Rubeola (measles)

Question 1

Rubeola (measles) transmission

Answer 1

Respiratory secretions

Question 2

High risk populations and why

Answer 2

Colleges
HCP
Travelers

HIGHLYYYY contagious

Question 3

Before the rash develops what are the manifestations to rubeola

Answer 3

Fever 103-105f
3Cs
Koplik spots
Photophobia

Question 4

3Cs to measles

Answer 4

Cough
Coryza(runny nose)
Conjunctivitis (maybe)

Question 5

Koplik spots and when do they show up

Answer 5

Blue and white spots in mucosa
Typically a couple of days before the rash develops

Question 6

Measles rash

Answer 6

Red maculopapular rash

Question 7

where does the rash start and the order in which it goes

Answer 7

Hairline downward then outward then eventually confluent which means it runs together

Question 8

In what order does it fade in

Answer 8

The order in which it appeared

Question 9

S/s of rubeola

Answer 9

Anorexia
Malaise
Diarrhea (especially in babies)
Generalized lymphadenopathy

Question 10

Complications of measles

Answer 10

Otitis media
Pneumonia
Encephalitis
More severe in malnourished (vit a deficiency)

Question 11

The complications of measles mentioned what ages are they more common in?

Answer 11

Children less than 5 years old
Adults that are older than 20

Question 12

Pneumonia from measles

Answer 12

Common cause of death in children

Question 13

Encephalitis from measles

Answer 13

Common cause of death in adults

Question 14

Interventions

Answer 14

Vit a (more severe cases)
Antipyretic
Cool mist
Eye care
Airborne precautions
Post exposure prophylaxis

Question 15

In severe cases when administering vitamin a- what is the recommended dose?

Answer 15

100-200 times more than recommended dose

Question 16

What is something we want to let the pt and parents know when administering vit a

Answer 16

They may experience vomiting and headache a few hours after dose

Question 17

What does the cool mist vaporizing help with

Answer 17

Cough and runny nose

Question 18

Eye care for rubeola

Answer 18

Dim lights (photophobia)
Clean eye lids w warm solution
(Remove drainage , crust, clean cornea)

Question 19

What is also important to keep in mind as far as skin care for measles

Answer 19

Warm bath no soap

Question 20

What precautions is measles on

Answer 20

Airborne

Question 21

What is important to remember since rubeola is airborne

Answer 21

Lingers in the room for up to 2 hours so think exposure when going to places ( like the movies)

Question 22

Post exposure prophylaxis

Answer 22

Immune globulin after exposure

Question 23

Who can we recommend to give immune globulin to?

Answer 23

Immunocompromised
Same household exposure

Question 24

How long are babies protected by maternal antibodies

Answer 24

1 year

Question 25

Immunization for rubeola how many doses and when

Answer 25

2 dose series
12-15mo and 4-6 years

Question 26

What is important to do after vaccine admin

Answer 26

Document immunity