Grypa świńska (h1n1)
Charakterystyka, pielęgnacja i opieka

Grypa świńska (H1N1) to podtyp wirusa grypy typu A, wywołujący zakażenia dróg oddechowych o przebiegu od łagodnego do ciężkiego, z objawami takimi jak gorączka powyżej 38°C, ból gardła, kaszel, bóle mięśni, zmęczenie oraz objawy żołądkowo-jelitowe (nudności, biegunka, wymioty), które odróżniają H1N1 od sezonowej grypy. Zakaźność rozpoczyna się na 1 dzień przed wystąpieniem objawów i może trwać do 7 dni lub dłużej. Grupy wysokiego ryzyka obejmują kobiety w ciąży, dzieci poniżej 5 lat, osoby powyżej 65 roku życia oraz pacjentów z chorobami przewlekłymi i immunosupresją. Leczenie obejmuje głównie terapię objawową, a w ciężkich przypadkach hospitalizację, tlenoterapię, dożylne nawadnianie oraz stosowanie leków przeciwwirusowych (zanamiwir, oseltamiwir, peramiwir) pod warunkiem podania w ciągu 48 godzin od wystąpienia objawów. Ze względu na możliwość rozwoju oporności, leki przeciwwirusowe są zarezerwowane dla pacjentów z grup ryzyka.

Definicja i charakterystyka grypy świńskiej (H1N1)

Grypa świńska (H1N1) jest podtypem wirusa grypy typu A, będącego zakaźną chorobą wirusową, która powoduje zakażenie górnych, a potencjalnie również dolnych dróg oddechowych u zainfekowanego gospodarza. Objawy obejmują wydzielinę z nosa, dreszcze, gorączkę, zmniejszony apetyt i możliwe choroby dolnych dróg oddechowych.1 2

H1N1 początkowo nazwano grypą świńską, ponieważ wirus był podobny do wirusów grypy występujących u świń. Choć grypa H1N1 jest powszechnym zakażeniem u świń na całym świecie, czasami osoby blisko związane ze świniami lub przebywające w ich pobliżu mogą zarazić się grypą świńską (odzwierzęcą grypą świńską). Wirusy grypy świńskiej mogą potencjalnie powodować zakażenia u ludzi, jeśli właściwości antygenowe wirusa ulegną zmianie poprzez reasortację.3 4

W 2009 roku nowy wirus H1N1 zaczął wywoływać choroby u ludzi, co doprowadziło do pandemii ogłoszonej przez Światową Organizację Zdrowia (WHO). Obecnie H1N1 uważany jest za regularny wirus grypy i jest jednym z trzech wirusów włączonych do regularnej (sezonowej) szczepionki przeciw grypie.5 6

Objawy i przebieg kliniczny grypy H1N1

Historia i objawy kliniczne grypy świńskiej H1N1 wahają się od łagodnych objawów grypy do ciężkich objawów oddechowych (a potencjalnie nawet śmierci) w zależności od wieku pacjenta, chorób współistniejących, statusu szczepienia i naturalnej odporności pacjentów na wirusa.7 8

Według CDC, objawy u ludzi zakażonych wirusem H1N1 są podobne do objawów zwykłej grypy i obejmują:9 10 11

  • Gorączkę (zwykle wysoką, powyżej 38°C)
  • Ból gardła
  • Kaszel
  • Bóle mięśni
  • Silne zmęczenie
  • Ból głowy
  • Katar lub przekrwienie błony śluzowej nosa
  • Kichanie
  • Łzawienie oczu
  • Objawy żołądkowo-jelitowe (nudności, biegunka, wymioty) – co odróżnia H1N1 od sezonowej grypy

12 13

Zakażone osoby mogą zarażać innych już na 1 dzień przed wystąpieniem objawów i do 7 lub więcej dni po zachorowaniu, co sprawia, że wirus jest wysoce zakaźny.14 15

Grupy ryzyka ciężkiego przebiegu grypy H1N1

Niektóre osoby są bardziej narażone na ciężki przebieg grypy H1N1 i jej powikłania. Do grup wysokiego ryzyka należą:16 17

  • Kobiety w ciąży – są one w większym stopniu narażone na powikłania ze względu na zmiany hormonalne, fizyczne i zmiany w układzie odpornościowym związane z rozwijającym się płodem
  • Dzieci poniżej 5 roku życia, szczególnie te poniżej 2 lat
  • Osoby w wieku 65 lat i starsze
  • Osoby z przewlekłymi chorobami, takimi jak astma, cukrzyca, choroby płuc, serca, nerek, wątroby czy choroby krwi
  • Osoby z osłabionym układem odpornościowym (np. osoby z HIV/AIDS)
  • Osoby poniżej 19 roku życia otrzymujące długotrwałą terapię aspiryną
  • Mieszkańcy domów opieki i innych placówek opieki długoterminowej

18 19 20

Leczenie grypy świńskiej (H1N1)

Postępowanie z zakażonymi pacjentami zależy od nasilenia objawów grypy. Większość osób z grypą H1N1 potrzebuje jedynie łagodzenia objawów. Wsparcie w postaci picia płynów, stosowania leków przeciwbólowych przeciw gorączce i bólowi głowy oraz odpoczynku może być pomocne.21 22

Leczenie przypadków o łagodnym i umiarkowanym przebiegu

Łagodna do umiarkowanej grypa może być leczona w domu za pomocą:23 24

  • Odpoczynku
  • Nawodnienia doustnego
  • Leczenia objawowego z zastosowaniem:
    • Leków przeciwgorączkowych jak paracetamol
    • Leków przeciwhistaminowych na przekrwienie błony śluzowej nosa i nieżyt nosa
    • NLPZ lub paracetamolu na bóle głowy i bóle ciała
  • Pozostania w domu, aby uniknąć rozprzestrzeniania wirusa
  • Lekkiej diety

25

Leczenie przypadków o ciężkim przebiegu

Pacjenci z postępującymi lub ciężkimi objawami powinni być przyjęci do szpitala, najlepiej na oddziały intensywnej terapii (OIT), jeśli występują oznaki świadczące o zbliżającej się niewydolności oddechowej, sepsie lub niewydolności wielonarządowej.26 27

W ciężkich przypadkach może być potrzebne:28 29

Leki przeciwwirusowe

Leki przeciwwirusowe: zanamiwir (Relenza), oseltamiwir (Tamiflu) i peramiwir (Rapivab) wykazały się skutecznością w redukcji lub zapobieganiu skutkom grypy świńskiej, jeśli są przyjmowane w ciągu 48 godzin od wystąpienia objawów.30 31 32

Wirusy grypy mogą jednak rozwinąć oporność na te leki. Dlatego pracownicy służby zdrowia rezerwują leki przeciwwirusowe dla określonych grup, takich jak osoby narażone na wysokie ryzyko powikłań i osoby, które mają bliski kontakt z osobami narażonymi na wysokie ryzyko powikłań.33 34

Postępowanie pielęgniarskie w opiece nad pacjentem z grypą H1N1

Pielęgniarki odgrywają kluczową rolę w procesie powstrzymywania rozprzestrzeniania się wirusa H1N1. Opieka pielęgniarska nad pacjentem z grypą świńską obejmuje szereg działań mających na celu złagodzenie objawów, zapobieganie powikłaniom i ograniczenie transmisji wirusa.35 36

Ocena stanu pacjenta

Ocena pielęgniarska pacjenta z grypą H1N1 powinna obejmować:37

  • Wywiad – ocena historii podróży pacjenta, jeśli takowa miała miejsce
  • Badanie fizykalne:
    • Ocena statusu oddechowego – częstość, głębokość, łatwość oddychania, użycie mięśni dodatkowych i wysiłek oddechowy
    • Osłuchiwanie pól płucnych w celu wykrycia obecności świstów, trzeszczeń, rzężeń lub ściszonych szmerów oddechowych
    • Monitorowanie parametrów życiowych, szczególnie temperatury
    • Szczegółowe pytania dotyczące podróży, kontaktów z osobami chorymi lub potencjalnego kontaktu z wirusem H1N1

38

Główne interwencje pielęgniarskie

Pielęgnacja obejmuje:39 40

  • Sprawdzanie parametrów życiowych i temperatury
  • Izolację pacjenta
  • Noszenie maski i rękawiczek
  • Zachęcanie pacjenta do kaszlu i kichania w chusteczkę
  • Zachęcanie do przyjmowania płynów
  • Zapewnienie tlenoterapii (jeśli konieczna)
  • Podawanie leków przeciwwirusowych
  • Zachęcanie do mycia rąk
  • Monitorowanie klatki piersiowej pod kątem trzeszczeń, świstów i ocena stanu oddechowego
  • Używanie żeli na bazie alkoholu do odkażania rąk
  • Zachęcanie pacjenta do noszenia maski

Utrzymanie drożności dróg oddechowych

Działania pielęgniarskie mające na celu utrzymanie drożności dróg oddechowych pacjenta obejmują:41

  • Podawanie tlenu zgodnie z zaleceniami
  • Monitorowanie saturacji krwi tlenem za pomocą pulsoksymetrii i powiadamianie lekarza o odczytach ≤90% lub zgodnie z zaleceniami
  • Ułożenie pacjenta w pozycji Fowlera lub półsiedzącej, jeśli to możliwe
  • Podawanie leków rozszerzających oskrzela zgodnie z zaleceniami
  • Wykonywanie drenażu ułożeniowego i oklepywania zgodnie z zaleceniami
  • Zachęcanie do przyjmowania płynów, do 3-4 litrów dziennie, chyba że są przeciwwskazania
  • Zachęcanie do ćwiczeń głębokiego oddychania i wykrztuszania co 2 godziny

Zwalczanie gorączki i bólu

W celu obniżenia gorączki i złagodzenia bólu, pielęgniarki powinny:42

  • Monitorować parametry życiowe, szczególnie temperaturę, co 2-4 godziny i w razie potrzeby
  • Stosować te same metody pomiaru temperatury przy każdym pomiarze
  • Podawać leki przeciwgorączkowe zgodnie z zaleceniami
  • Stosować letnie okłady
  • Instruować pacjenta/rodzinę o stosowaniu koców chłodzących, przyczynach ich stosowania, objawach i powikłaniach
  • Podawać leki przeciwbólowe zgodnie z zaleceniami
  • Zapewniać ciepłe kąpiele lub podkładki grzewcze na bolejące mięśnie
  • Zachęcać do płukania gardła ciepłą wodą
  • Zapewniać pastylki do ssania w razie potrzeby

Edukacja pacjenta i rodziny

Kluczowym elementem opieki pielęgniarskiej jest edukacja pacjenta i jego rodziny:43 44

  • Poświęcanie ograniczonego czasu na nauczanie, zapewniając ciche otoczenie
  • Informowanie osób otrzymujących szczepionkę o możliwych działaniach niepożądanych i natychmiastowym zgłaszaniu ich
  • Instruowanie pacjenta i/lub bliskich o typach grypy, typowych okresach wystąpienia i metodach unikania zakażenia
  • Informowanie o nowszych lekach przeciwwirusowych, ich działaniu, kiedy szukać natychmiastowej pomocy medycznej i skutkach ubocznych leków
  • Podkreślanie znaczenia mycia rąk
  • Instruowanie o potrzebie pozostania w domu przez okres zaraźliwości

Zapobieganie zakażeniom H1N1

Najlepszą znaną metodą zapobiegania grypie świńskiej jest szczepienie przeciwko grypie H1N1. CDC zaleca coroczne szczepienie przeciwko grypie dla wszystkich osób powyżej 6 miesiąca życia.45 46

Szczepienia ochronne

Szczepionka przeciw grypie sezonowej zawiera obecnie składnik chroniący przed wirusem H1N1 i innymi wirusami grypy sezonowej. Szczepienie może obniżyć ryzyko zachorowania na grypę oraz pomaga zmniejszyć liczbę osób z ciężką grypą i powikłaniami.47 48 49

Szczepienie jest szczególnie ważne dla:50 51

  • Kobiet w ciąży
  • Osób, które mieszkają z dziećmi poniżej 6 miesiąca życia lub opiekują się nimi
  • Pracowników służby zdrowia
  • Osób w wieku 6 miesięcy-24 lat
  • Osób w wieku 25-64 lat, które mają przewlekłe choroby lub osłabiony układ odpornościowy

Środki ostrożności i higiena

Zapobieganie rozprzestrzenianiu się grypy H1N1 obejmuje również:52 53 54

  • Zakrywanie nosa i ust chusteczką podczas kaszlu lub kichania
  • Częste mycie rąk mydłem i wodą
  • Pozostanie w domu w przypadku choroby
  • Unikanie dotykania oczu, nosa i ust
  • Unikanie bliskiego kontaktu z chorymi osobami
  • Używanie środków do dezynfekcji rąk na bazie alkoholu, gdy mydło i woda nie są dostępne
  • Regularne czyszczenie i dezynfekcja powierzchni często dotykanych (klamki, przełączniki, uchwyty, komputery, telefony)

55 56

Kontrola zakażeń w placówkach opieki zdrowotnej

CDC wydało tymczasowe zalecenia dotyczące kontroli rozprzestrzeniania się grypy H1N1 w placówkach opieki zdrowotnej. Zalecane środki opieki nad pacjentami z podejrzeniem lub potwierdzonym zakażeniem grypą H1N1 obejmują:57 58

  • Umieszczenie pacjentów w pojedynczym pokoju z zamkniętymi drzwiami
  • Jeśli dostępna, można użyć izolacji zakażeń przenoszonych drogą powietrzną z ujemnym ciśnieniem powietrza
  • Stosowanie standardowych środków ostrożności, procedur dotyczących kropelkowego i kontaktowego przenoszenia zakażeń podczas wszystkich czynności związanych z opieką nad pacjentem
  • Personel zapewniający opiekę lub pobierający próbki kliniczne od pacjentów powinien nosić jednorazowe rękawice niesterylne, fartuchy i ochronę oczu (np. gogle) w celu zapobieżenia narażeniu spojówek
  • Wczesne wykrycie podejrzanego lub potwierdzonego przypadku grypy świńskiej i szybka izolacja od podatnych osób zmniejszy ryzyko przeniesienia

59

Podsumowanie opieki pielęgniarskiej nad pacjentem z grypą H1N1

Cele opieki pielęgniarskiej nad pacjentem z grypą H1N1 obejmują:60 61

  • Osiągnięcie i utrzymanie drożności dróg oddechowych
  • Osiągnięcie i utrzymanie normalnego wzorca i częstości oddechów, bez dodatkowych szmerów oddechowych podczas osłuchiwania
  • Osiągnięcie i utrzymanie normalnej temperatury ciała
  • Uzyskanie ulgi od bólu
  • Zrozumienie i werbalizowanie odpowiedniego leczenia i opieki nad grypą przez pacjenta

Dokumentacja pielęgniarska powinna obejmować:62

  • Indywidualne ustalenia, w tym czynniki wpływające, interakcje, charakter wymiany społecznej, specyfikę indywidualnego zachowania
  • Przekonania i oczekiwania kulturowe i religijne
  • Plan opieki
  • Plan edukacji
  • Odpowiedzi na interwencje, nauczanie i wykonane działania
  • Osiągnięcie lub postęp w kierunku pożądanego wyniku

Opieka pielęgniarska nad pacjentem z grypą H1N1 jest kluczowa w skutecznym zarządzaniu chorobą i zapobieganiu jej rozprzestrzeniania się. Poprzez dokładną ocenę, odpowiednie interwencje i edukację pacjenta, pielęgniarki mogą znacząco przyczynić się do poprawy wyników leczenia i ograniczenia transmisji tego wysoce zakaźnego wirusa.63

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    H1N1 Swine flu is a subtype of influenza A virus (a communicable viral disease), which causes upper, and potentially, lower respiratory tract infections in the host it infects, resulting in symptoms such as nasal secretions, chills, fever, decreased appetite, and possibly lower respiratory tract disease. […] H1N1 swine influenza is a common infection in pigs worldwide, and that is why it is also known as swine flu. […] H1N1 swine flu leads to respiratory disease that can potentially infect the respiratory tract of pigs. […] Sometimes, people who are closely associated with pigs or in the proximity of pigs have developed swine flu (zoonotic swine flu). […] Swine influenza viruses can potentially cause infections in humans if antigenic characteristics of the virus change through reassortment.
  • #2 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-22472/
    H1N1 Swine flu is a subtype of influenza A virus (a communicable viral disease), which causes upper, and potentially, lower respiratory tract infections in the host it infects, resulting in symptoms such as nasal secretions, chills, fever, decreased appetite, and possibly lower respiratory tract disease. […] H1N1 swine influenza is a common infection in pigs worldwide, and that is why it is also known as swine flu. […] H1N1 swine flu leads to respiratory disease that can potentially infect the respiratory tract of pigs. […] Sometimes, people who are closely associated with pigs or in the proximity of pigs have developed swine flu (zoonotic swine flu). […] Swine influenza viruses can potentially cause infections in humans if antigenic characteristics of the virus change through reassortment.
  • #3 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-22472/
    H1N1 Swine flu is a subtype of influenza A virus (a communicable viral disease), which causes upper, and potentially, lower respiratory tract infections in the host it infects, resulting in symptoms such as nasal secretions, chills, fever, decreased appetite, and possibly lower respiratory tract disease. […] H1N1 swine influenza is a common infection in pigs worldwide, and that is why it is also known as swine flu. […] H1N1 swine flu leads to respiratory disease that can potentially infect the respiratory tract of pigs. […] Sometimes, people who are closely associated with pigs or in the proximity of pigs have developed swine flu (zoonotic swine flu). […] Swine influenza viruses can potentially cause infections in humans if antigenic characteristics of the virus change through reassortment.
  • #4 Swine Flu (H1N1) Explained: Symptoms, Treatment, and Prevention
    https://www.artemishospitals.com/blog/swine-flu-h1n1-explained-symptoms-treatment-and-prevention
    Swine flu, also known as H1N1 influenza, is a viral infection that primarily affects the respiratory system. The H1N1 swine flu virus is a strain of the influenza A virus, initially found in pigs but has now become a human pandemic concern. The name „swine flu” originated because it was first detected in pigs, but the virus has since evolved to spread among humans, causing widespread illness. […] H1N1 is highly contagious and can lead to serious complications, especially in vulnerable populations. Understanding its symptoms, causes, treatments, and prevention methods is crucial in managing the disease. […] When it comes to swine flu (H1N1), early intervention is key to managing the symptoms and preventing complications. While most cases can be managed at home with supportive care, some individuals with high risk may require more intensive treatment. It is important to recognize that treatment varies depending on the severity of the illness, the patients health status, and how soon treatment begins after symptoms appear. Treatment for H1N1 virus symptoms typically focuses on alleviating symptoms and, in some cases, antiviral medications.
  • #5 H1N1 flu (swine flu) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/influenza-flu/
    The H1N1 flu, sometimes called swine flu, is a type of influenza A virus. […] The World Health Organization (WHO) declared the H1N1 flu to be a pandemic in 2009. […] But flu and its complications can be deadly, especially for people at high risk. […] The seasonal flu vaccine can now help protect against the H1N1 flu and other seasonal flu viruses. […] If you’re generally healthy and develop flu symptoms, most people may not need to see a health care provider. […] Call your care provider if you have flu symptoms and you’re pregnant or have a chronic disease. […] Factors that may increase your risk of developing H1N1 or other influenza viruses or their complications include: […] People who live or work in facilities with many other residents are more likely to get the flu. Some examples are nursing homes or military barracks.
  • #6 H1N1 influenza (Swine flu)
    https://adamcertificationdemo.adam.com/content.aspx?productid=142&isarticlelink=false&pid=1&gid=007421
    The H1N1 virus (swine flu) is an infection of the nose, throat, and lungs. It is caused by the H1N1 influenza virus. […] The H1N1 virus is now considered a regular flu virus. It is one of the three viruses included in the regular (seasonal) flu vaccine. […] Symptoms, diagnosis, and treatment of H1N1 influenza are similar to that for the flu in general.
  • #7 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The history and clinical presentations of H1N1 swine influenza have ranged from mild flu symptoms to severe respiratory symptoms (and possibly death) depending on the age of the patient, co-morbidities, vaccination status, and natural immunity in patients to the virus. […] According to the CDC, the signs and symptoms in humans infected with the 2009 H1N1 swine flu were similar to those of influenza. […] The management for infected patients depends on the severity of symptoms of influenza, mild to moderate influenza can be treated at home with rest, oral hydration and symptomatic treatment with antipyretics like paracetamol, antihistaminic for nasal congestion and rhinitis and NSAIDS or Paracetamol for headaches and body aches. […] Patients with progressive or severe symptoms should be admitted to hospitals and preferably in intensive care units (ICU) if there are signs suggestive of impending respiratory failure or sepsis or multiorgan dysfunction.
  • #8 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-22472/
    When this happens, transmission from person-to-person is usually inefficient. […] Influenza A pandemics such as the ones in 1918 and 2009 can occur if the transmission from person-to-person becomes efficient. […] The history and clinical presentations of H1N1 swine influenza have ranged from mild flu symptoms to severe respiratory symptoms (and possibly death) depending on the age of the patient, co-morbidities, vaccination status, and natural immunity in patients to the virus. […] According to the CDC, the signs and symptoms in humans infected with the 2009 H1N1 swine flu were similar to those of influenza. […] The management for infected patients depends on the severity of symptoms of influenza, mild to moderate influenza can be treated at home with rest, oral hydration and symptomatic treatment with antipyretics like paracetamol, antihistaminic for nasal congestion and rhinitis and NSAIDS or Paracetamol for headaches and body aches.
  • #9 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The history and clinical presentations of H1N1 swine influenza have ranged from mild flu symptoms to severe respiratory symptoms (and possibly death) depending on the age of the patient, co-morbidities, vaccination status, and natural immunity in patients to the virus. […] According to the CDC, the signs and symptoms in humans infected with the 2009 H1N1 swine flu were similar to those of influenza. […] The management for infected patients depends on the severity of symptoms of influenza, mild to moderate influenza can be treated at home with rest, oral hydration and symptomatic treatment with antipyretics like paracetamol, antihistaminic for nasal congestion and rhinitis and NSAIDS or Paracetamol for headaches and body aches. […] Patients with progressive or severe symptoms should be admitted to hospitals and preferably in intensive care units (ICU) if there are signs suggestive of impending respiratory failure or sepsis or multiorgan dysfunction.
  • #10 Swine Flu (H1N1): What Is It, Causes, Treatments & Prevention
    https://my.clevelandclinic.org/health/diseases/23928-swine-flu-h1n1
    Swine flu (H1N1) is a type of viral infection. You can treat it with rest, fluids and antiviral medications. […] Swine flu (H1N1) is a respiratory infection in humans. […] Swine flu (H1N1) is contagious. It can spread from person to person. […] The symptoms of swine flu (H1N1) are similar to the symptoms of regular flu. […] If you have swine flu, you should: Get plenty of rest. Drink fluids. Eat a light diet. Stay home. Take acetaminophen (Tylenol) to reduce fever and relieve aches and pains. […] If you’re very ill, your healthcare provider may prescribe an antiviral medicine. Antiviral drugs such as oseltamivir (Tamiflu) or zanamivir (Relenza) can kill the virus. […] Ways to prevent getting and spreading swine flu (H1N1) include: Cover your nose and mouth with a tissue when you sneeze or cough. Wash your hands with soap and water. Stay home if you’re sick. […] Call your healthcare provider if your symptoms last longer or worsen. […] If you do get sick, make sure to get plenty of rest, drink fluids and call your healthcare provider if symptoms worsen.
  • #11
    https://northatlantapeds.com/documents/educational/h1n1.doc
    HINI Flu (Swine Flu) Guidance We depend upon the CDC for the most up-to-date information, so please refer to this web site for any changes in this information: http://www.cdc.gov/h1n1flu/guidance_homecare.htm Novel H1N1 flu virus infection (formerly known as swine flu) can cause a wide range of symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. […] Severe disease with pneumonia, respiratory failure and even death is possible with novel H1N1 flu infection. […] People with novel H1N1 flu who are cared for at home should: check with their health care provider about any special care they might need if they are pregnant or have a health condition such as diabetes, heart disease, asthma, or emphysema check with their health care provider about whether they should take antiviral medications stay home for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer, except to seek medical care or for other necessities get plenty of rest drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated cover coughs and sneezes.
  • #12 H1N1 in Children | UVA Health Children’s
    https://childrens.uvahealth.com/services/pediatric-infectious-diseases/h1n1-swine-flu
    H1N1 flu (originally called swine flu) is a respiratory infection that can cause mild to severe symptoms. If you think that your child may have this virus, call your doctor. […] The main risk factor for getting H1N1 flu is contact with an infected person. Children younger than two years of age and children with chronic health conditions may be at greater risk for a severe form of flu. […] H1N1 in children may cause: Fever and chills, Sore throat, Cough, Severe muscle aches, Severe fatigue, Headache, Runny nose, nasal congestion, Sneezing, Watery eyes, Gastrointestinal symptoms (nausea, diarrhea, vomiting). […] If H1N1 flu becomes severe, it can cause pneumonia. Contact your child’s doctor if symptoms worsen. […] Most people with the flu do not need antiviral medications. If your child has the flu, check with your doctor to see if they need antiviral medication. Antiviral medications do not cure the flu. They may help relieve symptoms and shorten the time that your child is sick.
  • #13 Differences Between H1N1/09 Influenza (Swine Flu) and Seasonal Flu | Aichi Prefectural Government Official Site
    https://www.pref.aichi.jp/global/en/living/medical/influenza.html
    Differences Between H1N1/09 Influenza (Swine Flu) and Seasonal Flu […] The H1N1 flu strain that emerged in spring of 2009 was caused by a completely new virus that had never spread before. Because of that, no one is thought to have any resistance to this virus. […] The main symptoms of the new H1N1 flu strain are as follows: (They are nearly identical to those of seasonal flus.) […] Some people also experience gastrointestinal symptoms, such as nausea or diarrhea. This is thought to be one of the ways it differs from seasonal flus. […] In particular, those with chronic illnesses such as diabetes or asthma, as well as pregnant women, children, and the elderly, are at higher risk for severe illness than other people. […] Those who are pregnant or who have existing medical conditions are thought to be at high risk of serious illness, so these people should seek early detection, and rapid cure.
  • #14 H1N1 Flu | Atlantic County, NJ
    https://www.atlanticcountynj.gov/government/county-departments/department-of-human-services/division-of-public-health/health-topics/h1n1-flu
    The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. […] Spread of this swine influenza A (H1N1) virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. […] Infected people may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick. […] First and most important: wash your hands. Try to stay in good general health. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.
  • #15 H1N1 flu … what should you do?
    http://wholechildwellness.com/swine_flu.htm
    H1N1 Influenza (initially refered to as „swine flu”) is a new influenza virus causing illness in people. […] The symptoms of H1N1 flu in people are similar to the symptoms of regular flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting. […] Spread of this H1N1 virus is thought to be happening in the same way that seasonal flu spreads. […] It is not known at this time how severe this virus will be in the general population. […] Infected people may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick. […] There is no vaccine available right now to protect against H1N1 flu. […] There are four different antiviral drugs that are licensed for use in the US for the treatment of influenza: amantadine, rimantadine, oseltamivir and zanamivir. […] If you become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, you may want to contact your health care provider, particularly if you are worried about your symptoms.
  • #16 H1N1 flu (swine flu) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/swine-flu/symptoms-causes/syc-20378103
    The H1N1 flu, sometimes called swine flu, is a type of influenza A virus. […] During the 2009-10 flu season, a new H1N1 virus began causing illness in humans. […] The World Health Organization (WHO) declared the H1N1 flu to be a pandemic in 2009. […] But flu and its complications can be deadly, especially for people at high risk. […] The seasonal flu vaccine can now help protect against the H1N1 flu and other seasonal flu viruses. […] The symptoms of flu caused by H1N1, commonly called the swine flu, are similar to those of other flu viruses. […] If you’re generally healthy and develop flu symptoms, most people may not need to see a health care provider. […] Call your care provider if you have flu symptoms and you’re pregnant or have a chronic disease. […] Factors that may increase your risk of developing H1N1 or other influenza viruses or their complications include:
  • #17 H1N1 Flu and Seasonal Flu: Differences and Similarities
    https://www.health.ny.gov/publications/7227/
    Many people are wondering what the differences are between seasonal flu and H1N1 flu. H1N1 flu is caused by a new virus that is different from the seasonal flu we usually see each fall and winter. […] With the H1N1 flu, the people who are most likely to get the flu and who may get sickest are pregnant women, children under 5 years, people of any age with certain chronic medical conditions, such as asthma, diabetes, or lung disease, people under 19 years who are receiving long-term aspirin therapy, people 65 years or older, and residents of nursing homes and other chronic care facilities. […] Because getting the vaccine is the best protection against H1N1 flu it is important for everyone to get vaccinated as soon as possible. […] It is particularly important for people most vulnerable to H1N1 flu to get vaccinated. This includes pregnant women, people who live with or care for children under 6 months of age, health care workers, emergency medical responders, persons ages 6 months-24 years, and people 25-64 years old who have chronic health disorders or compromised immune systems. […] If you are at high risk for complications of flu, contact your doctor. […] If you have the flu and will be around other people, you should wear a facemask. If you must take care of someone with the flu, and are at high risk of serious illness if you get sick, you should also wear a mask.
  • #18 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The antiviral medications: zanamivir, oseltamivir, and peramivir have been documented to help reduce, or possibly prevent, the effects of swine flu if the medication is taken within 48 hours of the onset of symptoms. […] Pregnant women who contract the H1N1, are at a greater risk of complications because of the body’s hormonal changes, physical changes and changes to their immune system to accommodate the growing fetus. […] For these reasons, the CDC recommends that all pregnant women get vaccinated to prevent the swine influenza virus. […] Nursing Management includes checking vitals and temperature, isolating the patient, wearing mask and gloves, encouraging patient to cough and sneeze into a tissue, encouraging fluids, providing oxygenation, administering antiviral medications, encouraging hand washing, listening to the chest for rales, crackles, wheezing, assessing for respiratory distress, using alcohol-based hand gels for hand rinsing, and encouraging the patient to wear a mask. […] The best-known prevention method against swine flu is getting the H1N1 swine flu vaccine. […] The initial and best step in management should be to prevent swine flu.
  • #19 H1N1 flu (swine flu)
    https://www.mymlc.com/health-information/diseases-and-conditions/h/h1n1-flu-swine-flu/?section=Causes
    The H1N1 flu, commonly known as swine flu, is primarily caused by the H1N1 strain of the flu (influenza) virus. H1N1 is a type of influenza A virus, and H1N1 is one of several flu virus strains that can cause the seasonal flu. Symptoms of the H1N1 flu are the same as those of the seasonal flu. […] Most people with flu, including H1N1 flu (swine flu), require only symptom relief. Supportive care such as drinking liquids, taking pain relievers for fever and headache, and resting may be helpful. If you have a chronic respiratory disease, your doctor may prescribe additional medications to help relieve your symptoms. […] Antiviral drugs are sometimes prescribed within the first day or two of symptoms. They can reduce the severity of symptoms and possibly the risk of complications. […] People at higher risk of flu complications include people who: Are in a hospital, nursing home or other long-term care facility. Are younger than 5 years of age, particularly children younger than 2 years. Are 65 years old or older. Are pregnant or within two weeks of delivery, including women who have had pregnancy loss. Are younger than 19 years of age and are receiving long-term aspirin therapy. Using aspirin during a viral illness increases the risk of developing Reye’s syndrome, a rare but potentially life-threatening condition, in these individuals. Are immunosuppressed due to certain medications or HIV.
  • #20 Differences Between H1N1/09 Influenza (Swine Flu) and Seasonal Flu | Aichi Prefectural Government Official Site
    https://www.pref.aichi.jp/global/en/living/medical/influenza.html
    Note: The following types of individuals are thought to be at particular risk of serious illness if they contract the H1N1/09 flu virus: Pregnant women; infants; the elderly; and those with chronic respiratory illness, heart disease, metabolic disorders such as diabetes, impaired kidney function, and those with immune disorders (such as those on full body steroidal medication) are believed to have a higher risk of developing a serious illness due to the treatment and management of these conditions. […] Those who are normally healthy should be examined at a hospital or clinic if they experience the following symptoms: […] Sick individuals should always wear masks. […] The flu vaccine is believed to be effective in preventing disease symptoms, lessening the effects of the flu, and preventing death in those get infected with the flu virus after vaccination. […] However, flu vaccinations don’t provide perfect immunity, and it is still possible to contract the flu after getting a flu shot.
  • #21 H1N1 flu (swine flu) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/swine-flu/diagnosis-treatment/drc-20378106
    Your health care provider may do a physical exam to look for symptoms of influenza, including H1N1 flu, often called swine flu. […] Most people with flu, including H1N1 flu, need only symptom relief. Supportive care such as drinking liquids, taking pain relievers for fever and headache, and resting may be helpful. […] Health care providers may prescribe antiviral drugs within the first day or two of symptoms. They can reduce the severity of symptoms and may lower the risk of complications. […] But flu viruses can develop resistance to these drugs. So health care providers reserve antivirals for certain groups. This includes people at high risk of complications and those who are in close contact with people who have a high risk of complications.
  • #22 H1N1 flu (swine flu) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/influenza-flu/
    Chronic conditions may increase the risk of influenza complications. […] The Centers for Disease Control and Prevention (CDC) recommends annual flu vaccination for everyone age 6 months or older. […] The flu vaccine can lower your risk of getting the flu. […] Most people with flu, including H1N1 flu, need only symptom relief. […] Health care providers may prescribe antiviral drugs within the first day or two of symptoms. […] But flu viruses can develop resistance to these drugs. […] If you develop any type of flu, stay home. […] Avoid being around other people until you’re feeling better, unless you’re getting medical care.
  • #23 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-22472/
    When this happens, transmission from person-to-person is usually inefficient. […] Influenza A pandemics such as the ones in 1918 and 2009 can occur if the transmission from person-to-person becomes efficient. […] The history and clinical presentations of H1N1 swine influenza have ranged from mild flu symptoms to severe respiratory symptoms (and possibly death) depending on the age of the patient, co-morbidities, vaccination status, and natural immunity in patients to the virus. […] According to the CDC, the signs and symptoms in humans infected with the 2009 H1N1 swine flu were similar to those of influenza. […] The management for infected patients depends on the severity of symptoms of influenza, mild to moderate influenza can be treated at home with rest, oral hydration and symptomatic treatment with antipyretics like paracetamol, antihistaminic for nasal congestion and rhinitis and NSAIDS or Paracetamol for headaches and body aches.
  • #24 Swine Flu (H1N1): What Is It, Causes, Treatments & Prevention
    https://my.clevelandclinic.org/health/diseases/23928-swine-flu-h1n1
    Swine flu (H1N1) is a type of viral infection. You can treat it with rest, fluids and antiviral medications. […] Swine flu (H1N1) is a respiratory infection in humans. […] Swine flu (H1N1) is contagious. It can spread from person to person. […] The symptoms of swine flu (H1N1) are similar to the symptoms of regular flu. […] If you have swine flu, you should: Get plenty of rest. Drink fluids. Eat a light diet. Stay home. Take acetaminophen (Tylenol) to reduce fever and relieve aches and pains. […] If you’re very ill, your healthcare provider may prescribe an antiviral medicine. Antiviral drugs such as oseltamivir (Tamiflu) or zanamivir (Relenza) can kill the virus. […] Ways to prevent getting and spreading swine flu (H1N1) include: Cover your nose and mouth with a tissue when you sneeze or cough. Wash your hands with soap and water. Stay home if you’re sick. […] Call your healthcare provider if your symptoms last longer or worsen. […] If you do get sick, make sure to get plenty of rest, drink fluids and call your healthcare provider if symptoms worsen.
  • #25 H1N1 Influenza (Swine Flu) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/1807048-treatment
    Treatment is largely supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis (see Medication). […] Patients should be encouraged to stay home if they become ill, to avoid close contact with people who are sick, to wash their hands often, and to avoid touching their eyes, nose, and mouth. […] Antiviral therapy may be indicated. Available medications are discussed in the Medication section. […] The CDC recommends the following actions when human infection with H1N1 influenza (swine flu) is confirmed in a community: Patients who develop flulike illness (ie, fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer.
  • #26 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-22472/
    Patients with progressive or severe symptoms should be admitted to hospitals and preferably in intensive care units (ICU) if there are signs suggestive of impending respiratory failure or sepsis or multiorgan dysfunction. […] The antiviral medications: zanamivir, oseltamivir, and peramivir have been documented to help reduce, or possibly prevent, the effects of swine flu if the medication is taken within 48 hours of the onset of symptoms. […] Pregnant women who contract the H1N1, are at a greater risk of complications because of the body’s hormonal changes, physical changes and changes to their immune system to accommodate the growing fetus. […] For these reasons, the CDC recommends that all pregnant women get vaccinated to prevent the swine influenza virus. […] Nursing Management includes checking vitals and temperature, isolating the patient, wearing mask and gloves, encouraging patient to cough and sneeze into a tissue, encouraging fluids, providing oxygenation, administering antiviral medications, encouraging hand washing, listening to the chest for rales, crackles, wheezing, assessing for respiratory distress, using alcohol-based hand gels for hand rinsing, and encouraging the patient to wear a mask. […] The best-known prevention method against swine flu is getting the H1N1 swine flu vaccine. […] The initial and best step in management should be to prevent swine flu.
  • #27 Swine Flu (H1N1) Explained: Symptoms, Treatment, and Prevention
    https://www.artemishospitals.com/blog/swine-flu-h1n1-explained-symptoms-treatment-and-prevention
    The primary treatment for swine flu (H1N1) involves antiviral medications, which can help reduce the severity and duration of symptoms if started early. The most commonly used antiviral drugs for the H1N1 virus are: […] These medications are particularly recommended for people at high risk of complications, such as young children, pregnant women, elderly individuals, and people with chronic health conditions like asthma or diabetes. […] Getting plenty of rest is crucial for the bodys recovery from swine flu. The body needs time and energy to fight off the infection, and rest helps the immune system function more effectively. Hydration is also vital to prevent dehydration, especially when fever or vomiting is present. Drinking plenty of fluids like water, clear soups, and oral rehydration solutions can help maintain hydration levels and soothe sore throats.
  • #28 H1N1 Influenza (Swine Flu) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/1807048-treatment
    Treatment is largely supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis (see Medication). […] Patients should be encouraged to stay home if they become ill, to avoid close contact with people who are sick, to wash their hands often, and to avoid touching their eyes, nose, and mouth. […] Antiviral therapy may be indicated. Available medications are discussed in the Medication section. […] The CDC recommends the following actions when human infection with H1N1 influenza (swine flu) is confirmed in a community: Patients who develop flulike illness (ie, fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer.
  • #29 H1N1 Influenza (Swine Flu): Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1807048-overview
    H1N1 influenza, referred to as swine flu, is a highly contagious respiratory disease in pigs caused by one of several swine influenza A viruses, as recently reviewed. […] Transmission of swine influenza viruses to humans is uncommon. However, the swine influenza virus can be transmitted to humans via contact with infected pigs or environments contaminated with swine influenza viruses. […] Treatment largely is supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis. […] Patients with H1N1 and pneumonia should receive early and aggressive treatment with antibiotics and influenza antiviral agents.
  • #30 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The antiviral medications: zanamivir, oseltamivir, and peramivir have been documented to help reduce, or possibly prevent, the effects of swine flu if the medication is taken within 48 hours of the onset of symptoms. […] Pregnant women who contract the H1N1, are at a greater risk of complications because of the body’s hormonal changes, physical changes and changes to their immune system to accommodate the growing fetus. […] For these reasons, the CDC recommends that all pregnant women get vaccinated to prevent the swine influenza virus. […] Nursing Management includes checking vitals and temperature, isolating the patient, wearing mask and gloves, encouraging patient to cough and sneeze into a tissue, encouraging fluids, providing oxygenation, administering antiviral medications, encouraging hand washing, listening to the chest for rales, crackles, wheezing, assessing for respiratory distress, using alcohol-based hand gels for hand rinsing, and encouraging the patient to wear a mask. […] The best-known prevention method against swine flu is getting the H1N1 swine flu vaccine. […] The initial and best step in management should be to prevent swine flu.
  • #31 Interim Guidance for Clinicians on Human Infections with Variant Influenza Viruses | Swine Flu | CDC
    https://www.cdc.gov/swine-flu/php/guidance/human-infections-variant-influenza-viruses.html
    Variant influenza A viruses tested to date are susceptible to the neuraminidase inhibitor drugs oseltamivir, peramivir and zanamivir, and the cap-dependent endonuclease inhibitor baloxavir. These drugs can be prescribed to treat variant influenza A virus infections. […] Ill people with suspected or confirmed variant influenza A virus infections who do not require hospitalization should be isolated at home away from other family members as much as possible. […] No vaccine specifically targeted against variant influenza A viruses is available at this time. Seasonal influenza vaccines are not intended (or designed) to provide protection against infection with variant influenza A viruses.
  • #32 H1N1 Flu Virus (Swine Flu): Symptoms, Causes, Tests, and Treatments
    https://www.webmd.com/cold-and-flu/h1n1-flu-virus-swine-flu
    Some of the same antiviral drugs that are used to treat seasonal flu also work against H1N1 swine flu. Oseltamivir (Tamiflu), peramivir (Rapivab), and zanamivir (Relenza) seem to work best, although some kinds of swine flu dont respond to oseltamivir. […] The same flu vaccine that protects against seasonal flu also protects against the H1N1 swine flu strain. You can get it as a shot or as a nasal spray. Either way, it „teaches” your immune system to attack the real virus.
  • #33 H1N1 flu (swine flu) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/swine-flu/diagnosis-treatment/drc-20378106
    Your health care provider may do a physical exam to look for symptoms of influenza, including H1N1 flu, often called swine flu. […] Most people with flu, including H1N1 flu, need only symptom relief. Supportive care such as drinking liquids, taking pain relievers for fever and headache, and resting may be helpful. […] Health care providers may prescribe antiviral drugs within the first day or two of symptoms. They can reduce the severity of symptoms and may lower the risk of complications. […] But flu viruses can develop resistance to these drugs. So health care providers reserve antivirals for certain groups. This includes people at high risk of complications and those who are in close contact with people who have a high risk of complications.
  • #34
    https://northatlantapeds.com/documents/educational/h1n1.doc
    Antiviral medications can sometimes help lessen influenza symptoms, but require a prescription. […] Antiviral medications are available for persons 1 year of age and older. […] Warning! Do not give aspirin (acetylsalicylic acid) to children or teenagers who have the flu; this can cause a rare but serious illness called Reyes syndrome. […] The safest care for flu symptoms in children younger than 2 years of age is using a cool-mist humidifier and a suction bulb to help clear away mucus. […] When providing care to a household member who is sick with influenza, the most important ways to protect yourself and others who are not sick are to: keep the sick person away from other people as much as possible […] remind the sick person to cover their coughs, and clean their hands with soap and water or an alcohol-based hand rub often, especially after coughing and/or sneezing have everyone in the household clean their hands often, using soap and water or an alcohol-based hand rub.
  • #35 Swine flu: what every nurse should know | Nursing Times
    https://www.nursingtimes.net/archive/swine-flu-what-every-nurse-should-know-30-04-2009/
    Nurses are being asked to play a key role in the process of containment that is key to tackling the disease. […] The advice is echoed by Pauline Macdonald, nurse consultant in communicable diseases at Dudley PCT, who is keen to stress that while there are obvious risks, the UK is not in a pandemic situation, and it is important to remain calm and focused. […] 'People should prepare themselves by reading the national guidance and highlighting the requirement for respiratory and hand hygiene. This is the best way for nurses to protect themselves and their patients. […] The priority is to identify, isolate and treat suspected cases. Anyone concerned should follow the HPA algorithm. If this suggests a possible case of swine flu, patients will be swabbed and given treatment.’
  • #36 Nurse Action Needed to Manage H1N1 Flu | Nurse.com
    https://www.nurse.com/blog/nurse-action-needed-to-manage-h1n1-flu/?srsltid=AfmBOopP51qdEjCuV9uA3af24ekA8DMAVv8HLKa5QBEvF7LrHamfP0gS
    Nurse comforting patient in wheelchair. Influenza type A (H1N1) virus („swine flu”) will not be going away any time soon, health officials say, and healthcare providers, including nurses, should prepare themselves not only for patients with the illness, but also for questions and concerns from the public, and requests to help state and local health departments identify potential new cases. At this point, nurses should keep practicing and taking the same precautions as they would with an outbreak of any other kind of influenza, as well as keeping themselves up-to-date about the new virus and national and state guidelines for dealing with it, says Elda Ramirez, RN, PhD, FNP-BC, FAANP, and assistant professor of nursing and head of emergency care in the department of acute and continuing care at the University of Texas School of Nursing at Houston. These include asking patients who are coughing or sneezing to wear a mask, wiping down surfaces and chairs, frequent hand-washing, and offering anti-bacterial creams or gels to patients.
  • #37 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Besides humans, influenza also infects a variety of animal species; some of these influenza strains are species-specific, but new strains may spread from other animals to humans. […] Nursing management of a patient with influenza include the following: […] Assessment of the patient with influenza include: […] History. Assess the patients travel history, if any. […] Physical examination. Assess respiratory status for rate, depth, ease, use of accessory muscles, and work of breathing; auscultate the lung fields for the presence of wheezes, crackles (rales), rhonchi, or decreased breath sounds. […] Based on the assessment data, the major nursing diagnosis for influenza are as follows: […] Ineffective airway clearance related to tracheobronchial and nasal secretions. […] […] Ineffective breathing pattern related to inflammation from viral infection. […]
  • #38 Nurse Action Needed to Manage H1N1 Flu | Nurse.com
    https://www.nurse.com/blog/nurse-action-needed-to-manage-h1n1-flu/?srsltid=AfmBOopP51qdEjCuV9uA3af24ekA8DMAVv8HLKa5QBEvF7LrHamfP0gS
    Nurses should also ask detailed questions, such as whether the patient has traveled outside the country, if they’ve been in a crowded place, or if they’ve come into contact with anyone who might have swine flu, Ramirez says. […] As the outbreak progresses, nurses have a responsibility to inform themselves as much as possible about swine flu, even if they live in areas where no cases have been reported, says Nancy Berlinger, PhD, MDiv, deputy director and research scholar at the Hastings Center in New York, and an adjunct lecturer in health care ethics at the Yale School of Nursing. […] Nurses also need to be aware of the plans their own institutions have for dealing with public health emergencies, such as how antivirals are stockpiled and who will they be given to, she says, and of how their institutions will communicate those plans to them.
  • #39 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The antiviral medications: zanamivir, oseltamivir, and peramivir have been documented to help reduce, or possibly prevent, the effects of swine flu if the medication is taken within 48 hours of the onset of symptoms. […] Pregnant women who contract the H1N1, are at a greater risk of complications because of the body’s hormonal changes, physical changes and changes to their immune system to accommodate the growing fetus. […] For these reasons, the CDC recommends that all pregnant women get vaccinated to prevent the swine influenza virus. […] Nursing Management includes checking vitals and temperature, isolating the patient, wearing mask and gloves, encouraging patient to cough and sneeze into a tissue, encouraging fluids, providing oxygenation, administering antiviral medications, encouraging hand washing, listening to the chest for rales, crackles, wheezing, assessing for respiratory distress, using alcohol-based hand gels for hand rinsing, and encouraging the patient to wear a mask. […] The best-known prevention method against swine flu is getting the H1N1 swine flu vaccine. […] The initial and best step in management should be to prevent swine flu.
  • #40 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Hyperthermia related to exposure to infection. […] […] Acute pain related to influenza virus. […] […] Deficient knowledge related to lack of knowledge about the disease process (Influenza). […] The major nursing care planning goals for influenza are: […] Patient will achieve and maintain a patent airway. […] […] Patient will achieve and maintain normal respiratory pattern and rate, with no adventitious breath sounds to auscultation. […] […] Patient will achieve and maintain a normal temperature. […] […] Patient will achieve relief from aches and pain. […] […] Patient will be able to understand and verbalize appropriate treatment and care for influenza. […] The following are the nursing interventions for a patient with influenza: […] Maintain patent airway. Administer oxygen as ordered; monitor oxygen saturation by pulse oximetry, and notify the physician of readings 90% or as prescribed by the physician; position patient in high Fowlers or semi-Fowlers position, if possible; administer bronchodilators as ordered; perform postural drainage and percussion, as ordered; encourage fluids, up to 3-4 L/day unless contraindicated; and encourage deep breathing exercises and coughing exercises every 2 hours.
  • #41 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Hyperthermia related to exposure to infection. […] […] Acute pain related to influenza virus. […] […] Deficient knowledge related to lack of knowledge about the disease process (Influenza). […] The major nursing care planning goals for influenza are: […] Patient will achieve and maintain a patent airway. […] […] Patient will achieve and maintain normal respiratory pattern and rate, with no adventitious breath sounds to auscultation. […] […] Patient will achieve and maintain a normal temperature. […] […] Patient will achieve relief from aches and pain. […] […] Patient will be able to understand and verbalize appropriate treatment and care for influenza. […] The following are the nursing interventions for a patient with influenza: […] Maintain patent airway. Administer oxygen as ordered; monitor oxygen saturation by pulse oximetry, and notify the physician of readings 90% or as prescribed by the physician; position patient in high Fowlers or semi-Fowlers position, if possible; administer bronchodilators as ordered; perform postural drainage and percussion, as ordered; encourage fluids, up to 3-4 L/day unless contraindicated; and encourage deep breathing exercises and coughing exercises every 2 hours.
  • #42 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Maintain normal breathing pattern. Perform chest physiotherapy, chest percussion, and postural drainage as ordered; encourage patient to change position every 2 hours and as needed, and assist as needed; and provide and encourage fluid intake of at least 2 L/day unless contraindicated. […] Achieve normal temperature. Monitor VS especially temperature, every 2-4 hours and as needed; utilize the same methods of temperature reading with each measurement; administer antipyretics as ordered; provide tepid sponge baths; and instruct patient/family in use of hypothermia blanket, reasons for use, signs, and symptoms of complications, etc. […] Achieve relief from pain. Administer analgesics as ordered; provide warm baths or heating pad to aching muscles; encourage gargling with warm water; provide throat lozenges as necessary; and instruct patient or SO in deep breathing, relaxation techniques, guided imagery, massage, and other nonpharmacologic aids.
  • #43 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Educate patient and folks. Use limited amounts of time for teaching, with the provision of a quiet environment; inform people receiving the vaccine of the possible adverse effects and report them immediately; instruct patient and/or SO about influenza types, when typical outbreaks occur, and methods to avoid infection; and instruct patient and/or SO about newer antiviral drugs, their effects, when to seek immediate medical attention, and side effects of medications. […] Nursing goals are met as evidenced by: […] Patient achieved and maintained a patent airway. […] […] Patient achieved and maintained normal respiratory pattern and rate, with no adventitious breath sounds to auscultation. […] […] Patient achieved and maintained a normal temperature. […] […] Patient achieved relief from aches and pain. […]
  • #44 H1N1 (Swine) – The Pediatric Clinic
    https://www.thepediatric.com/resources/helpful-articles/h1n1-swine
    If your child has flu-like symptoms, he should STAY HOME until he has not had a fever for at least 24 hours (without having to take fever medicine). […] Make sure your child gets plenty of rest. […] Make sure your child drinks a lot of clear liquids. […] Give your child acetaminophen or ibuprofen to relieve headaches and muscle aches and to lower a fever. […] Talk with your healthcare provider about whether you should give your child a decongestant. […] If your child is sick, you can help protect others if you: Keep your children home from daycare or school if they are sick. […] Teach your child to cover his or her nose and mouth with a tissue when coughing or sneezing. […] Clean your child’s hands often with soap and water or an alcohol-based hand rub, especially after using tissues or coughing or sneezing.
  • #45 H1N1 Influenza (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568734/
    The antiviral medications: zanamivir, oseltamivir, and peramivir have been documented to help reduce, or possibly prevent, the effects of swine flu if the medication is taken within 48 hours of the onset of symptoms. […] Pregnant women who contract the H1N1, are at a greater risk of complications because of the body’s hormonal changes, physical changes and changes to their immune system to accommodate the growing fetus. […] For these reasons, the CDC recommends that all pregnant women get vaccinated to prevent the swine influenza virus. […] Nursing Management includes checking vitals and temperature, isolating the patient, wearing mask and gloves, encouraging patient to cough and sneeze into a tissue, encouraging fluids, providing oxygenation, administering antiviral medications, encouraging hand washing, listening to the chest for rales, crackles, wheezing, assessing for respiratory distress, using alcohol-based hand gels for hand rinsing, and encouraging the patient to wear a mask. […] The best-known prevention method against swine flu is getting the H1N1 swine flu vaccine. […] The initial and best step in management should be to prevent swine flu.
  • #46 H1N1 flu (swine flu) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/influenza-flu/
    Chronic conditions may increase the risk of influenza complications. […] The Centers for Disease Control and Prevention (CDC) recommends annual flu vaccination for everyone age 6 months or older. […] The flu vaccine can lower your risk of getting the flu. […] Most people with flu, including H1N1 flu, need only symptom relief. […] Health care providers may prescribe antiviral drugs within the first day or two of symptoms. […] But flu viruses can develop resistance to these drugs. […] If you develop any type of flu, stay home. […] Avoid being around other people until you’re feeling better, unless you’re getting medical care.
  • #47 H1N1 flu (swine flu) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/swine-flu/symptoms-causes/syc-20378103
    People who live or work in facilities with many other residents are more likely to get the flu. […] Chronic conditions may increase the risk of influenza complications. […] Influenza complications include: […] The H1N1 virus is included in the seasonal flu vaccine. […] The flu vaccine can lower your risk of getting the flu. […] Vaccination also helps lower the number of people with severe flu and complications. […] These measures also help prevent the flu and limit its spread:
  • #48 Swine flu: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/147720
    H1N1, sometimes known as swine flu, can affect both pigs and humans. Swine flu is a respiratory disease that results from an influenza A virus. It can cause flu-like symptoms, which may become severe in some cases. […] The influenza A variant subtype H1N1 is commonly the cause of swine flu in humans. […] In 2009, the H1N1 variant became widespread in humans for the first time. […] Since 2009, the H1N1 virus has become one of the common viruses that circulate each flu season. […] However, young children, older people, pregnant women, and those with a compromised immune system may have a higher risk. […] Scientists developed a vaccine to protect humans from H1N1 after the 2009 outbreak. Since then, protection against H1N1 has become part of the regular seasonal flu shot. […] Most people recover from H1N1 without extensive medical intervention.
  • #49 Swine Flu / H1N1 | Yeditepe Üniversitesi Hastanesi
    https://yeditepehastaneleri.com/en/health-guide/diseases-treatments/swine-flu-h1n1
    Swine Flu, or H1N1 flu in medical terms, is an outbreak-causing respiratory disease caused by the influenza A virus. […] Serious illnesses (pneumonia and respiratory failure) and deaths have been reported in the past with the H1N1 flu. Like seasonal flu, H1N1 flu can cause the worsening of chronic health conditions. […] Oseltamivir and zanamivir are effective in treatment. It is necessary to avoid contact with patients and possible cases. It can survive for 2 hours on the surface. Hand washing is important. The vaccine is protective. […] The vaccine is effective in protecting against the H1N1 flu. The seasonal flu vaccine has a content of swine flu virus (H1N1). […] Risk groups that should be vaccinated: Persons aged 65 years and above and those staying in an elderly nursing home, Chronic cardiovascular disease, kidney, lung disease, or immunosuppressed persons, 6 months to 2 years old, Healthcare workers. […] Those who have the flu should not go to work or school but rest.
  • #50 H1N1 Flu and Seasonal Flu: Differences and Similarities
    https://www.health.ny.gov/publications/7227/
    Many people are wondering what the differences are between seasonal flu and H1N1 flu. H1N1 flu is caused by a new virus that is different from the seasonal flu we usually see each fall and winter. […] With the H1N1 flu, the people who are most likely to get the flu and who may get sickest are pregnant women, children under 5 years, people of any age with certain chronic medical conditions, such as asthma, diabetes, or lung disease, people under 19 years who are receiving long-term aspirin therapy, people 65 years or older, and residents of nursing homes and other chronic care facilities. […] Because getting the vaccine is the best protection against H1N1 flu it is important for everyone to get vaccinated as soon as possible. […] It is particularly important for people most vulnerable to H1N1 flu to get vaccinated. This includes pregnant women, people who live with or care for children under 6 months of age, health care workers, emergency medical responders, persons ages 6 months-24 years, and people 25-64 years old who have chronic health disorders or compromised immune systems. […] If you are at high risk for complications of flu, contact your doctor. […] If you have the flu and will be around other people, you should wear a facemask. If you must take care of someone with the flu, and are at high risk of serious illness if you get sick, you should also wear a mask.
  • #51 Women’s Care Joins Efforts to Prevent Spread of H1N1 Virus – Women’s Care
    https://www.womenscare.com/womens-care-joins-efforts-to-prevent-spread-of-h1n1-virus/
    Because Womens Care is concerned about your good health, weve joined forces with the Lane County Public Health Department as a community partner to help protect against the spread of the H1N1 virus (swine flu). […] Womens Care worked early on to acquire and maintain an adequate supply of H1N1 vaccinations. […] According to the Centers for Disease Control (CDC), pregnant women should be vaccinated because theyre at higher risk of complications and can potentially provide protection to infants who cant be vaccinated. […] In addition to providing vaccinations, Womens Care nursing staff and childbirth educators have been teaching patients about everyday prevention of flu and other illnesses. […] Be sure to contact your Womens Care physician if you have questions or concerns about the H1N1 flu virus or the vaccination.
  • #52 Swine Flu (H1N1): What Is It, Causes, Treatments & Prevention
    https://my.clevelandclinic.org/health/diseases/23928-swine-flu-h1n1
    Swine flu (H1N1) is a type of viral infection. You can treat it with rest, fluids and antiviral medications. […] Swine flu (H1N1) is a respiratory infection in humans. […] Swine flu (H1N1) is contagious. It can spread from person to person. […] The symptoms of swine flu (H1N1) are similar to the symptoms of regular flu. […] If you have swine flu, you should: Get plenty of rest. Drink fluids. Eat a light diet. Stay home. Take acetaminophen (Tylenol) to reduce fever and relieve aches and pains. […] If you’re very ill, your healthcare provider may prescribe an antiviral medicine. Antiviral drugs such as oseltamivir (Tamiflu) or zanamivir (Relenza) can kill the virus. […] Ways to prevent getting and spreading swine flu (H1N1) include: Cover your nose and mouth with a tissue when you sneeze or cough. Wash your hands with soap and water. Stay home if you’re sick. […] Call your healthcare provider if your symptoms last longer or worsen. […] If you do get sick, make sure to get plenty of rest, drink fluids and call your healthcare provider if symptoms worsen.
  • #53 H1N1 Influenza (Swine Flu) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/1807048-treatment
    Treatment is largely supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis (see Medication). […] Patients should be encouraged to stay home if they become ill, to avoid close contact with people who are sick, to wash their hands often, and to avoid touching their eyes, nose, and mouth. […] Antiviral therapy may be indicated. Available medications are discussed in the Medication section. […] The CDC recommends the following actions when human infection with H1N1 influenza (swine flu) is confirmed in a community: Patients who develop flulike illness (ie, fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer.
  • #54 H1N1 Flu | H1N1 | Swine Flu | MedlinePlus
    https://medlineplus.gov/h1n1fluswineflu.html
    Swine flu is an infection caused by a virus. It’s named for a virus that pigs can get. People do not normally get swine flu, but human infections can and do happen. In 2009 a strain of swine flu called H1N1 infected many people around the world. […] The virus is contagious and can spread from human to human. Symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. […] There are antiviral medicines you can take to prevent or treat swine flu. There is a vaccine available to protect against swine flu. You can help prevent the spread of germs that cause respiratory illnesses like influenza by: […] Covering your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • #55 H1N1 Flu | H1N1 | Swine Flu | MedlinePlus
    https://medlineplus.gov/h1n1fluswineflu.html
    Washing your hands often with soap and water, especially after you cough or sneeze. You can also use alcohol-based hand cleaners. […] Avoiding touching your eyes, nose or mouth. Germs spread this way. […] Trying to avoid close contact with sick people. […] Staying home from work or school if you are sick.
  • #56 Swine Flu: Risk Factors, Causes & Symptoms
    https://www.healthline.com/health/swine-flu
    The best way to prevent swine flu is to get a yearly flu vaccination. Other easy ways to prevent swine flu include: frequently washing hands with soap or hand sanitizer, not touching your nose, mouth, or eyes, staying home from work or school if you’re ill, avoiding large gatherings when swine flu is in season.
  • #57 H1N1 Influenza (Swine Flu) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/1807048-treatment
    While in home isolation, patients and other household members should be given infection control instructions, including frequent hand washing with soap and water. Use alcohol-based hand gels (containing at least 60% alcohol) when soap and water are not available and hands are not visibly dirty. Patients with H1N1 influenza should wear a face mask when within 6 feet of others at home. […] The CDC has issued interim recommendations for controlling the spread of H1N1 influenza in health care settings. Recommended measures for care of patients with suspected or confirmed H1N1 influenza include the following: Place patients in a single-patient room with the door kept closed. An airborne-infection isolation room with negative-pressure air handling can be used, if available. […] Standard, droplet, and contact precautions should be used for all patient care activities and maintained for 7 days after illness onset or until symptoms have resolved. […] Personnel providing care to or collecting clinical specimens from patients should wear disposable nonsterile gloves, gowns, and eye protection (eg, goggles) to prevent conjunctival exposure.
  • #58 H1N1 Flu – Health Care Providers
    http://www.idph.state.il.us/swine_flu/sf_healthcare_dental.htm
    The Centers for Disease Control and Prevention provides important and up-to-date information to the public and health care providers on the recent outbreak of swine influenza in humans. […] The primary infection control goal is to prevent transmission of disease. Early detection of a suspected or confirmed case of swine influenza and prompt isolation from susceptible persons will reduce the risk of transmission. […] Infection control issues during patient assessment […] Patients with an acute respiratory illness should identified at check-in and be placed in a single-patient room with the door kept closed. […] If the dentist suspects the illness could be due to swine influenza (symptoms include fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea) elective dental treatment should be deferred and the patient should be advised to contact their general health care provider.
  • #59 H1N1 Flu – Health Care Providers
    http://www.idph.state.il.us/swine_flu/sf_healthcare_dental.htm
    If urgent dental care is required and swine flu has either been confirmed or is suspected, the care should be provided in a facility (e.g., hospital with dental care capabilities) that provides airborne infection isolation (i.e., airborne infection isolation room with negative pressure air handling with 6 to 12 air changes per hour). […] Respiratory hygiene/cough etiquette infection control measures along with contact precautions are currently recommended for preventing transmission of swine influenza in a dental healthcare setting.
  • #60 6 Influenza (Flu) Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/influenza-flu-nursing-care-plans/
    Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with influenza. Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for influenza in this guide. […] Unless complications occur, influenza doesn’t require hospitalization and nursing care usually focuses on the prevention of the disease and relief of symptoms. […] The following are the nursing priorities for patients with influenza: Management of respiratory dysfunction. Managing fever and respiratory symptoms. Infection control and prevention. Fluid and electrolyte imbalance. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with influenza based on the nurses clinical judgement and understanding of the patients unique health condition.
  • #61 6 Influenza (Flu) Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/influenza-flu-nursing-care-plans/
    Goals and expected outcomes may include: The client will achieve the return of and ability to maintain patent airways and respiratory status baselines. The client will have clear breath sounds to auscultation and will have respiratory status parameters with optimal air exchange. […] Therapeutic interventions and nursing actions for patients with influenza may include: Assess respiratory status for rate, depth, ease, use of accessory muscles, and work of breathing. Monitor oxygen saturation by pulse oximetry, and notify the healthcare provider of readings 90% or as prescribed. Encourage fluids, up to three to four liters/day unless contraindicated. Administer antivirals as ordered. Administer influenza vaccine as prescribed. […] Instruct the client and family members that those who are at risk for influenza should always be immunized with the flu vaccine. Vaccination should be given around October prior to the start of the outbreak of influenza season but can be given throughout this time until late winter.
  • #62 Influenza Nursing Care Management and Study Guide – Nurseslabs
    https://nurseslabs.com/influenza/
    Patient understood and verbalized appropriate treatment and care for influenza. […] Documentation in a patient with influenza include the following: […] Individual findings, including factors affecting, interactions, nature of social exchanges, specifics of individual behavior. […] […] Cultural and religious beliefs, and expectations. […] […] Plan of care. […] […] Teaching plan. […] […] Responses to interventions, teaching, and actions performed. […] […] Attainment or progress toward the desired outcome.
  • #63 Nurse Action Needed to Manage H1N1 Flu | Nurse.com
    https://www.nurse.com/blog/nurse-action-needed-to-manage-h1n1-flu/?srsltid=AfmBOopP51qdEjCuV9uA3af24ekA8DMAVv8HLKa5QBEvF7LrHamfP0gS
    Part of the nurse’s job is helping patients keep calm in the midst of a potentially frightening situation, Ramirez says. “People get viruses. They usually resolve themselves without any treatment whatsoever. I believe that nurses understand the microbiology of a virus. What nurses really have to do is to be able to communicate what symptoms are severe and not severe to the patient.”