Term
|
Definition
COMMONLY REFERRED TO AS SHINGLES
AN INFLAMMATORY VIRAL INFECTION THAT CAUSES A PAINFUL VESICULAR ERUPTION ALONG THE NERVE DISTRIBUTION, OR THE DERMATOME.
|
|
|
Term
|
Definition
THE VIRUS ENTERS THE CUTANEOUS NERVES DURING AN EPISODE OF CHICKEN-POX AND
TRAVELS TO NERVE CELLS NEAR THE BRAIN & SPINAL CORD WHERE IT LIES DORMANT UNTIL IT IS REACTIVATED
CAUSING THE VESICULAR ERUPTIONS THAT FOLLOW THE DERMATOME,
|
|
|
Term
|
Definition
| THE skin area supplied by the nerve ROOT |
|
|
Term
HERPES ZOSTER
Reactivation
FACTORS THAT IMPAIR IMMUNE SYSTEM FUNCTION: |
|
Definition
AGING,HIV AND CANCER,ORGAN TRANSPLANT,
FATIGUE, AND EMOTIONAL STRESS
|
|
|
Term
HERPES ZOSTER Clinical Manifestations
48 HOURS BEFORE THE SKIN ERUPTION THE CLIENT EXPERIENCES
|
|
Definition
FEVER, MALAISE,
LYMPHADENOPATHY,
SEVERE ITCHING, AND
PAIN ALONG THE DERMATOME
|
|
|
Term
HERPES ZOSTER
Clinical Manifestations
CLIENTS DESCRIBE THE PAIN AS... |
|
Definition
SEVERE STABBING, BURNING, TEARING, CUTTING, ACHING, AND AS TENDERNESS
RADIATES OVER THE ENTIRE AREA, OR DERMATOME |
|
|
Term
HERPES ZOSTER Clinical Manifestations
GROUPED VESICLES appear IN A......ON....... |
|
Definition
LINEAR PATTERN ON RED SWOLLEN SKIN.
|
|
|
Term
HERPES ZOSTER
THE PAIN MAY PERSIST FOR ... |
|
Definition
MONTHS OR YEARS AFTER THE ERUPTION.
|
|
|
Term
|
Definition
THE DISCOMFORT GRADUALLY SUBSIDES AS THE LESIONS APPEAR BUT THE PAIN MAY PERSIST FOR MONTHS OR YEARS AFTER THE ERUPTION.
|
|
|
Term
| SHINGLES USUALLY ARE IN A........ PATTERN |
|
Definition
|
|
Term
LESIONS DO NOT CROSS THE
MIDLINE BECAUSE.... |
|
Definition
THE NERVE ROOT DOES NOT CROSS THE MIDLINE.
|
|
|
Term
HERPES ZOSTER Clinical Manifestations
THE INDIVIDUAL LESIONS CRUST OVER & DROP OFF IN... |
|
Definition
ABOUT 10 DAYS BUT CONTINUOUS ERUPTIONS MAY OCCUR OVER A PROLONGED PERIOD OF TIME.
|
|
|
Term
HERPES ZOSTER
THE CLIENT IS CONTAGIOUS UNTIL |
|
Definition
ALL OF THE LESIONS HAVE SCABBED OVER.
|
|
|
Term
HERPES ZOSTER
THE LESIONS MAY DEVELOP A....... |
|
Definition
SECONDARY INFECTION BECAUSE OF THE OPEN SKIN.
|
|
|
Term
HERPES ZOSTER Distribution
THE MOST COMMON SITES ARE IN THE:
|
|
Definition
THORACIC, CERVICAL, OR CRANIAL NERVE DISTRIBUTION
MAY INVOLVE THE OPTHALMIC BRANCH |
|
|
Term
| IF SHINGLES INFECTS THE 8TH CRANIAL NERVE THE CLIENT..... |
|
Definition
CAN HAVE PROBLEMS WITH HEARING AND BALANCE.
|
|
|
Term
| SHINGLES MAY BE DISSEMINATED .. |
|
Definition
MAY INVOLVE ORGAN SYSTEMS, SUCH AS THE LUNG, LIVER, AND THE BRAIN.
|
|
|
Term
HERPES ZOSTER
serious complication |
|
Definition
Cerebral vasculitis,
can result in a stroke.
encephalitis |
|
|
Term
HERPES ZOSTER
Medical Diagnosis |
|
Definition
MADE BASED ON THE APPEARANCE OF THE LESIONS AND THE CLIENT’S HISTORY OF EXPOSURE
TSanck test |
|
|
Term
HERPES ZOSTER
Management Goals |
|
Definition
|
|
Term
HERPES ZOSTER Management Goals
WET DRESSINGS WITH BURROWS SOLUTION CAN BE USED FOR.... |
|
Definition
|
|
Term
HERPES ZOSTER
THE CLIENT SHOULD BE TAUGHT TO CALL THE PHYSICIAN FOR |
|
Definition
| WORSENED S/S & FOR EYE INVOLVEMENT |
|
|
Term
|
Definition
| THERE IS No comprehensive data on the effectiveness of THE vaccine in treating shingles once it occurs |
|
|
Term
HERPES ZOSTER Post Herpetic Neuralgia
can be treated with
|
|
Definition
SYSTEMIC CORTICO-STEROIDS AND, ANTIVIRALS, SUCH AS, ACYCLOVIR, FAMCICLOVIR, OR VALTREX.
FOSCAVIR CAN BE USED FOR IMMUNO-SUPPRESSED CLIENTS |
|
|
Term
HERPES ZOSTER
Precautions
|
|
Definition
AIRBORNE & CONTACT PRECAUTIONS SHOULD BE USED FOR THESE SUSCEPTIBLE PEOPLE IF THEY ARE UNABLE TO AVOID CONTACT.
|
|
|
