NURS 629 Peds Exam 3 Infectious Disease Questions And Answers 2024/2025
Antbiotics
There is good bacteria within our bodies, such as the gut, that helps increase our immune response. However, certain medications that are overused like _____ bypass the immune system and are not recognized , causin...
NURS 629 Peds Exam 3 Infectious Disease
Questions And Answers 2024/2025
Antbiotics
There is good bacteria within our bodies, such as the gut, that helps increase our immune response.
However, certain medications that are overused like _____ bypass the immune system and are not
recognized , causing spread and duplicatation within the body. Educate you patients that should not
receive this medication because of best practice of
-What supportive things can be done to help with illness
-Offer handout on OTCs that will make feel better for specific illness.
-Say "You know what? The good thing is you don't need another medication that has side effects and
can make you even more sick."
history
A good _____ will help determine differentials and how to conduct the physical. We want to know
about
-What was the presenting symptom? (What started first; the rash [how fast did it develop] or the
fever[how high]?)
-How long did it last?
-OLD CARTS
-Comorbidities, Family hx, medications (like steroid use) allergies, immunizations, recent travel
-Symptoms longer than 7-10 days usually bacterial infection but not always.
Hand-foot-mouth disease
Caused by Coxsackie Virus.
Most common in children (esp. with those that attend daycare) BUT can present in adults also
(symptoms usually worse).
3-6 day incubation
Outbreaks most often occur in late summer or early fall (when school starts)
24-48
Getting a CRP is controversal but if a CBC is obtained and the CRP is elevated you want to get a second
CRP in ____to____ hrs. to confirm diagnosis especially if it continues to trend up (increase).
ESR
If this is elevated, showing that there is an inflammatory marker going on.
Hand-foot-mouth disease
Review of symptoms for this disease (What parents inform):
Low grade fever usually starts first possibly with some malaise, a little sore throat, appeitite decreased
noticed a few days before rash.
Feet hurt to walk (rash that becomes tender)
20% will also have lymphadenopathy present.
, Hand-foot-mouth disease
Objective Findings for this disorder (Phsyical Exam):
Oral lesions typically appear first
If you notice the oral lesions look at hands and feet. 24 hrs after symptom start lesions (if they are
going to) start which appear like a petechial rash (pinpoint, round spots that form on the skin. They're
caused by bleeding, which makes the spots look red, brown or purple. The spots often form in groups
and may look like a rash. The spots are often 3-7 mm, flat to the touch [macular] and are
nonblanchable [don't lose color when you press on them]) and then blisters start.
Looks like caner sores with yellow ulcers and red halo but it can also be pale, white, and oval with a
red halo.
Rash usually resolves in 7 days.
Keep in mind depending on the strain of the coxsacie virus the lesions can be in the genital area, on
the upper and lower extremities and on the torso.
Non-blanchable
Erythema that means the skin does not turn white when touched with a finger.
Supportive (Tylenol, warm baths, Oragel)
What is the treatment for
Hand-foot-mouth disease?
Benadryl:Maalox
Oragel can be used for symptom managment of Hand-foot-mouth disease but as a provider if you are
concerned about choking hazards because of the child's age the parents can use magic mouthwash
which is a 1:1 combination of ____ and ____ which you will provide as the the provider to swish
around the child's mouth or rub on lesions in the mouth. Both drugs are safe to drink.
Hydration
Why would we use magic mouth wash in hand-foot-mouth, even in young children, besides the fact
that we are trying to not have the child hurt too much? Hint related to the pain.
very contagious
Education for hand-foot-mouth disease to the parents is that this disease is ___ ____ two days before
symptoms start and two days after eruption.
The entire illness can last up to 1 week.
The child cannot return to School or day care until all of the lesions have crusted over to prevent
spreading to other children or adults.
Herpes Simplex Virus (HSV) 1
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