Page 350 - 2021 IDMT Digital
P. 350
HERPES VIRUS
Introduction:
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• $V\PSWRPDWLF VKHGGLQJ RI HLWKHU YLUXV LV FRPPRQ EXW GHFUHDVHV DIWHU WKH ILUVW \HDU RI
LQLWLDO LQIHFWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o +69 SDLQIXO YHVLFOHV IRUP PRLVW XOFHUV DIWHU VHYHUDO GD\V DQG HSLWKHOLDOL]H
RYHU ZHHNV LI XQWUHDWHG SULPDU\ LQIHFWLRQ PRUH VHYHUH WKDQ UHFXUUHQFHV
9HVLFOHV FDQ IRUP RQ GLJLWV RU VNLQ LI PRXWK FRQWDFWV WKRVH DUHDV KHUSHWLF
ZKLWORZ
o +69 SULPDULO\ JHQLWDO WUDFW EXW FDQ VKRZ SDLQIXO OHVLRQV LQ WKH SHULDQDO
EXWWRFNV DQG XSSHU WKLJKV FDQ FDXVH G\VXULD FHUYLFLWLV DQG XULQDU\ UHWHQWLRQ LQ
ZRPHQ VLPLODU YHVLFOHV WR +69
o +69 FDQ FDXVH RFXODU GLVHDVH LI LQWURGXFHG WR WKH H\HV
Objective:
• 3K\VLFDO ([DP
o +((17 H[DP RU XURJHQLWDO H[DP GHSHQGLQJ RQ SUHVHQWLQJ FRPSODLQt
o /RRN IRU FKDUDFWHULVWLF WHQGHU YHVLFXODU OHVLRQ V ZLWK HU\WKHPDWRXV EDVH
0D\ EH LQ YDU\LQJ VWDWHV RI UHVROution
o 5HDFWLYH O\PSKDGHQRSDWK\
• 7RROV YLUDO FXOWXUH RI YHVLFOHV LI IHDVLEOH
Assessment:
• 'LIIHUHQWLDO
o &RQWDFW GHUPDWLWLV DOOHUJLHV WR OXEULFDnts ODWH[
o )ROOLFXOLWLV LQIHFWLRQ LQ KDLU IROOLFOHV IURP VKDYLQJ
o $SKWKRXV XOFHU GLIIHUHQW DSSHDUDQFH RI OHVLRQV
Plan:
• 0HGLFDWLRQV
o $F\FORYLU OHDVW FRVWO\ SRRU SDWLHQW FRPSOLDQFH GXH WR IUHTXHQF\ RI GRVLQJ
o 9DODF\FORYLU HDVLHU WUHDWPHQW UHJLPHQ
Patient Education:
• )RU +69 QR RUDO VH[ RU NLVVLQJ XQWLO WKH OHVLRQ V FRPSOHWHO\ UHVROYH GR QRW OHW WKH
OHVLRQ WRXFK DQ\ VNLQ RU WKH YLUXV FDQ EH WUDQVPLWWHG
• )RU +69 DEVWDLQ IURP LQWHUFRXUVH FRPSOHWHO\ ZKLOH KDYLQJ DQ RXWEUHDN DQG XVH
FRQGRPV LQ EHWZHHQ FRQVLGHU DQWLYLUDO VXSSUHVVLYH WKHUDS\ for frequent outbreaks
o 'LVFORVXUH WR SDUWQHUV LV DVVRFLDWHG ZLWK D UHGXFWLRQ LQ WUDQVPLVVLRQ
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
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