ( however it is transmitted via droplet”, herpes

event hough RSV transmit through droplet, they have CONTACT precautions

C. DIFFICILE:
- bleach solutions ( chlorine )
- isopropyl alcohol NOT EFFECTIVE

ROTAVIRUS
- diarrhea (observe for decreased urination and dry mucous
- parents should diaper more frequently and wash the perianal area with mild soap and water
- alcohol wipes can irritate the the genital