Tuesday, December 25, 2018

Varicella (Chicken Pox) : What Is It ? Traetment, Complication, Nursing Management and Advice For Patient


Varicella (Chicken Pox) : What Is It ? Traetment, Complication, Nursing Management and Advice For Patient

Chicken pox is a highly contagious disease of child hood or adult that has never had chicken pox caused by human herpes virus, which can be caused either by Herpes virus varicella

Mode of transmission

The disease will be transmitted through inhalation of infective droplet nuclei

Incubation period

Contact with lesions after 10-20 days.

Clinical manifestation

-Fever and malaise are usually mild in children and more severe in adult

-The pururitic rash is centripetal and most prominent on the face, scalp and trunk and lesser extent on the extremities

-Maculopapule change in few hours to vesicle that become pustule & eventually form crust. New lesion may erupt for 1-5 days. The crusts usually slough in 7- 14 days, rash appears as drops on a rose petal

-Vesicular lesion, quickly rupturing to form small ulcers and appear first in Oropharynx

Complication

Secondary bacterial infection particularly with group A beta hemolytic streptococci is common and encephalitis rarely.

The complications are:-

Cellulites, osteomyelitis, epiglottis’s and pneumonia are more common in adult than in children. But in children acute respiratory disease syndrome is the common complication

Nursing intervention


-Maintain skin integrity by giving skin care
-Isolate the patient until the crust disappears
-Advise the patient to get bed rest until the patient is afebrile
-Keep the skin clean
-Give antibiotic for patients who have secondary bacterial infection
-Reduce fever by using analgesics like paracitamol and use tepid sponge for children according the severity of fever
-Teach the family and other community members about the disease condition
-Encourage the patient to take high fluid and maintain his/her nutritional status.
If the patient case not improvement and the condition become serious refer to the next health institution.

Thanks For Vsiting ! Keep Your Healthy !

Varicella (Chicken Pox) : What Is It ? Traetment, Complication, Nursing Management and Advice For Patient Rating: 4.5 Diposkan Oleh: David Maharoni

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