Infectious Disease: Rabies Subjective Objective Focused Assessment Lab Tests Dia
ID: 245097 • Letter: I
Question
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Explanation / Answer
SUBJECTIVE DATA:
A person said that ," a dog biting me while cross road
OBJECTIVE DATA:
as evidenced by redness and bleeding on bite site of a person
FOCUSING ASSESSMENT:
Step 1 : immediately wash wounds/ exposed area
Step 2 : capture the animal if possible for further management
Step 3 :assess or determine when expose occurred
Step 4 : report to the higher authority of incidence
Step 5 : treatment begin with post exposure prophylaxis immediately
LAB TEST:
Complete blood investigation
Rabies virus antigen rapid test kit
Immunochromatograpic test kit.
DIAGNOSTIC PROCEDURE :
Gold standard diagnostic technique
Smear to touch impression from biopsy
Intra vita technique
ELISA TEST
Cell culture isolation technique.
SAFETY CONSIDERATION :
Don't feed , touch , or adopt wild animals
Don't let them roam free
Always keep your pets rabies vaccine up to date
Animal proof your trash used.
RISK FACTORS:
Bites from infected animal.
Exposed to urine of infected animal
Organ transplant from infected donors
International travellers
Animal satey officers etc...
COLLABIRATIVE CARE:
First aid to the bites of person
Provide post exposure prophylaxis
Stop bleeding
Wash wounds immediately
History collection of animal
Provide bed rest and nutritious food.
MEDICATION:
Anti viral drugs
Blood transfusion for correct the deficiencies
Rabies vaccine
Rabies immunoglobulin
Monoclonal antibodies
Ribavirin
Corticosteroids
Ketamine
NURSING INTERVENTIONS :
Provide patient isolation
Practice good hand hygiene measures
Give an emotional support to them
Continuous monitoring of cardiac and respiratory function
Assess the vital signs
See for adverse effects
Administer medications
Teach them about do's and don'ts of first aid measures
COMPLICATIONS :
Psychosis
Delirium
Aphasia
Muscular twisting
Paralysis
Restlessness
Seizures etc.....
SURGICAL PROCEDURES:
Cauterization of bites by rapid animals
Excision of contaminated wound made by infected animal.
PLANNING PATIENT OUTCOME :
A infected person get relief from rabies infection by taking regular treatment and medication.
INTRA DISCIPLINARY CARE :
providing physiotherapy for paralized person
Provide an spiritual support to them
Provide occupational therapy etc.....
CARE AFTER DISCHARGE / EDUCATION :
Teach them about the duration of course of vaccination taken
Teach them how to clean the wound
Advice them to keep away from animals
Advice them to came for regular check up and follow up
Instruct them right dose and right medication at right time
Teach about the complications of rabies to patient and family members.......