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Chicken Pox

This document provides information about chickenpox including: - Chickenpox is caused by the varicella virus and spreads through air droplets, with an incubation period of 10-23 days. Initial symptoms include mild fever and malaise. - It clinically manifests as macules, papules, vesicles, and crusts affecting the integumentary, respiratory, genitourinary, gastrointestinal, and nervous systems. Diagnosis can be confirmed through antigen detection tests, ELISA, or showing a rise in antibody titer. - Nursing care includes oral and skin hygiene, eye/ear care, good diet, active immunization with varicella vaccine, avoiding hot

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817 views

Chicken Pox

This document provides information about chickenpox including: - Chickenpox is caused by the varicella virus and spreads through air droplets, with an incubation period of 10-23 days. Initial symptoms include mild fever and malaise. - It clinically manifests as macules, papules, vesicles, and crusts affecting the integumentary, respiratory, genitourinary, gastrointestinal, and nervous systems. Diagnosis can be confirmed through antigen detection tests, ELISA, or showing a rise in antibody titer. - Nursing care includes oral and skin hygiene, eye/ear care, good diet, active immunization with varicella vaccine, avoiding hot

Uploaded by

omni12
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Immaculate Conception College of Albay

Daraga , Albay

Manila Affiliation
San Lazaro Hospital

Chicken
Pox

Submitted by:
Mary Jane S. Orbana
BSN –IV , Group 35

Submitted to:
Mrs. Arroyo
Clinical Instructor

Chicken Pox
- an acute viral disease , usually beginning with constitutional symptoms that are
followed shortly by an eruption appearing in crops and characterized by macules ,
papules , vesicles , and granular scab or crusting .

Causative Agent:

- Varicella virus or zoster virus

Mode of Entry:

- the spread of virus is by air droplets from nasopharyngeal secretions , that usually
requires face to face exposure but can also occur to susceptible individuals . Man is the
only source of infection .

System Affected:

Integumentary system , respiratory system , genitourinary system , gastrointestinal


system , and central nervous system .

Incubation Period:

10 – 23 days after exposure

Initial Symptoms:

Mild fever and Malaise

Pathophysiology

Initial inhalation of contaminated respiratory droplets or direct contact with these vesicles
|
Virus infection is in the conjunctiva or the mucosa of the upper respiratory tract
|
Viral proliferation occurs in regional lymph nodes of the upper respiratory tract
|
Primary viremia
|
Secondary viremia characterized by difference viral invasion of capillary endothelial cells
and the epidermis
|
Varicella zoster virus infection of the malpigtian layer
|
Intracellular edema occurs
|
Edema resulting in the characteristics of vesicles
Clinical Manifestation:

Objective:
- malaise
- papule
- macular rash
- vesicle
- crusts
- pustule
- discrete lesion
- fever
- sore throat
- irritability
- pharyngitis
- rhinitis

Subjective:
- headache
- pruritus
- loss of appetite
- pain in the affected part
- tingling sensation
- itchiness
- burning sensation
- arthralgia

Diagnostic Test:

1. Antigen detection test for rapid diagnosis are becoming increasingly available . It
confirmations necessary ; acute and convalescent serum will show a rise in titer of
antibody to VZV .
2. ELISA test ( Enzyme Link Immunosorbent Assay ) which is most necessary .
3. FAMA ( Flourescent Antibody to Membrane Antigen ) .
4. Complement Fixation Test ( CF ) .
5. RIA ( Radio Immuno Assay ) .
6. Passive Hemaglutination ( PHA )
7. Neutralization Test

Nursing Diagnosis:

1. Sleep Pattern Disturbance


2. Knowledge Deficit
3. Body Image Disturbance
Pharmacologic Treatment:

1. Vedarabine
2. Acyclocir
3. Antihistamine
4. Calamine Lotion
5. Antipyretic

Nursing Intervention:

1. Oral and nasal hygiene


2. Eye and ear care
3. Good diet
4. Active immunization
5. Give attenuated vesicle suspense varicella vaccine .
6. Teach the pt. to avoid using healing pads or hot water into the strin .
7. Isolation of the pt. crutial all lesions have become encrusted .

Pathognomonic Sign:

- Maculo – papular rash

Assessment:

1. Taking the patient history .


2. Auscultation
3. Observation
4. Take the body temperature .

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