Page 358 - 2021 IDMT Digital

POLIOMYELITIS
Introduction:
• 3ROLRP\HOLWLV YLUXV DQ HQWHURYLUXV LV SUHVHQW LQ WKURDW ZDVKLQJV DQG VWRROV
• ,W LV KLJKO\ FRQWDJLRXV WKURXJK IHFDO RUDO URXWH
• :LOG 3ROLR 9LUXV W\SHV DQG ZHUH HOLPLQDWHG IURP DOO EXW FRXQWULHV E\
• $W OHDVW RI LQIHFWLRQV DUH DV\PSWRPDWLF

Subjective:
• 6LJQV DQG 6\PSWRPV
o )HYHU KHDGDFKH YRPLWLQJ GLDUUKHD VRUH WKURDW ODVWLQJ GD\V
o 0HQLQJHDO LUULWDWLRQ DQG PXVFOH VSDVP LQ WKH DEVHQFH RI IUDQN SDUDO\VLV
o 7UHPRUV PXVFOH ZHDNQHVV FRQVWLSDWLRQ DQG LOHXV PD\ DSSHDU
Objective:
• 3K\VLFDO ([DP
o 3RVVLEOH SDUDO\VLV RI WKH VKRXOGHU JLUGOH SUHFHGHV LQWHUFRVWDO DQG GLDSKUDJPDWLF
SDUDO\VLV
ƒ 3DUDO\VLV LV IODFFLG KDV DQ DV\PPHWULF GLVWULEXWLRQ DQG DIIHFWV WKH
SUR[LPDO PXVFOHV RI WKH ORZHU H[WUHPLWLHV
ƒ 6HQVRU\ ORVV LV UDUH
o 'LSORSLD IDFLDO ZHDNQHVV G\VSKDJLD G\VSKRQLD
o :HDNQHVV RI VWHUQRFOHLGRPDVWRLG DQG WUDSH]LXV PXVFOHV
o /LIH WKUHDWHQLQJ UHVSLUDWRU\ SDUDO\VLV
Assessment:
• 'LIIHUHQWLDO
o 0HQLQJLWLV SRVLWLYH .HUQLJ %UXG]LQVNL
o *XLOODLQ %DUUH DVFHQGLQJ ELODWHUDO SDUDO\VLV
o 7LFN SDUDO\VLV H[SRVXUH WR WLFNV toxin-mediated
Plan:
• Treatment is supportive
• &DUULHV D PRUWDOLW\ UDWH RI XS WR
• $Q\ VXVSLFLRXV FDVHV VKRXOG EH UHIHUUHG WR SXEOLF KHDOWK &'&
• 3UHSDUH WR (9$& RU WUDQVIHU
Patient Education:
• .HHS LPPXQL]DWLRQV XS WR GDWH

Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

[ 357 ]