TOMLABONETE RN-EMT,LPT

mumps
AKA: Epidemic / Infectious Parotitis
Acute viral infection of the salivary
glands particularly the parotids
CA Paramyxovirus
MOT Droplet infection, direct contact
IP 12 – 26 days (DOH)
14 – 21 days (NCLEX)
POC 1 day before and 9 days after parotid glands swell

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 mumps
 Signs and Symptoms
1. malaise with low fever
2. Headache
3. Pain below ear
4. Parotid glands (70%) are
swollen
5. Pain on chewing and
swallowing (earliest
symptom)
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 mumps
Diagnostic Tests:
1. Increased WBC
2. Viral culture
oFrom mouth swabs, saliva
3. Viral serology
oDetection of mumps IgM

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 mumps
 Treatment
Supportive care and analgesics

 Prevention
1. Isolation
2. Vaccination

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 mumps
Complications:
1. Mumps during pregnancy:
congenital malformations, low
birth weights, and fetal death
2. Juvenile DM
3. Low or absent sperm count
4. Orchitis – may occur even without
swelling of the parotids; may
produce sterility
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 mumps
 Nursing Intervention:
1. airborne droplet and contact
precautions.
2. bed rest until the swelling subsides.
3. Avoid foods that require chewing.
4. Monitor for signs of aseptic meningitis

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 schistosomiasis
 Aka: Blood fluke, Snail fever, Bilhariasis
CA Schistosoma haematobium – Iran, Iraq, and Portugal (urinary)
S. mansoni – Africa, and America (hepato-intestinal)
S. japonicum – Philippines (hepato-intestinal)
MOT Direct penetration of the cercaria to the skin (3 – 5 minutes)
IP At least 2 months
POC Cercaria (final stage larva) escape into water (1 – 3 days)

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 schistosomiasis
Signs and Sypmtoms:
a.Early schistosomiasis – itching, fever and chills,
non productive cough
b.Colonic schistosomiasis – ulceration results in
diarrhea; if chronic, may cause malignancies
c.Hepatosplenic schistosomiasis – most serious,
hepatosplenomegaly, ascites, portal
hypertension
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 schistosomiasis
Diagnostic tests:
1. Definitivediagnosis: Circumoval Precipitin
Test (COPT)
2. Kato-Katz technique- feces under
microscope to count eggs

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 schistosomiasis
 Treatment:
 RA 4359: creation of the National
Schistosomiasis Control
Commission on June 9, 1956

a. Tartar Enemic (antimony

potassium tartrate)
➢ Administered by slow IV injection
b. Stibophen (Fuadin) (IM)
c. Niridazole (Ambilhar) oral
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 schistosomiasis
 Prevention:
a. Praziquantel
b. Health education:
c. Control of snails through:
1. Drainage of breeding sites and
irrigation
2. Clearing vegetation around
bodies of water
3. use of latrines
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 Rabies
 AKA: Lyssa, Hydrophobia
 viral infection of the CNS through saliva of an
infected animals or humans
 Rabied Animal
Dumb stage
Quite, stays in corner with copious salivation
Furious stage
Easily agitated, hydrophobic

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 rabies
 Signs and Symptoms
Presence of NEGRI BODIES (round or oval bodies
found in the cytoplasm of neurons in animal with
rabies)

1. Prodromal or Invasion stage

2. Stages of Excitement
3. Terminal or Paralytic stage

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 rabies
 Prodromal or Invasion Stage
P ain in the bite region, headache, photophobia, perspiration
R estlessness
O versecretion of saliva
D rowsiness, depression
R eports insomnia
O versensitive to sounds and touch
M yalgia
A norexia,
L acrimation
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 rabies
 Stages of Excitement
E xcitement
X trmities cold
C lammy
I ncludes drooling
T erminal stage in 1-3 days
E vidence of photophobia
M uscle spasm of the pharynx when attempting to swallow
E xperiences aerophobia
N uchal rigidity with deliruim
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T onic contraction
 rabies
 Terminal or Paralytic Stage
P atient dies within 24 to 72
A bsent bowel sounds
R espiratory or paralysis
 A lbuminuria
L oss of bowel and bladder control
Y ields labored breathing
S pasm ceases and increasing paralysis sets in
I ncreased heart rate
S ystemic collapse
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 Rabies
 Diagnostic Test
a. History of exposure
b. Development of characteristic
symptoms
c. Microscopic exams
d. Flourescent Rabies Antibody
(FRS) Technique

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Rabies

 Treatment:
 Sypmtomatic

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Rabies

 Prevention and Control

A. Active Immunization

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 Rabies
 Nursing Interventions:
symptomatic and supportive
Treatment of wound with soap and water or antiseptic
solution
Isolate patient and provide a restful, quiet and semi
dark environment
Cover IVF with paper bag (no sight of water)

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