DIPTHERIA Flashcards

(42 cards)

1
Q

what is diptheria?

A

acute febrile infection of the throat, tonsils, larynx, nose

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2
Q

microorganisms can produce _____ that destroys _____

A

toxins
healthy tissues

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3
Q

causative agent for Diptheria

A

coryne bacterium diptheriae
klebs loeffler bacillus

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4
Q

causative agent for Diptheria

A

coryne bacterium diptheriae
klebs loeffler bacillus

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5
Q

classification of diptheria

A

bacterial
which is a gram positive

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6
Q

diptheria is a gram positive bacteria which means?

A

color purple in microscope and thick

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7
Q

incubation period

A

2-5 days

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8
Q

period of communicability

A

3-4 weeks

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9
Q

patient should be??

A

isolated

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10
Q

mode of transmission??

A

droplet
contact
milk vehicle

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11
Q

what to do to soiled linens??

A

boil first for 30 minutes before washing them

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12
Q

susceptibility?

A

Infants born of mothers who had diphtheria = immune but
disappears before the 5 months after birth

(di sure paki clarify)

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13
Q

pathognomonic signs??

A

pseudomembrane
bullneck appearance

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14
Q

what is pseudomembrane?

A

group of death tissue

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15
Q

color of pseudomembrane?

A

grayish/whitish

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16
Q

what is bullneck appearance?

A

inflammation of the neck

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17
Q

enumerate the types of diptheria

A

nasal diptheria
laryngeal diptheria
pharyngeal diptheria

18
Q

in nasal diptheria, where do microorganisms attack?

19
Q

Side effects ng nasal diptheria

A

coryza “runny nose”

epistaxis

adenitis or lymphadenitis “lymphadenopathy” (inflammation of the lymph nodes)

20
Q

in laryngeal diptheria, where do microorganisms attack?

21
Q

SE of laryngeal diptheria

A

hoarseness of voice

22
Q

in pharyngeal diptheria, where do microorganisms attack?

23
Q

SE of pharyngeal diptheria

A

Sore throat
tonsilitis
bullneck appearance

24
Q

what are the diagnostic test for diptheria?

A

SHICK’S TEST

MOLONEY’S TEST

25
what is schick’s test
Determines susceptibility and immunity to diphtheria
26
what is maloney’s test
Determines hypersensitivity to the diphtheria toxoid
27
how many ml of diptheria toxoids to be injected?
0.1 ml (both diagnostic test)
28
route of the two diagnostics tests?
ID
29
where do they inject the diptheria toxoids?
left forearm
30
induration of the two diagnostics test?
10mm
31
result reading??
after 2-3 days
32
give me the 4 nursing management of diptheria
strict isolation coughing etiquette pasteurization vaxx
33
strict isolation:
5-7 days because the patient is highly contagious
34
coughing etiquette?
wear mask maintain distance to 3 ft cover mouth when talking, sneezing
35
what are the drug of choice for diptheria?
antibiotics (penicillin, erythromycin)
36
penicillin
250 mg PO QID for 14 days
37
erythromycin
500 mg (10mg/kg children) PO every 6hrs for 14 days
38
prevention??
DPT or pentavalent
39
DPT content: given when: dosage: # of doses: route: old sched: new sched: side effects:
content: weakened toxin given when: 6-10-14 weeks dosage: 0.5 ml # of doses: 3 route: IM old sched: 6-10-14 new sched:6-10-14 side effects: LOCAL SORENESS, FEVER
40
absolute contraindications of DPT1?
neurologic disorders such as meningitis, hydrocephalus, cerebral palsy, etc
41
absolute contraindications of DPT2 and DPT3?
convulsions/seizures within 72 hrs after the 1st dose
42
contraindications for any vaxx?
chemotherapy corticosteroids therapy fever 38.5