NURS 629 Peds Exam 3 Infectious Disease Questions And Answers 2024/2025

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