N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide

Nursing diagnosis for pertussis (whooping cough): • Ineffective breathing pattern related to coughing • Risk for altered body temperature related to fever • Altered nutritional status related to vomiting • Knowledge deficit related to immunizations Nursing interventions for pertussis (whooping cough): • Frequently monitor breath sounds and respiratory status • Monitor pulse oximetry • Give antibiotics as ordered by MD: o

©2017 Achieve Test Prep Page 34 of 204 Erythromycin (Zithromax and Biaxin): This can be effective if given early enough in the course of the infection. In later stages, it may prevent the transmission of the infection to others. o Bactrim: This sulfa drug can be used to treat pertussis and prevent the spread of the infection. • Give supplemental oxygen as ordered byMD • Encourage increased fluid intake • Encourage small, frequent soft diet or clear liquids if unable to swallow due to coughing • Keep room dark and quiet • Give parents thorough teaching on immunization schedule forDTaP Expected outcomes for pertussis (whooping cough): • Demonstrates adequate and effective breathing patterns • Demonstrates relief of symptoms • Demonstrates adequate PO Intake • Verbalizes understanding of immunizations Avian Influenza (H5N1 or Bird Flu) Avian influenza is a virus that is common in birds. In some rare cases, the virus can mutate and actually infect humans. The HPAI H5N1 virus is spread by respiratory and direct contact with infected birds and poultry. When humans catch the virus, it is potentially deadly. It can be spread among humans once a person is infected. This has brought major attention to controlling the virus in public health. The highest risk is for travelers to countries in the Far East such as Asia, Africa, and the South Pacific. Statistics show that the mortality rate for this infection can be as high as 60%. Since no vaccine is available at this time, prevention of the spread of the virus includes strict isolation and respiratory precautions for patients or those who come in contact with infected patients.

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