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8/8/2019 Anthrax and Pinworm
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2 . INHALATIONAL ANTHRAX (woolstersdisease)Severe viral respiratory diseases are thepresenting symptomsAfter 1 3 days of acute phase, increasing
fever, dyspnea, hypoxia, and hypotensionoccurs leading to death within 24 hoursClinical findings showed that the organismsare directly deposited into the alveoli or intothe alveolar duct producing hemorrhagicnecrosis of the nodes associated withhemorrhagic mediastinitis
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3 . GIT ANTHRAXResults from ingestion of inadequately cookedmeat from animals withanthraxPrimary infection isintiated in the intestineswhere lesions are formedaccompanied byhemorrhagiclymphadenitisSymptoms include fever,nausea, and vomiting,abdominal pain, bloodydiarrhea and sometimesrapidly developing ascitis
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TREATME NT
Parenteral Penicillin G 2M units q6, untiledema subsidesE
rythromycin, tetracycline or chloramphenicolfor patients who are sensitive to penicillin
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NURSING MANAGE ME NT
c Careful history takingc Thorough physical examination
c Skin care, psychological and emotionalsupport
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PINWORM
(enterobiasis)An intestinal infection due to small intestinalworm which infects only man
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E TIOLOGIC AGE NT
ENTEROBIOUS VERMICULARISFormerly known as OXYURIS VERMICULARIS
Also known as seat SEAT WORM OR THREAD WORM
Lives and breeds in small intestine andupper portion of the colon
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INCUBATION PERIOD
One to two weeks
PE RIOD OF COMMUNICABILITY
As long as the personharbors theorganism, the person
is capable of transmitting thedisease. It is believethat if onemember of thefamily has it,everybody will have
it.
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MODE OF TRANSMISSION
Directly where the eggs are beingtransferred by hand from the anal region tomouthIndirectly though contaminated linens orbeddings bec. The eggs are not usuallydestroyed by ordinary launderingSwallowing or eating contaminated food
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DIAGNOSTIC TEST
Swabbing the perineal area with cellophane-tipped applicator and examining thecellophane microscopically for eggsThe best time to do this is in the early morningbefore washing the client done perineal care
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TREATME NT/MANAGE ME NT
Piperazine hexahydrateAll members of the family should be treatedfor pinworm at the same timeToilet seats must be washed daily withdisinfectantsPatient should sleep alone, and have her/his
own bedclothes, washclothsWash client s hand and clean finger nailsbefore each meal
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PRE VE NTIVE MEASURES
Thourough handwashing after defecation andurination
Aviod overcrowdingMeticulous personal hygieneImproved nutrition