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Herpes Zoster 3B6110F6-C72E-4DD2-9F68-ABC4EA8CD24F - Coggle Diagram
Herpes Zoster
Definition
Also called shringles
A reactivation of chickpox virus in the body causing painful rash
Pathophysiology
The virus can enter the nervous system
Lay dormant for years and get reactivated later
After a person had chickenpox
It is contagious through direct contact
Varicella zoster virus
Causes
Varicella zoster virus
Same virus that causes chickenpox
Risk factors
Being older than 50
Having certain diseases such as HIV/AIDS
Taking certain medications
Undergoing cancer treatment
Complications
Posttherapertic neuralgia
Vision loss
Neurological problems
Skin infection
Diagnosis
Polymesare chain reaction ( PCR)
Direct fluorescent antibody
Tzank smears
Serelogic methods
Clinical manifestations
Sensitivity to touch
Fluid filled blister that break open and crust over
Itching
Pain
Fever
Headache
Sensitivity to light
Pharmacology therapy
Chickenpox vaccine : varivax
Shingles vaccine : Shringrix and zostavax
Nursing diagnosis
Acute or chronic pain
Deficiency knowledge
Risk for infection
Nursing interventions
Assess the patient’s description of pain to identify the source of pain
Ensure patient avoids extreme temperatures due to sensitivity
Apply cool moist drssings to Pruitt is lesions with burrows solution several times a day
Educate the patient about condition to alliviate deficiency of knowledge
Monitor vital signs to identify abnormalities
Nursing evaluation
The patient will be comfortable as evidenced by the ability to rest
The patient will report satisfactory pain control at levels less than 3-4 on a scale of 0-10
Health education
Ensure to wear loose non-restrictive clothing made of cotton
Avoid running or scratching the skin to cause blisters unnecessarily
