o Antiviral – Lamivudine OD for 1 year Taeniasus o Immune Stimulant – Chronic Hepatitis B, C, D AKA Tapeworm IM Taenia Saginata Interferon o Ingestion of insufficiently cooked or raw beef 2-3x/wk. for 6mos. Taenia Solium o Rest and Nutrition o Pork Diphyllobothrium Latum Nrsg Care: o Fish o Rest – liver recovery Hymenolepsis Nana o Nutrition o Dwarf tapeworm Fats – no enough bile released by the liver o Person to person for emulsification of fats; increases tendency o Hand to mouth transmission for bleeding Get it as a whole – regenerate CHO every now and then – spare CHON metabolism – ammonia – encephalopathy Paragonimiasis Butterball diet – hard candy (source of Flatworm, Oriental lung fluke energy) CA: Paragonimus westermani o Infected Moderate CHON Source: ingestion of insufficiently cooked crab or o Recovery Period High CHON crayfish o Complications Low CHON S/sx: productive cough and hemoptysis Prevention: o Misdiagnosed as TB o Immunization Hepatitis B vaccine Parasitism through skin of the feet o 0.1 mL o 3 doses Ancylostomiasis o IM – Vastus Lateralis Hookworm o 2 kg: 0-6-14 Only blood-sucking worm o <2 kg (4 doses): 0-6-10-14 Loss of 50 mL of blood/ day o No special instructions Ancylostoma Duodenale o Side effects: Necatur Americanus soreness at injection site slight increase in ALT Stongyloidiasis o Avoid mode of transmission Threadworm Strongyloide Stercoralis Parasitism through Ingestion Enterobiasis S/sx: AKA Pinworm infection, Seatworm, Oxyuriasis Voracious appetite CA: Enterobius Vermicularis Weakness, pot belly, anemia MOT: Ingestion Stunted growth S/sx: o Nocturnal ani – night itchiness Dx: Stool exam Female worm goes out of the intestinal Well-fitted underwear Med Mgt: Dx Exam: Antihelminthic – Albendazole o Not diagnosed with stool exam o Cellophane tape test Nursing Care: Supportive Morning Prevention: Ascariasis Personal hygiene AKA Giant intestinal roundworms Cutting long nails CA: Ascaris Lumbricoides Wearing slippers MOT: Ingestion Taking a bath S/sx: Intestinal obstruction Proper preparation of food o Passing out or vomiting of worms GENITO-URINARY SYSTEM Trichuriasis Bacterial AKA Whipworm o Gonorrhea CA Trichuris Trichiuria o Syphillis MOT: Ingestion Virus o HIV Trichinosis Roundworm Trichiniasis Trichinellosis 1. GONORRHEA CA: Trichinella Spiralis – Helminth AKA Clap, Strain, Jack, G.C., Gleet, Morning drop, MOT: Ingestion “Tulo” Source: Insufficiently cooked or raw meat o Pus draining from the genitalia in the morning
University of Santo Tomas – College of Nursing / JSV