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Exam 1.9
| Question | Answer |
|---|---|
| Gastroenteritis can be caused by | Viral or bacterial/parasite. (E. coli, rotavirus) |
| Sx of gastroenteritis | N/V/D, lethargic, bloody stool, ab pain, loss of appetite |
| Viral gastroenteritis mgmt | sx relief, hydration, easy to digest foods, avoid dry/greasy/spicy |
| Bacterial/parasite mgmt | Abx, hydration, easy to digest, avoid dairy, greasy, spicy. Bananas, rice, applesauce, toast |
| Hand foot mouth is caused by | Enterovirus |
| How is hand foot mouth spread? | Through direct and indirect contact of oral and respiratory secretions, or fecal/oral route via diaper changes. |
| Sx of hand foot mouth | Fever, painful oral ulcers with red border and a white/grey inside, vesicular causes rash on hands and feet |
| Mgmt of hand foot mouth | Sx relief, hydration, antipyretics, comfort measures, nonsteroidal creams, tylenol/motrin |
| What precautions for hand foot mouth | Contact precautions |
| What precautions for varicella | Airborne |
| How is varicella transmitted | Inhalation of aerosolized virus causes transmission. They must be in a negative pressure room. |
| Sx of varicella | Skin rash, blisters on chest ack and face, scabs then crusts over. |
| Mgmt of varicella | Sx relief, antipyretics, hydration, popsicles, rest, alert school. |
| When can they return to school with varicella? | Can't go back until fever free for 24 hours, and all blisters have crusted over and scabed(1wk) |
| What are some nonpharmacological interventions for varicella | Calamine lotion and oatmeal baths. |