PEDS CH. 37 COMMUNICABLE & INFECTIOUS DISEASE |
GUARANTEED SUCCESS STARTS HERE! LEARN, PRACTICE
& EXCEL!
Describe chain of infection Answer: Infectious agent
Reservoir
Portal of exit
Modes of transmission
Portal of entry
Susceptible host
Describe stages of infection Answer: Incubation: Time from entrance of pathogen to
appearance of first symptoms; during this time pathogens grow & multiply
Prodrome: Time from onset of nonspecific symptoms such as fever, malaise, and fatigue to
more specific symptoms
Illness: Time during which child demonstrates signs and symptoms specific to an infection
type
Convalescence: Time when acute symptoms of illness disappear
Infection Health History Answer: Maternal pregnancy history
Family history
Immunization status
Exposure
Infection Health History: Describe Physical symptoms Answer: Fever, sore throat, V/D,
lethargy, poor feeding, cough, rash
Parent may just report that the child just doesn't "seem right"
Infection Assessment Answer: Assess skin, hair, mouth for any lesions/ wounds
Palpate skin turgor, capillary refill
Assess lymphadenopathy/ rash
APPHIA – Crafted with Care and Precision for Academic Excellence.
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, Treatment of infection: Describe Hydration Answer: Replace insensible losses
Small sips of fluids
"Clear liquid" diet
Strict I&O
IV fluid replacement may be necessary if unable to keep fluids down
Treatment of infection: List medications Answer: Antibiotics
Antivirals
Anyipyretics
Antipruritics: Anti-itch
Infection: Describe fever management Answer: Over 39C (100.4F) is a fever in a child over
3 months
Acetaminophen & ibuprofen
No aspirin
Cool compresses to groin and axilla
Cool environment
Keep bedding and clothing dry
Monitor hydration
Tepid bath (prevent shivering)
Fever vs Hyperthermia
Infection: Fever management instruct patient to call provider for: (5) Answer: Child younger
than 3 months with fever > 100.4
Any child who is lethargic or listless, regardless of temperature
Fever lasting more than 3 to 5 days
Fever greater than 105F
Any child who is immunocompromised
Infection common lab tests: White blood cell Answer: Fight infection
Attack foreign material
4500-17000(4.5-17)
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
GUARANTEED SUCCESS STARTS HERE! LEARN, PRACTICE
& EXCEL!
Describe chain of infection Answer: Infectious agent
Reservoir
Portal of exit
Modes of transmission
Portal of entry
Susceptible host
Describe stages of infection Answer: Incubation: Time from entrance of pathogen to
appearance of first symptoms; during this time pathogens grow & multiply
Prodrome: Time from onset of nonspecific symptoms such as fever, malaise, and fatigue to
more specific symptoms
Illness: Time during which child demonstrates signs and symptoms specific to an infection
type
Convalescence: Time when acute symptoms of illness disappear
Infection Health History Answer: Maternal pregnancy history
Family history
Immunization status
Exposure
Infection Health History: Describe Physical symptoms Answer: Fever, sore throat, V/D,
lethargy, poor feeding, cough, rash
Parent may just report that the child just doesn't "seem right"
Infection Assessment Answer: Assess skin, hair, mouth for any lesions/ wounds
Palpate skin turgor, capillary refill
Assess lymphadenopathy/ rash
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Treatment of infection: Describe Hydration Answer: Replace insensible losses
Small sips of fluids
"Clear liquid" diet
Strict I&O
IV fluid replacement may be necessary if unable to keep fluids down
Treatment of infection: List medications Answer: Antibiotics
Antivirals
Anyipyretics
Antipruritics: Anti-itch
Infection: Describe fever management Answer: Over 39C (100.4F) is a fever in a child over
3 months
Acetaminophen & ibuprofen
No aspirin
Cool compresses to groin and axilla
Cool environment
Keep bedding and clothing dry
Monitor hydration
Tepid bath (prevent shivering)
Fever vs Hyperthermia
Infection: Fever management instruct patient to call provider for: (5) Answer: Child younger
than 3 months with fever > 100.4
Any child who is lethargic or listless, regardless of temperature
Fever lasting more than 3 to 5 days
Fever greater than 105F
Any child who is immunocompromised
Infection common lab tests: White blood cell Answer: Fight infection
Attack foreign material
4500-17000(4.5-17)
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
