T3 - Encephalitis, Rabies, Reyes Syndrome (Josh)

Question 1

What is Encephalitis?

Answer 1

Inflammation of the brain usually caused by a viral infection

Question 2

Most common cause of Encephalitis AFTER the newborn period .

Answer 2

Herpes simplex 1

• high mortality rate

Question 3

Causes of Encephalitis.

Answer 3

Herpes simplex 1

Enterovirus

Adenovirus, arbovirus, rabies, Hep B

Bacteria

Parasites

Question 4

Types of Enterovirus that cause Encephalitis

Answer 4

Echovirus (non-pruritic, discrete, red maculo-papular rash)

Coxsackievirus (vesicles and ulcers on soft palate)

Question 5

Classic manifestation of Encephalitis

Answer 5

Febrile illness w/ neurologic signs

Question 6

What type of history do we need w/ Encephalitis?

Answer 6

recent immunizations

recent insect bites

recent travel to areas where vectors are present such as West Nile, SARS, H5N1

Question 7

With Encephalitis, due to the virulence of the infectious agents – is almost always needed.

Answer 7

ICU admission

Question 8

Goal of nursing care w/ Encephalitis

Answer 8

minimize complications from personality changes such as disorientation, restlessness

seizures

immobility

loss of consciousness

opportunistic / nosocomial

infections from

    - intubation
    - intravenous/central 
    - venous access lines
    - foley catheters

Question 9

Rabies affects the —

Answer 9

CNS

Question 10

Rabies is a virus usually from –

Answer 10

bats

racoons

etc

Question 11

If Rabies is symptomatic, what is usually thing to happen?

Answer 11

Fatal

Question 12

Which Vaccine to protect from Rabies

Answer 12

Human Diploid Cell Rabies (HDCV)

Question 13

– is caused by ASA use in kids.

Answer 13

Reyes Syndrome

Question 14

Reyes Syndrome causes —

Answer 14

Toxic Encephalopathy

• fever
• impaired consciousness
• dysfunctional liver

Question 15

Reyes Syndrome commonly follows –

Answer 15

viral illness (flu/varicella)

Question 16

How is Reyes diagnosed?

Answer 16

Liver biopsy