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Click on a Moment to view a list of related activities and video examples 'Based on the 'My 5 moments for Hand Hygiene' © World Health Organization 2009. All rights reserved.' Moment 1 - before touching a patientWhenPerform hand hygiene on entering the patient's zone before touching the patient. Why?To protect the patient against acquiring harmful germs from the hands of the HCW. In detail
Moment 2 - before a procedureWhenImmediately before a procedure. Once hand hygiene has been performed, nothing else in the patient's environment should be touched prior to the procedure starting. Why? To protect the patient from potential pathogens (including their own) from entering their body during a procedure. In detail
Moment 3 - after a procedure or body fluid exposure riskWhenHand hygiene immediately after a procedure or body fluid exposure risk as hands could be contaminated with body fluid. Even if you have had gloves on you should still perform hand hygiene after removing them as gloves are not always a complete impermeable barrier. Hands may also have been contaminated in the process of removing the gloves. Why?To protect yourself and the healthcare surroundings from becoming contaminated with potential pathogens. In detail
Moment 4 - after touching a patientWhenHand hygiene after touching a patient. Perform hand hygiene before you leave the patient zone. WhyTo protect yourself and the healthcare surroundings from becoming contaminated with potential pathogens. Moment 5 - after touching a patient's surroundingsWhenHand hygiene after touching a patient's surroundings even when the patient has not been touched. Always hand hygiene before leaving the room. Why?To protect yourself and the healthcare surroundings from becoming contaminated with microorganisms. In detail
Reye’s syndrome typically occurs after a viral illness, particularly an upper respiratory tract infection, influenza, varicella, or gastroenteritis, and is associated with the use of aspirin during the illness. What is Reye’s Syndrome?The syndrome was first described in 1963 in Australia by RDK Reye and described a few months later in the United States by GM Johnson.
PathophysiologyThe pathophysiology of Reye’s syndrome appears as follows:
Statistics and IncidencesIn the United States, national surveillance for Reye’s syndrome began in 1973.
CausesThe causes of Reye’s syndrome include the following:
Clinical ManifestationsSigns and symptoms of Reye’s syndrome include:
The CDC uses the Hurwitz classification but adds stage 6. The stages used in the CDC classification of Reye’s syndrome are as follows:
Assessment and Diagnostic FindingsWorkup to exclude inborn errors of metabolism (IEMs) must be performed and should include evaluation for defects of fatty-acid oxidation, amino and organic acidurias, urea-cycle defects, and disorders of carbohydrate metabolism. Histopathology of autopsy liver from child who died of Reye’s syndrome. Hepatocytes are pale-staining due to intracellular fat droplets. Image via: Wikipedia
Medical ManagementNo specific treatment exists for Reye syndrome; supportive care is based on the stage of the syndrome.
Pharmacologic ManagementNo specific treatment is available for Reye syndrome.
Nursing ManagementNursing management for the patient with Reye’s syndrome include: Nursing AssessmentAssessment findings for Reye’s syndrome:
Nursing DiagnosisBased on the assessment data, the major nursing diagnoses are: Nursing Care Planning and GoalsThe major goals for the patient are:
Nursing InterventionsNursing interventions for the patient are:
EvaluationThe goals are met as evidenced by:
Documentation GuidelinesDocumentation for the patient include:
Practice Quiz: Reye’s SyndromeHere’s a 5 item quiz about Reye’s Syndrome. Please visit our nursing test bank page for more NCLEX practice questions. 1. Reye’s syndrome is a rare and severe illness affecting children and teenagers. Its development has been linked with the use of aspirin and which of the following? A. Meningitis D. Varicella 2. A 4-year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. Of the following nursing actions, which one should the nurse do first? A. Place the child in the nearest bed. B. Administer IV medication to slow down the seizure. C. Place a padded tongue blade in the child’s mouth. D. Remove the child’s toys from the immediate area. 2. Answer: D. Remove the child’s toys from the immediate area. 3. Reye’s syndrome may occur after kids get aspirin to treat viral symptoms. Can you name two viral infections? 3. Answers: B&D. Varicella and Influenza 4. What should be given to treat flu-like symptoms instead of aspirin? A. Paracetamol B. Ibuprofen 5. The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should: A. Maintain strict intake and output. B. Check the pulse before giving the medication. C. Administer the medication 30 minutes before meals. D. Provide oral hygiene and gum care every shift. 5. Answer: D. Provide oral hygiene and gum care every shift. |