Measles

Reported by:
Castrillo, Mariam P. BSN IV B Group 4

Virginia A. Jupiter, RN, MAN 06/25/10

The Rubeola virus causes "red measles.." also known as "hard measles" or just "measles. . rubeola can lead to pneumonia or inflammation of the brain (encephalitis)." Although most people recover without problems.

" also known as "three-day measles.The Rubella virus causes "German measles." This is usually a milder disease than red measles.. . this virus can cause significant birth defects if an infected pregnant woman passes the virus to her unborn child. However.

‡ Source: respiratory tract secretions. blood or urine of infected person. .Measles (Rubeola) ‡ Agent: Paramyxovirus ‡ Incubation period: 10-20 days ‡ Communicable period: 4 days before and 5 days after the rash.

Measles (Rubeola) .

Maculo papular eruption starts on the face to the feet. erythematous.Measles (Rubeola) ‡ Prodromal symptoms are Cough.appears red . Coryza. . ‡ RASH . may have desquamation. blanches to pressure and turns to brownish color ( last for 6-7 days). Conjunctivitis + fever and anorexia.

‡ Measles. .Measles (Rubeola) ‡ KOPLIK`s spots .small red spots with a bluish white center and a red base buccal mucosa 3 days. enough to cause considerable discomfort when feeding. This is an unsually severe case. with koplik s spot on the buccal mucosa.

Measles (Rubeola) .

.Measles (Rubeola) ‡ The rash often begins behind the ears.

Measles (Rubeola) The common complications of measles are secondary bacterial infections of the respiratory tract (particularly pneumonia and otitis media). .

a transient brown staining of the skin maybe apparent in white children. .Measles (Rubeola) ‡ During the healing phase.

.Rubella (German Measles) ‡ Agent: Rubella virus ‡ Incubation period: 14-21 days ‡ Communicability: 7 days before to about 5 days after the rash. ‡ Source: Nasopharyngeal secretions. stool and urine. also through blood.

Rubella (German Measles) .

Airborne and direct contact with droplets. b.Rubella (German Measles) ‡ Transmission: a. Indirectly via freshly contaminated nasopharyngeal secretions. Transplacental . c. feces and urine.

Rubella (German Measles) ‡ German measles causes milder symptoms than red measles. ‡ Symptoms are more common in adults: ‡ Fatigue ‡ Low-grade fever ‡ Headache ‡ Red eyes several days before the rash appears .

the skin may shed.Rubella (German Measles) ‡ Swollen. wrists. but as it clears up. This affects the hands. ‡ Adult women who get rubella may get painful joints for days to weeks after the infection. and knees. . tender lymph nodes may occur in the back of the neck. ‡ The rash does not usually itch.

Rubella (German Measles) ‡ Clinical Manifestation: ‡ .Eruptive period .Prodromal period ‡ .

. The risk of transmission is highest early in pregnancy. Among other problems and birth defects. hearing impairment. heart defects.Rubella (German Measles) ‡ The most feared complication of rubella is "congenital rubella. The virus may also cause miscarriage or stillbirth. and learning disabilities." which occurs when an infected pregnant woman passes the virus to her unborn child. affected infants may have cataracts.

Rubella (Pathogenesis) MATERNAL VIREMIA PLACENTAL INFECTION FETAL VIREMIA DISSEMINATED INFECTION INVOLVING MANY FETAL ORGANS .

.Rubella (German Measles) ‡ There is no specific therapy for rubella. ‡ Live vaccines are used in an attempt to prevent congenital rubella. ‡ Other countries vaccinate girls as they approach puberty.

Measles Treatment .

Nursing Management ‡ ‡ ‡ ‡ ‡ Isolation Rest until fever subsides Use dim light if patient have photophobia Must take mild liquid diet but nourishing diet. Use warm normal saline to prevent irritation to patient s eyes. ‡ Good ventilation .

‡ Occurrence of complication must be prevented.Nursing Management ‡ Spread of infection must be prevented. .

Sponge baths with lukewarm water may reduce discomfort due to fever. . These include the following: ‡ .Measles Treatment ‡ Self-Care at Home ‡ Although there is no cure for measles.Get plenty of rest. ‡ . ‡ . there are steps that can make the disease more tolerable.Drink plenty of fluids to help avoid dehydration.

A humidifier or vaporizer may ease the cough. . Liquiprin Drops. Remember never to give aspirin to children or teenagers because it may cause a disease known as Reye syndrome.Measles Treatment ‡ . ‡ . and other brands) and ibuprofen (Advil. Motrin and other brands) can help with symptoms when used according to directions.Pain relievers and fever reducers such as acetaminophen (Tylenol.

1st dose given at 12 months. . Given 2 doses.Prevention ‡ MMRV Given 2 doses. ‡ MMR and Chickenpox vaccine st dose at 12 months. 1 2nd dose is recommended at 4-6 years of age. minimum of 3 months interval between the doses for children less than 13 years old.

Prevention ‡ Immunization ‡ Measles-Mumps-Rubella (MMR) .This vaccine protects against both red measles and German measles. covering the mouth when coughing or sneezing and good hand-washing practices will help prevent the spread of the diseases. . ‡ As with all other contagious illnesses.

pneumonia (6%). . These complications include diarrhea (8%). acute brain inflammation (encephalitis). ear infections (7%). blindness (1%).Other Complications: ‡ Approximately 30% of cases of measles have an associated complication.

.Medical Treatment There is no specific treatment or cure for measles. Prevention is the most effective treatment.

THANK YOU God Bless .

Sign up to vote on this title
UsefulNot useful