Respiratory Disorder - Pertussis

Question 1

Pertussis is which of the FF.:
( bacterial, viral, fungal, protozoan)

Answer 1

Bacterial

Question 2

Causative Agent of pertussis

Answer 2

Bordetella pertussis

Question 3

Incubation period of pertussis

Answer 3

5- 21 days

Question 4

Mode of transmission of pertussis

Answer 4

Direct and indirect

Question 5

Communicability of pertussis

Answer 5

Catarrhal stage

Question 6

Immunities of pertussis

Answer 6

1. Natural active immunity / lasting natural.
2. Artificial active immunity
3. Passive artificial immunity

Question 7

How many immunities does pertussis have?

Answer 7

3

Question 8

artificial active immunity of pertussis

Answer 8

DPT /DTaP
diphtheria (D), pertussis (P, also known as whooping cough) and tetanus

Question 9

When to give DPT/DTaP?

Answer 9

2,4,6 months
12-15 months (1st birthday of baby)
4-6 years old ( kinder )
11-12 years old ( grade school)
Every 10 years

Question 10

Vaccines like DPT / DTaP is what kind of immunity?

Answer 10

Artificial active immunity

Question 11

Passive artificial immunity of pertussis

Answer 11

Pertussis serum immunoglobulin

Question 12

Effectivity of the passive artificial immunity of pertussis (perstussis serum immunoglobulin)

Answer 12

2 weeks - 2 months
(Short term only)

Question 13

What are the diagnostic tests for pertussis?

Answer 13

Culture
Serology
Polymerase chain reaction (P-CR)
Direct fluorescent antibody test (DFA)

Question 14

Most sensitive diagnostic test for pertussis

Answer 14

Polymerase chain reaction (P-CR)

Question 15

Culture for pertussis will only give how many percent of positivity?

Answer 15

30 - 50% positivity

Question 16

Is serology a strong diagnostic test for pertussis?

Answer 16

No because it’s poorly standardized

Question 17

Meaning of P-CR

Answer 17

Polymerase chain reaction

Question 18

Meaning of DFA

Answer 18

Direct fluorescent antibody test

Question 19

3 stages of pertussis

Answer 19

Stage 1: Catarrhal stage (1-2 weeks)
Stage 2: Paroxysmal stage (2-6 weeks)
Stage 3: Convalescent stage

Question 20

Stage of pertussis that itis most communicable

Answer 20

Catarrhal stage

Question 21

Stage 1 name:
Duration:
Signs and symptoms:

Answer 21

Catarrhal stage
1-2 weeks
Mild and common cold sx

Question 22

Stage 2 name:
Duration:
Signs and symptoms:

Answer 22

Paroxysmal stage
2-6 weeks
Thick, tenacious secretions; 5-10 short then rapid roughs w/ deep inspiration; high pitched, crowing sound; whooping cough → increase pressure diaphragm → vomiting

Question 23

Stage 3 name:
Other word:
Signs and symptoms:

Answer 23

Convalescent stage
Recovery stage
Gradual cessation of symptoms

Question 24

Complications of pertussis

Answer 24

(PEDAS)
Pneumonia
Emphysema / epistaxis
Dehydration
Atelectasis / alkalosis
Seizure / subarachnoid bleeding

Question 25

Inflammation of lower lung parenchyma

Answer 25

Pneumonia

Question 26

the alveoli become abnormally inflated, damaging their walls and making it harder to breathe

Answer 26

Emphysema

Question 27

Blood from nose

Answer 27

Epistaxis

Question 28

a condition in which you lose so much body fluid that your body can't function normally

Answer 28

Dehydration

Question 29

Lung collapse

Answer 29

Atelectasis

Question 30

Vomiting ABG

Answer 30

Alkalosis

Question 31

How many months of age is admitted and for at least how many hours to prevent complications of pertussis?

Answer 31

<3 months age 48 hrs

Question 32

Nutrition for pertussis

Answer 32

SFF - small frequent feeding

Question 33

#1 therapy needed in babies with pertussis

Answer 33

Oxygen

Question 34

When to give suction?

Answer 34

PRN or as needed

Question 35

Drug of choice of pt. with pertussis

Answer 35

Azithromycin

Question 36

This is given when patient is allergic to azithromycin

Answer 36

Macrolide

Question 37

Managements for pertussis

Answer 37

(NO SHAME) Nutrition: Small frequent feeding O2 therapy Suction (prn / as needed) Hydration Azithromycin Macrolide Eliminate cough triggers

Question 38

When taking azithromycin, what precaution is needed for 5 days?

Answer 38

Droplet precaution for 5 days