Module 3 Nurs 5433
Study online at https://quizlet.com/_bwdnsk
1. What is the causative agent for fifth disease?: Human Parvovirus B19
2. How is fifth disease transmitted: respiratory secretions, blood, and from mother
to baby in utero
3. What is the main age group which fifth disease affects?: 15 and under
4. What are the s/s of 5th disease?: "slapped cheek" appearance, then a lace-like
maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3 days,
followed by about 7 days symptom free... then the slapped cheek appearance with
circumoral pallor appears
5. When you see the slapped cheek rash in 5th disease, is the patient conta-
gious?: No. They are no longer contagious when the rashes appear. Children may
attend school
6. What are 5 differential diagnoses for 5th disease?: Rubella, Measles, scarlet
fever, roseola, kawasaki disease, lyme disease, mononucleosis, lupus
7. What diagnostics are needed to determine 5th diease?: none are needed
aside from clinical exam.
You can do a b19 assay to confirm if you like, especially in pregnant females (must
refer to OBGYN if confirmed)
8. Why is 5th disease dangerous for pregnant women?: may cause fetal hydrops
and demise
9. What are complications with 5th disease?: Arthritis (especially in adult women)
gloves and socks syndrome
chronic anemia
aplastic anemia crisis
10. What follow ups are needed with 5th disease?: none needed unless compli-
cations arise
11. If a parent asks how long the symptoms of 5th disease last, what should
you tell them?: 1-2 weeks is how long symptoms typically take to resolve. Most
patients make complete recovery and complications are rare
12. What steps need to be done if a patient presents with slapped cheek rash
and is pregnant?: immediate referral to OBGYN
13. What are the causative agents of influenza?: Influenza virus types A and B
14. What time of year is most prevalent for an influenza infection: late fall to
early spring
15. What are the s/s associated with influenza: abrupt onset of fever, malaise,
myalgia, HA, anorexia, rhinitis, sore throat and non-productive cough.
Kids can have otitis media and GI issues (n/v/d)
, Module 3 Nurs 5433
Study online at https://quizlet.com/_bwdnsk
16. What distinguishes common cold from influenza?: sore throat, nasal con-
gestion and sneezing are less common in the flu versus the common cold
17. What distinguishes an URI from influenza?: myalgia and malaise are not
usually present with URI, but they are with the Flu
18. What are possible complications of the flu?: PNA, sinusitis, AOM, myositis,
pericarditis, reye's syndrome, asthma/copd exacerbations
19. Can you give aspirin to a child with the flu?: No, because of the increased
risk of Reye's syndrome. The flu already puts the children at risk of Reye's syndrome
as does Aspirin.
20. What diagnostics are used for the flu?: Rapid antigen detection tests
can do a CBC, UA, CXR, blood cx if you suspect a complication like PNA
21. How can you prevent the flu?: everyone 6m and older should be getting the
influenza vaccine. Only contraindication is anaphylaxis reaction to eggs. Be very
cautious giving vaccine to someone with history of guillain barre syndrome.
do not give live vaccine to pregnant or immunocompromised patients
22. When can you give medications for the flu?: if symptoms have been present
less than 48 hours
23. What anti-viral medication should you NOT give to an asthma/COPD pa-
tient and why?: Zanamivir
this is given as a powdered inhaler and can cause exacerbations
24. What anti-virals can be given for flu patients?: tamiflu-- to patients 2weeks
and older. given BID for 5 days
Baloxavir-- for patients 12 years and older PO x 1 dose
Zanamivir--for 7 years and older. inhaled powder (not for asthma/copd)
25. What is the causative agent for kawasaki disease?: it is unknown
26. Who is most at risk for developing kawasaki disease?: Children under the
age of 5. Asian descent is most affected
27. What is the main concern with kawasaki disease?: Development of cardiac
problems such as aneurysm, mitral/aortic regurgitation and MI
28. What are the diagnostic criteria for kawasaki disease?: (think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
B-bulbar conjunctivitis without exudate
Study online at https://quizlet.com/_bwdnsk
1. What is the causative agent for fifth disease?: Human Parvovirus B19
2. How is fifth disease transmitted: respiratory secretions, blood, and from mother
to baby in utero
3. What is the main age group which fifth disease affects?: 15 and under
4. What are the s/s of 5th disease?: "slapped cheek" appearance, then a lace-like
maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3 days,
followed by about 7 days symptom free... then the slapped cheek appearance with
circumoral pallor appears
5. When you see the slapped cheek rash in 5th disease, is the patient conta-
gious?: No. They are no longer contagious when the rashes appear. Children may
attend school
6. What are 5 differential diagnoses for 5th disease?: Rubella, Measles, scarlet
fever, roseola, kawasaki disease, lyme disease, mononucleosis, lupus
7. What diagnostics are needed to determine 5th diease?: none are needed
aside from clinical exam.
You can do a b19 assay to confirm if you like, especially in pregnant females (must
refer to OBGYN if confirmed)
8. Why is 5th disease dangerous for pregnant women?: may cause fetal hydrops
and demise
9. What are complications with 5th disease?: Arthritis (especially in adult women)
gloves and socks syndrome
chronic anemia
aplastic anemia crisis
10. What follow ups are needed with 5th disease?: none needed unless compli-
cations arise
11. If a parent asks how long the symptoms of 5th disease last, what should
you tell them?: 1-2 weeks is how long symptoms typically take to resolve. Most
patients make complete recovery and complications are rare
12. What steps need to be done if a patient presents with slapped cheek rash
and is pregnant?: immediate referral to OBGYN
13. What are the causative agents of influenza?: Influenza virus types A and B
14. What time of year is most prevalent for an influenza infection: late fall to
early spring
15. What are the s/s associated with influenza: abrupt onset of fever, malaise,
myalgia, HA, anorexia, rhinitis, sore throat and non-productive cough.
Kids can have otitis media and GI issues (n/v/d)
, Module 3 Nurs 5433
Study online at https://quizlet.com/_bwdnsk
16. What distinguishes common cold from influenza?: sore throat, nasal con-
gestion and sneezing are less common in the flu versus the common cold
17. What distinguishes an URI from influenza?: myalgia and malaise are not
usually present with URI, but they are with the Flu
18. What are possible complications of the flu?: PNA, sinusitis, AOM, myositis,
pericarditis, reye's syndrome, asthma/copd exacerbations
19. Can you give aspirin to a child with the flu?: No, because of the increased
risk of Reye's syndrome. The flu already puts the children at risk of Reye's syndrome
as does Aspirin.
20. What diagnostics are used for the flu?: Rapid antigen detection tests
can do a CBC, UA, CXR, blood cx if you suspect a complication like PNA
21. How can you prevent the flu?: everyone 6m and older should be getting the
influenza vaccine. Only contraindication is anaphylaxis reaction to eggs. Be very
cautious giving vaccine to someone with history of guillain barre syndrome.
do not give live vaccine to pregnant or immunocompromised patients
22. When can you give medications for the flu?: if symptoms have been present
less than 48 hours
23. What anti-viral medication should you NOT give to an asthma/COPD pa-
tient and why?: Zanamivir
this is given as a powdered inhaler and can cause exacerbations
24. What anti-virals can be given for flu patients?: tamiflu-- to patients 2weeks
and older. given BID for 5 days
Baloxavir-- for patients 12 years and older PO x 1 dose
Zanamivir--for 7 years and older. inhaled powder (not for asthma/copd)
25. What is the causative agent for kawasaki disease?: it is unknown
26. Who is most at risk for developing kawasaki disease?: Children under the
age of 5. Asian descent is most affected
27. What is the main concern with kawasaki disease?: Development of cardiac
problems such as aneurysm, mitral/aortic regurgitation and MI
28. What are the diagnostic criteria for kawasaki disease?: (think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
B-bulbar conjunctivitis without exudate
