CHICKENPOX

                  3.  CHICKENPOX

DEFINITION

It is highly infection disease which is due to Varicella Zoster (VZ) virus. 

It is characterized by vesicular rashes with fever,malaise and aches.

CAUSATIVE AGENT

• Human (alpha) herpes virus.

SOURCES OF INFECTION

• NASAL SECRETION
• THROAT SECRETION
• MUCOUS membranes and blood.

INCUBATION PERIOD

       14-17 days.

SIGN/SYMPTOMS

• Pro-dromal stage/Pre-eruptive

          - Fever

          - Bodyache

          - Shivering

          - Malaise

Chickenpox

• Eruptive stage

           - Rashes appear

           - Stage of rashes.

                      Macule (Rash appear)

                                         !

                             Papules (Fix)

                                         !

                            Vesicle (Fluid)

                                         !

                                      Scan

Macule :- Change skin colour but not                                 elevation.

Papules :- Solid elevated structured and                            change skin colour.
Pustule :- Elevated skin with pus collection.

COMLICACOMPLI

• Skin infection
• Respiratory infection
• Encephalitis
• Haemorrhage

MEDICAL MANAGEMENT

• Daily antiseptic bath
• Oral histamines to decrease pruritus
• Isolation until all lesion have crusted.
• Antiviral drugs 
• Avoid salicylates.
• Advice ti patient for shorten finger nails to prevent scratching.

NURSING MANAGEMENT

• Provide isolation to patient
• Provide rest to patient
• Give skin care
• Advice the patient that do not scratch to skin lesion.