Rubeola (measles) Flashcards
Rubeola (measles) transmission
Respiratory secretions
High risk populations and why
Colleges
HCP
Travelers
HIGHLYYYY contagious
Before the rash develops what are the manifestations to rubeola
Fever 103-105f
3Cs
Koplik spots
Photophobia
3Cs to measles
Cough
Coryza(runny nose)
Conjunctivitis (maybe)
Koplik spots and when do they show up
Blue and white spots in mucosa
Typically a couple of days before the rash develops
Measles rash
Red maculopapular rash
where does the rash start and the order in which it goes
Hairline downward then outward then eventually confluent which means it runs together
In what order does it fade in
The order in which it appeared
S/s of rubeola
Anorexia
Malaise
Diarrhea (especially in babies)
Generalized lymphadenopathy
Complications of measles
Otitis media
Pneumonia
Encephalitis
More severe in malnourished (vit a deficiency)
The complications of measles mentioned what ages are they more common in?
Children less than 5 years old
Adults that are older than 20
Pneumonia from measles
Common cause of death in children
Encephalitis from measles
Common cause of death in adults
Interventions
Vit a (more severe cases)
Antipyretic
Cool mist
Eye care
Airborne precautions
Post exposure prophylaxis
In severe cases when administering vitamin a- what is the recommended dose?
100-200 times more than recommended dose
What is something we want to let the pt and parents know when administering vit a
They may experience vomiting and headache a few hours after dose
What does the cool mist vaporizing help with
Cough and runny nose
Eye care for rubeola
Dim lights (photophobia)
Clean eye lids w warm solution
(Remove drainage , crust, clean cornea)
What is also important to keep in mind as far as skin care for measles
Warm bath no soap
What precautions is measles on
Airborne
What is important to remember since rubeola is airborne
Lingers in the room for up to 2 hours so think exposure when going to places ( like the movies)
Post exposure prophylaxis
Immune globulin after exposure
Who can we recommend to give immune globulin to?
Immunocompromised
Same household exposure
How long are babies protected by maternal antibodies
1 year
