NURS 629 Peds Exam 3 Infectious Disease
Study online at https://quizlet.com/_dg5go2
1. Antbiotics There is good bacteria within our bodies, such as the gut,
that helps increase our immune response. However, cer-
tain medications that are overused like _____ bypass the
immune system and are not recognized , causing spread
and duplicatation within the body. Educate you patients
that should not receive this medication because of best
practice of
-What supportive things can be done to help with illness
-Offer handout on OTCs that will make feel better for
specific illness.
-Say "You know what? The good thing is you don't need
another medication that has side effects and can make
you even more sick."
2. history A good _____ will help determine differentials and how to
conduct the physical. We want to know about
-What was the presenting symptom? (What started first;
the rash [how fast did it develop] or the fever[how high]?)
-How long did it last?
-OLD CARTS
-Comorbidities, Family hx, medications (like steroid use)
allergies, immunizations, recent travel
-Symptoms longer than 7-10 days usually bacterial infec-
tion but not always.
3. Hand-foot-mouth Caused by Coxsackie Virus.
disease Most common in children (esp. with those that attend day-
care) BUT can present in adults also (symptoms usually
worse).
3-6 day incubation
Outbreaks most often occur in late summer or early fall
(when school starts)
4. 24-48 Getting a CRP is controversal but if a CBC is obtained
and the CRP is elevated you want to get a second CRP
in ____to____ hrs. to confirm diagnosis especially if it
continues to trend up (increase).
5. ESR
, NURS 629 Peds Exam 3 Infectious Disease
Study online at https://quizlet.com/_dg5go2
If this is elevated, showing that there is an inflammatory
marker going on.
6. Hand-foot-mouth Review of symptoms for this disease (What parents in-
disease form):
Low grade fever usually starts first possibly with some
malaise, a little sore throat, appeitite decreased noticed a
few days before rash.
Feet hurt to walk (rash that becomes tender)
20% will also have lymphadenopathy present.
7. Hand-foot-mouth Objective Findings for this disorder (Phsyical Exam):
disease Oral lesions typically appear first
If you notice the oral lesions look at hands and feet. 24
hrs after symptom start lesions (if they are going to) start
which appear like a petechial rash (pinpoint, round spots
that form on the skin. They're caused by bleeding, which
makes the spots look red, brown or purple. The spots
often form in groups and may look like a rash. The spots
are often 3-7 mm, flat to the touch [macular] and are
nonblanchable [don't lose color when you press on them])
and then blisters start.
Looks like caner sores with yellow ulcers and red halo but
it can also be pale, white, and oval with a red halo.
Rash usually resolves in 7 days.
Keep in mind depending on the strain of the coxsacie virus
the lesions can be in the genital area, on the upper and
lower extremities and on the torso.
8. Non-blanchable Erythema that means the skin does not turn white when
touched with a finger.
9. Supportive What is the treatment for
(Tylenol, warm Hand-foot-mouth disease?
baths, Oragel)
10. Benadryl:Maalox Oragel can be used for symptom managment of
Hand-foot-mouth disease but as a provider if you are
concerned about choking hazards because of the child's
age the parents can use magic mouthwash which is a 1:1
Study online at https://quizlet.com/_dg5go2
1. Antbiotics There is good bacteria within our bodies, such as the gut,
that helps increase our immune response. However, cer-
tain medications that are overused like _____ bypass the
immune system and are not recognized , causing spread
and duplicatation within the body. Educate you patients
that should not receive this medication because of best
practice of
-What supportive things can be done to help with illness
-Offer handout on OTCs that will make feel better for
specific illness.
-Say "You know what? The good thing is you don't need
another medication that has side effects and can make
you even more sick."
2. history A good _____ will help determine differentials and how to
conduct the physical. We want to know about
-What was the presenting symptom? (What started first;
the rash [how fast did it develop] or the fever[how high]?)
-How long did it last?
-OLD CARTS
-Comorbidities, Family hx, medications (like steroid use)
allergies, immunizations, recent travel
-Symptoms longer than 7-10 days usually bacterial infec-
tion but not always.
3. Hand-foot-mouth Caused by Coxsackie Virus.
disease Most common in children (esp. with those that attend day-
care) BUT can present in adults also (symptoms usually
worse).
3-6 day incubation
Outbreaks most often occur in late summer or early fall
(when school starts)
4. 24-48 Getting a CRP is controversal but if a CBC is obtained
and the CRP is elevated you want to get a second CRP
in ____to____ hrs. to confirm diagnosis especially if it
continues to trend up (increase).
5. ESR
, NURS 629 Peds Exam 3 Infectious Disease
Study online at https://quizlet.com/_dg5go2
If this is elevated, showing that there is an inflammatory
marker going on.
6. Hand-foot-mouth Review of symptoms for this disease (What parents in-
disease form):
Low grade fever usually starts first possibly with some
malaise, a little sore throat, appeitite decreased noticed a
few days before rash.
Feet hurt to walk (rash that becomes tender)
20% will also have lymphadenopathy present.
7. Hand-foot-mouth Objective Findings for this disorder (Phsyical Exam):
disease Oral lesions typically appear first
If you notice the oral lesions look at hands and feet. 24
hrs after symptom start lesions (if they are going to) start
which appear like a petechial rash (pinpoint, round spots
that form on the skin. They're caused by bleeding, which
makes the spots look red, brown or purple. The spots
often form in groups and may look like a rash. The spots
are often 3-7 mm, flat to the touch [macular] and are
nonblanchable [don't lose color when you press on them])
and then blisters start.
Looks like caner sores with yellow ulcers and red halo but
it can also be pale, white, and oval with a red halo.
Rash usually resolves in 7 days.
Keep in mind depending on the strain of the coxsacie virus
the lesions can be in the genital area, on the upper and
lower extremities and on the torso.
8. Non-blanchable Erythema that means the skin does not turn white when
touched with a finger.
9. Supportive What is the treatment for
(Tylenol, warm Hand-foot-mouth disease?
baths, Oragel)
10. Benadryl:Maalox Oragel can be used for symptom managment of
Hand-foot-mouth disease but as a provider if you are
concerned about choking hazards because of the child's
age the parents can use magic mouthwash which is a 1:1
