part 8 Flashcards
Why do we not give children with varicella aspirin containing products?
there is a potential to develop Reye syndrome
What causes Exanthem subitum (Roseola)
- agent - herpesvirus type 6
- source: possible saliva, entry via nasal, buccal, conjunctival mucosa
What is the transmission, incubation, and communicability of Exanthem subitum (Roseola)?
- transmission: year round, limited to children <3, peak age is 6-15 months
- incubation: 5-15 days
- communicability: unknown
What are the clinical manifestations S&S of Exanthem subitum (Roseola)?
- sudden high fever (up to 105) but child appears well
- fever drops and pink discrete maculopapular rash appears (nonpruritic)
- risk for febrile seizures
When treating Exanthem subitum (Roseola) what do we need to teach about fever management?
- do not give aspirin or aspirin containing products
- seizure precaution
- good hand washing technique
- administration of antipyretic based on weight of baby
What type of precaution is used for Exanthem subitum (Roseola)?
standard precaution
If a child with Exanthem subitum (Roseola) is prone to seizures what should we discuss with parents?
appropriate precautions and possibility of recurrent febrile seizures
What is the agent, source, transmission, incubation period, and period of communicability of Measles (Rubeola)?
- agent: virus
- source: respiratory tract, blood and urine of infected person
- transmission: direct contact with droplets of infected person
- incubation: 10 to 20 days
- communicability: 4 days before rash and 5 days after (mostly during prodromal)
What are the S&S of Measles (Rubeola)?
- 3 C’s: coryza (runny nose), cough, conjunctivitis
- koplik spots (in the mouth)
- photophobia
- confluent maculopapular rash
- can get a fine desquamation
How long will a pt with Measles (Rubeola) stay in isolation?
5 days after the appearance of the rash (airborne precaution)
