Unit 9 Chapter 18 Lyme Disease

Question 1

What is Lyme disease

Answer 1

Lyme disease is a reportable systemic infectious disease caused by the spirochete Borrelia burgdorferi. The organism is common in rodents and is spread to humans through the bite of an infected deer tick (Ixodes), also known as the “black-legged tick.” It is the most common vector-borne disease in North America and Europe.

Question 2

s/s of Lyme disease

Answer 2

sx’s–Flu like symptoms,
erythema migrans: expanding skin rash
(round/oval, flat or slightly raise rash),
-joint and muscle pain,
-joint and muscle stiffness

BULLS EYE RING ON SKIN

Question 3

How many phases Lyme disease are there?

Answer 3

3
-Early and localized stage I,
-Stage II (early disseminated stage)
- Late stage III (chronic persistent stage)

Question 4

s/s of Early and localized stage

Answer 4

sx’s–Flu like symptoms,
erythema migrans: expanding skin rash
(round/oval, flat or slightly raise rash),
-joint and muscle pain,
-joint and muscle stiffness

Question 5

tx for Early and localized stage

Answer 5

Antibiotic therapy such as doxycycline or amoxicillin is prescribed during this uncomplicated stage for 14 to 21 days. Erythromycin can be used for patients who are allergic to penicillin.

Question 6

s/s -Stage II (early disseminated stage)

Answer 6

-carditis with dysrhythmias,
-dyspnea,
-dizziness,
- palpitations and central nervous system disorders such as
-meningitis;stiff neck,
-facial paralysis
-peripheral neuritis: nerve damage in the feet and hands

Question 7

tx for Stage II (early disseminated stage)

Answer 7

or severe disease, IV antibiotics (e.g., ceftriaxone or cefotaxime) are given for at least 30 days.

Question 8

Are clients with lyme disease at risk for meningitis?
A. No
B.Yes

Answer 8

B.Yes

Question 9

Shoulda a patient with lyme diseases report neck stiffness and palpitations to the health care provider?
A. No
B. Yes

Answer 9

B. Yes

due to the possibility of having meningitis

Question 10

s/s- Late stage III (chronic persistent stage)

Answer 10

If Lyme disease is not diagnosed and treated in the two earlier stages,

• later chronic complications (e.g.,** arthritis, chronic fatigue, memory and thinking problems**) can result. occurs months to years after the tick bite
  permanent damage to joints and the nervous system.

Question 11

Is prevention key for lyme disease
A. No
B. Yes

Answer 11

B. Yes

Question 12

Patient teaching lyme disease (Prevention and Early Detection of Lyme Disease)

Answer 12

• Avoid heavily wooded areas or areas with thick underbrush, especially in the spring and summer months.
• Walk in the center of the trail.
• Avoid dark clothing. Lighter-colored clothing makes spo ing ticks easier.
• Use an insect repellent (DEET) on your skin and clothes when in an area where ticks are likely to be found.
• Wear long-sleeved tops and long pants; tuck your shirt into your pants and your pants into your socks or boots.
• Wear closed shoes or boots and a hat or cap.
• Bathe immediately after being in an infested area and inspect your body for ticks (about the size of a pinhead); pay special attention to your arms, legs, and scalp.
• Check your pets for ticks.
• Gently remove with tweezers or fingers covered with tissue or gloves any tick that you find (do not squeeze). Dispose of the tick by flushing it down the toilet (burning a tick could spread infection).
• After removal, clean the tick area with an antiseptic such as rubbing alcohol.
• Wait 4 to 6 weeks after being bi tten by a tick before being tested for Lyme disease(testing before this time is not reliable).
• Report symptoms such as a rash or influenza-like illness to your primary health care provider immediately.