Test 2 will include chapters 36, 38, 49, 50, 53
To prepare for Test 2 please review the following:
Communicable diseases (CH38) April 2 a. Stages * Invasion of organism * Incubation period * Prodromal period * Clinical manifestations (S/S) * Convalescent period * Return to wellness b. Immunities * Active immunity naturally acquired – already exposed * Active immunity artificially acquired – vaccination * Passive immunity naturally acquired – * Passive immunity artificially acquired -- c. Childhood communicable diseases
Viral Exanthems (w/ rashes) * Roseola – (6mo – 3yr of age) from page 1061 and notes (Ch 38) * (Exanthem Subitum) * Agent: Human herpesvirus 6 * Source: Unknown – possibly from saliva of healthy adult; entry via nasal, buccal or conjunctival mucosa * Incubation period: 5-15 days * Communicable: Febrile period * Transmission: Unknown – year round; no reported contact with infected individual in most cases. (peak age 6-15 mo of life) * Immunity: Active, naturally acquired (already exposed) * Characteristics: * High fever (104F/40C)/ 3-4 days * Irritability and anorexia * Appearance of rash when there is a sharp drop in fever * Rash discrete rose-pink macules or maculopapules appearing first on trunk, then spreading to neck, face and extremities; nonpruritic, fades on pressure, lasts 1-2 days * Associated signs and symptoms: Cervical/postauricular lymphadenopathy, inflamed pharynx, cough, coryza * Therapeutic Management: * Antipyretics to control fever. * Complications * Recurrent febrile seizures (possibly from latent infection of CNS that is reactivated by fever) * Encephalitis (rare) * Nursing Care Management * Teach parents measures for lowering