Académique Documents
Professionnel Documents
Culture Documents
RESPIRATORY INFECTIONS
1. Gravis (severe)- produces the most severe and greatest number of fatal cases in Europe.
2. Mitis (mild)- produces lesions extending to the larynx and lungs but are rarely the cause
of death.
- Microorganisms in the URT produce cytotoxins which usually start in the nose
- Types:
a. Nasal diphtheria
b. Faucial diphtheria
c. Laryngeal diphtheria
• Considered as the most severe and more fatal type due to anatomical reason
• Respiration is increased because less air is brought to the lungs due to the narrowing
of the air passages
d. Pharyngeal diphtheria
• Neck tissues are edematous that result in the appearance of a “bull’s neck”
- Diagnostics:
b. Checking of pseudomembrane
o Presence of a greyish white membrane (in laryngeal and pharyngeal diphth.)-
pathognomonic sign of diphtheria
- Modes of Transmission:
a. Direct contact
b. Indirect contact
- Clinical Manifestations:
1. Fatigue
2. Malaise
4. Febrile at 38’C
6. Grayish-white pseudomembrane
8. Breathing difficulty
15. In severe cases, the entire neck becomes swollen with edema extending to the chest.
- Treatment:
1. Penicillin
b. Fractional doses are given in positive cases, with the following schedule:
0.50 ml undiluted – IM
0.10 ml undiluted – IV
4. Supportive therapy:
c. Bed rest
d. Oxygen inhalation
- Nursing Management:
3. Ice collar
5. Patient must be advised to take absolute bed rest for at least 2 weeks.
a. Adenoviruses
b. Influenza
c. Epstein-Barr
- Clinical Manifestations:
1. Pain
3. Dysphagia
5. Lymphadenopathy
7. Hoarseness of voice
9. Abdominal pain
10. Headache
11. Myalgia
- Complications:
1. Peritonsillar abscesses/Quinsy
2. Painful swallowing
3. Thickening of voice
4. Drooling
6. Acute glomerulonephritis
7. Rheumatic fever
- Diagnostics:
b. CBC
c. Isolation of microorganism
d. Culture
- Treatment:
1. Antibiotics
a. Amoxicillin
b. Penicillin
c. Erythromycin
d. Cefuroxime
2. Antipyretics
- Surgical interventions:
- Discharge instructions:
c. Take lozenges.
d. Antiseptics.
h. No aspirin.
III. PERTUSSIS
- Whooping cough
1. Painful abdomen
2. Intraconjunctival haemorrhage
3. Umbilical hernia
- Modes of transmission:
a. Direct contact
b. Droplet
c. Ingestion
d. Indirect contact
- Types of Manifestations:
a. Cough
b. Sneezing
d. Runny nose
e. Mucoid rhinoria
f. Lacrimation
2. Paroxysmal Stage:
c. Sneezing
d. Runny nose
o Crying
o Eating
o Drinking
o Physical exertion
3. Convalescent Stage:
*** In adolescents with chronic cough, advise them to conduct sputum exam.
- Nursing Interventions:
o Erythromycin
o TMP-MSZ
f. Nutrient intake.
***attacks at night.
- Complications:
5. Otitis media
7. Severe malnutrition and starvation due to persistent vomiting and inadequate sleep
and rest.
VIRAL INFECTIONS
- Catarrhal in stage
- Purulent with secondary infection- may be either viral or bacterial in infectious process
• Coryza
common colds
- Clinical manifestations:
a. Runny nose
b. Teary eyed
c. Sneezing
d. Coughing
e. Profused dishcarges
• In severe cases,
1. Chills
2. Fever
3. Sore throat
7. Headache
8. Chacitis (?)
9. Sinusitis
- Causative agents:
a. ADENOVIRUSES
b. CORONA VIRUSES
- Modes of transmission:
a. Droplet
b. Coughing
c. Sneezing
d. Fomites
- Medications:
1. Decongestants
2. Lozenges
- Nursing interventions:
2. Rest.
II. INFLUENZA
1. Coryza
2. Fever
3. Headache
4. Malaise
- Modes of Transmission:
a. Direct contact
b. Airborne
- Common manifestations:
1. Rhinorrhea
2. Cough
3. Colds
1. Sinusitis
2. otitis media
3. pneumonia
4. tracheobronchitis
- Clinical Manifestations:
1. Substernal burning
2. Sore throat
***Systemic Manifestations***
a. Fever
b. Chills
c. Malaise
d.
e. Muscle aches
f. Fatigue
- Diagnostics:
a. History
- Treatment:
a. Amantadine
b. Remantadine
- Nursing Diagnoses:
- Nursing interventions:
a. Stay at home
5. Hygiene
Lower Respiratory Tract Infections
I. PNEUMONIA
- It is an acute nonspecific infection affecting the alveoli and tissue of the lungs
- Clinical manifestations:
1. Fever
2. Productive cough
4. Chills
5. SOB
7. Diaphoresis
8. Convulsions
- Air sacs or alveoli are filled with exudates, inflammatory cells, and fibrin
1. Bacteria
2. Viruses
3. Mycoplasma
4. Fungi
5. Various chemicals
1. STREPTOCOCCUS PNEUMONIAE
2. STAPHYLOCOCCUS AUREUS
3. HAEMOPHILUS INFLUENZAE
- G(+) : S. pneumonia
- Classifications of Pneumonia
o Other causes:
1. H. influenza
2. Legionella
B. Nosocomial pneumonia- develops while the client is in the hospital
o Causative agents:
1. S. aureus
2. Klebsiela
3. P. aeruginosa
4. E. coli
5. Enterobacter group
C. Aspiration pneumonia- occurs when a foreign matter is inhaled into the lungs, most
commonly when a gastric content enters the lungs after vomiting
- End result: exudate formation filled alveoli with serous fluids, PMNs
- Have CXR to assess for consolidation (hard tissues, alveoli), or having stabbing chest pain
with retractions.
- Nursing Diagnoses:
4. Activity intolerance
- Diagnostics:
f. CXR- consolidation; TB
g. Fiber optic bronchoscopy- employed only if physician desires cytologic exam; last
resort
- Treatment:
a. S. pneumonia:
o IV penicillin
o Amoxicillin
o Doxycycline
o Erythromycin
o Cefazolin
o Vancomycin
o Fluoroquinolones
b. S. aureus:
o Vancomycin
o Methicillin
o Cephalexin
o Erythromycin
o Clindamycin
c. M. pneumonia:
o Erythromycin
o Azithromycin
o Doxycycline
o Clarithromycin
o Fluoroquinolones
d. Klebsiela:
o Aminoglycosides
o Metronidazole
o Imipenem cilastatin
e. P. carinii
o Climetropine
o TMP-SMZ/ Trimethoprim-Sulfamethoxazole
2. Other drugs:
a. Bronchodilators
b. Expectorants
c. Pain relievers
- Nursing interventions:
2. Incentive spirometry
5. Chest physiotherapy
7. Monitor vital signs closely and watch for danger signs like:
a. Marked dyspnea
II. TUBERCULOSIS
- A mycobacterial infection
- Modes of transmission:
a. Droplet infection
b. Airborne
c. Direct contact
d. Indirect contact
e. Food contamination
3. Duration of exposure
6. Frequency of coughing
9. Homeless
10. Alcoholism
12. HIV
- Classifications:
A. Class 0
B. Class 1
no manifestations
no treatments
Ghon complex
C. Class II
No symptoms experienced
D. Class III
Frank case of TB
1. INH
2. Rifampicin
3. Pyrazinamide
E. Class IV
Not communicable
F. Class V
Atypical cases
Positive to S/S
Negative to diagnosis
- Clinical Manifestations:
1. Chest pain
3. Fatigue
4. Weight loss
5. Anorexia
- Tubercle formation in the cavitaries causing ulceration and shows haziness and no blood flow
in CXR, chees-like substance/Swiss cheese
- Complications:
1. Empyema
3. Bronchopleural fistula
5. Affectations:
a. GIT
b. GUT
c. Kidneys
d. Meninges- TB meningitis
e. Bones-
f. Bone marrows
- Diagnostics:
c. Sputum exam
e. CXR
f. C&S
2. Vision exam
Determines optic neuritis
3. Audiometric exam
Ototoxicity
- Treatment:
1. Isoniazid/INH- Anti-Koch’s
2. Rifampicin
ACODPO
3. Pyrazinamide or PZA
4. EMB, Myambutol
A/E: ototoxicity
5. Streptomycin
Eradicates microorganisms
- Nursing interventions:
1. Respiratory isolation
3. Nutrition
4. Quit smoking
6. Rest
7. Sputum examination
9. Immunizations
III. SEVERE ACUTE RESPIRATORY SYNDROME
- Originated in China
- Clinical Manifestations:
1. Cough
2. Chest pain
3. Fever
4. SOB
5. Hypoxia
6. DOB
- Epidemiologic Criteria:
2. History of patient
3. Recent travel
4. Contacts
- Modes of transmission:
a. Direct contact
b. Droplet
d. Fomites
- Diagnostics:
c. Pulse oximetry
d. CBC
f. Sputum exam
g. Blood culture
- Home care:
1. Prevention
c. Hand washing
GIT INFECTIONS
Functions of GIT:
1. Digestion
2. Absorption
3. Metabolism
4. Elimination
Terms:
I. GASTROENTERITIS
- Exotoxins released damage the mucosal lining of the stomach and small intestines
- Causative agents:
1. Staphylococcus
2. C. perfringens
4. E. coli
5. Vibrio cholera
- Clinical manifestations:
1. Anorexia
2. N&V
3. Abdominal pain
4. Cramping
5. Borborygmic sounds
6. Diarrhea
7. Malaise
8. Headache
9. Weakness
13. Fever
- Types:
1. Pasta
2. Noodles
Manifestations:
c. Hypogastric pain
d. Diarrhea
C. Botulism
Clinical Manifestations:
b. Dysphagia
d. GI manifestation
Mgt.:
c. Antitoxins
D. Cholera
a. Vomiting
b. Thirst
c. Oliguria
d. Muscle cramps
Mgt. :
a. IVF
b. Tetracycline – 1
c. TMP-SMZ
E. Salmonelliasis
Caused by S. TYPHII/TYPHOSA
No ulcer formation
Manifestations:
1. Abdominal pain
2. N&V
4. Chills
5. Cramping
Antibiotics:
1. TMP-SMZ
2. Ciprofloxacin
Bloody flux
Manifestations:
2. Tenesmus
Mgt.:
1. F&E replacement
2. Correct acidosis
Diagnostics:
1. Stool exam
5. ABG analysis
6. Sigmoidoscopy
Interventions:
1. ORESOL
1 tbsp. salt
1L of water
Flavouring extract
2. IVF
3. Place on NPO
5. Gastric lavage
6. Hand washing
INCLUDE:
1. Herpes Zoster
2. Measles
3. Chicken pox