Varicella

Chickenpox

 Causative agent: Varicella Zoster Virus

 Period of communicability: 1 day before the rash, the 5 to 6 days after its appearance
(crusted)
 MOT: Airborne. direct or indirect contact to saliva or vesicles (katas ng sugat)

Pathophysiology

Exposure to the infected individual

Incubation period 10-21 days

Low grade fever, malaise

Appearance of Macular lesion, then progresses to a Papular lesion (6-8 hrs)

First crop of lesions is accompanied by a spike of 40 °C

Formation of vesicles, then encrustation

 Avoid Aspirin to prevent Reye’s Syndrome

 Diagnostic Test:
o PCR – testing of skin lesions (Polymerase Chain Reaction)
o CBC – (+) Leukopenia (first 3 days), (+) Leukocytosis afterwards
 Medical Management: Symptomatic Treatment only
 Pharmacologic Tx: supportive not curative
o Antiviral – Acyclovir 24 hours after the appearance of lesions
o Varicella Zoster IG – REDUCES MORTALITY RATE, NOT IINCIDENCE
o Antibiotic Thx –
 Nursing Notes:
o Dx – Hyperthermia, Impaired skin integrity, disturbed body image, deficient
knowledge, Pain, Pruritus
o Goals
 Client will be comfortable as evidenced by the ability to rest.
 Client will remain free of secondary infection, as evidenced by less damaged
skin with decreased redness or lesions.
 Client will have minimal risk for disease transmission through the use of
universal precautions. (handwashing)
 Client will verbalize feelings about lesions and continues daily activities.
(disturbed body image)
o Ix
 Patient education (wag mong kakamutin, wag hahawakan, wag ichecheck
lagi)
 minimal handling
 rich in protein to repair the tissue
 Food high in vitamin c
 Wag magstay sa mainit na lugar
 Hiwalay na kwarto
 Pruritus management
  Trimming of fingernails
 Dietary measures

 COMFORT
 Pangangati
 Lagnat

Chicken pox – English term

Varicella – medical term
Varicella zoster -virus (causative agent)

Butlig na may sobrang kati

1 day before the appearance of the rash – 5-10 days
Airborne – through respiratory fever + severe headache
Mas nakakahawa ang papagaling (naghahanap na ng bagong host ang virus)
Laway + katas ng sugat

Malaise – because the body try to fight infection

Macular - rash Papular (6-8) - elevation Vesicle – fluid Postule CRUST

Centrifugal – palabas – gitna palabas

Ugliest – pangatlong araw

Makati, irritable, pain, the lesions can be infected

PCR – to determine if there’s a presence of virus

Leukopenia – mababang wbc (First 3 days) self-limiting (magpahinga)
bed rest, foods high in vitamins and
minerals to support the immune system
Leukocytosis – increase level (afterwards)

Penia - mababa

Thrombocytopenia
Thrombocytosis

RBC:
Polycythemia
Anemia

Having trouble figuring out – virus is much smaller than bacteria

Antiviral – 24 hours after the appearance of lesions suppress the progression (full blown)
Vaccine – immunity to disease (decrease mortality)

Antibiotic – infection of the wound (fever + discomfort) faster wound healing

Mababa immune system

Overfatigue

Gagaling – kukuha ng piraso tatandaan yung varicella zoster virus – immune cells to produce the
virus

Dormant or latent on one part of the body

MAKATI ANTIHISTAMINE DIPENHYDRAMINE DROWSINESS

 BAWAL UMIHI MAG-ISA
 BAWAL MAGDRIVE
 PRIORITY IS SAFETY INCLUDING THE GUARDIANS

CREAM HYDROCORTISONE CREAM

INFLAMMATION
BODY’S RESPONSE TO TISSUE INJURY PARA GUMALING YUNG AREA NA MAY DAMAGE
CARDINAL SIGNS OF INFLAMMATION ITIS HEPATITIS -LIVER
1. REDNESS
2. SWELLING
3. PAIN
4. HEAT
5. LOSS OF FUNCTION

MANINILAW
No med – malalason katawan

Center palabas