Mononukleoza zakaźna
Charakterystyka, pielęgnacja i opieka

Mononukleoza zakaźna, wywołana głównie przez wirusa Epsteina-Barr (EBV), charakteryzuje się gorączką, powiększeniem węzłów chłonnych, zapaleniem gardła i migdałków oraz powiększeniem śledziony. Diagnostyka opiera się na obrazie klinicznym i badaniach fizykalnych, w tym ocenie powiększenia węzłów chłonnych, migdałków, wątroby i śledziony. Kluczowe objawy to utrzymująca się gorączka, silne zmęczenie, ból gardła, wysypka po antybiotykach z grupy penicylin oraz powiększenie śledziony. Opieka pielęgniarska koncentruje się na monitorowaniu parametrów życiowych, ocenie stopnia powiększenia narządów, nawodnieniu, kontroli bólu gardła oraz edukacji pacjenta w zakresie ograniczenia aktywności fizycznej i zapobiegania powikłaniom, zwłaszcza ryzyku pęknięcia śledziony, które wymaga unikania sportów kontaktowych przez 4-6 tygodni.

  1. Opieka pielęgnacyjna w mononukleozie zakaźnej
    1. Diagnoza i objawy mononukleozy
    2. Ocena pielęgniarska pacjenta z mononukleozą
  2. Diagnozy pielęgniarskie i plan opieki
    1. Zmęczenie spowodowane infekcją wirusową
    2. Ryzyko urazu związane z powiększeniem śledziony
    3. Ostry ból związany z zapaleniem tkanki limfatycznej
    4. Ryzyko niedoboru płynów
    5. Deficyt wiedzy dotyczący zarządzania chorobą
  3. Leczenie i postępowanie w mononukleozie
    1. Leczenie objawowe
    2. Zapobieganie rozprzestrzenianiu się wirusa
    3. Monitorowanie i zapobieganie powikłaniom
  4. Edukacja pacjenta i wsparcie
    1. Informacje o chorobie i jej przebiegu
    2. Zalecenia dotyczące samoopieki
    3. Ograniczenia aktywności fizycznej
    4. Zapobieganie przenoszeniu wirusa
    5. Objawy wymagające natychmiastowej konsultacji
  5. Powrót do codziennych aktywności
    1. Zalecenia dotyczące powrotu do aktywności
  6. Wskaźniki efektywnej opieki pielęgniarskiej
    1. Kolejne rozdziały

Opieka pielęgnacyjna w mononukleozie zakaźnej

Mononukleoza zakaźna, powszechnie znana jako „choroba pocałunków”, to zakażenie wirusowe wywoływane głównie przez wirus Epsteina-Barr (EBV). Klasycznie objawia się gorączką, powiększeniem węzłów chłonnych oraz zapaleniem gardła i migdałków. Choroba ta dotyka najczęściej nastolatków i młodych dorosłych, wymaga specjalistycznej opieki pielęgniarskiej, która skupia się na łagodzeniu objawów, zapobieganiu powikłaniom oraz wspieraniu procesu zdrowienia pacjenta.123

Diagnoza i objawy mononukleozy

Diagnoza mononukleozy zakaźnej opiera się głównie na objawach klinicznych, badaniu fizykalnym oraz testach laboratoryjnych. Lekarz może podejrzewać mononukleozę na podstawie charakterystycznych objawów, czasu ich trwania oraz wyników badania fizykalnego, podczas którego ocenia powiększenie węzłów chłonnych, migdałków, wątroby lub śledziony.45

Do typowych objawów mononukleozy należą:

  • Utrzymująca się gorączka
  • Silne zmęczenie i osłabienie
  • Ból gardła
  • Powiększone węzły chłonne (szczególnie na szyi)
  • Powiększone migdałki
  • Wysypka (może pojawić się po zastosowaniu antybiotyków z grupy penicylin)
  • Bóle głowy i bóle mięśniowe
  • Utrata apetytu
  • Powiększenie śledziony

678

Ocena pielęgniarska pacjenta z mononukleozą

Prawidłowa ocena pielęgniarska jest podstawą efektywnej opieki nad pacjentem z mononukleozą zakaźną. Pielęgniarka powinna zwrócić uwagę na następujące elementy:910

  • Zebranie dokładnego wywiadu, uwzględniającego ekspozycję na wirusa
  • Kontrola i dokumentacja parametrów życiowych, ze szczególnym uwzględnieniem gorączki
  • Ocena stopnia powiększenia węzłów chłonnych i migdałków
  • Monitorowanie objawów powiększenia śledziony
  • Ocena poziomu odwodnienia i podaży płynów
  • Ocena stopnia zmęczenia i tolerancji aktywności
  • Ocena bólu gardła i trudności w połykaniu

1112

Diagnozy pielęgniarskie i plan opieki

Na podstawie oceny stanu pacjenta, pielęgniarka formułuje diagnozy pielęgniarskie, które stanowią podstawę do opracowania indywidualnego planu opieki. W przypadku mononukleozy zakaźnej najczęściej występują następujące diagnozy pielęgniarskie:13

Zmęczenie spowodowane infekcją wirusową

Diagnoza: Zmęczenie związane z infekcją wirusową i odpowiedzią zapalną, objawiające się zgłaszanym wyczerpaniem, zmniejszoną tolerancją wysiłku i zwiększoną potrzebą odpoczynku.14

Interwencje pielęgniarskie:

  • Zalecanie odpowiedniego odpoczynku i ograniczenia aktywności fizycznej
  • Planowanie aktywności pacjenta z uwzględnieniem okresów odpoczynku
  • Monitorowanie poziomu zmęczenia
  • Edukacja pacjenta w zakresie oszczędzania energii
  • Wspieranie pacjenta w powolnym powrocie do codziennych czynności w miarę poprawy stanu zdrowia

151617

Pacjent z mononukleozą powinien otrzymać zalecenie odpoczynku i pozostania w łóżku, dopóki nie poczuje się na tyle dobrze, aby wstać. Niektórzy pacjenci mogą odczuwać znaczne zmęczenie przez kilka tygodni, a nawet miesięcy po ustąpieniu innych objawów.1819

Ryzyko urazu związane z powiększeniem śledziony

Diagnoza: Ryzyko urazu związane z powiększeniem śledziony i potencjalnym pęknięciem, objawiające się obecnością splenomegalii.20

Interwencje pielęgniarskie:

  • Edukacja pacjenta w zakresie unikania aktywności fizycznej i sportów kontaktowych przez co najmniej 4-6 tygodni
  • Pouczenie o unikaniu podnoszenia ciężkich przedmiotów
  • Informowanie o objawach pęknięcia śledziony (nagły, ostry ból w lewej górnej części brzucha)
  • Instruowanie o konieczności natychmiastowego zgłoszenia się do szpitala w przypadku wystąpienia objawów pęknięcia śledziony
  • Monitorowanie objawów powiększenia śledziony

21222324

Powiększona śledziona stanowi poważne ryzyko dla pacjenta, ponieważ może dojść do jej pęknięcia, co jest stanem zagrażającym życiu. Dlatego tak istotne jest, aby pacjent unikał sportów kontaktowych i intensywnych ćwiczeń fizycznych przez co najmniej 4 tygodnie po ustąpieniu objawów.252627

Ostry ból związany z zapaleniem tkanki limfatycznej

Diagnoza: Ostry ból związany z zapaleniem tkanki limfatycznej i zapaleniem gardła, objawiający się bólem gardła, trudnościami w połykaniu i powiększonymi węzłami chłonnymi.28

Interwencje pielęgniarskie:

  • Podawanie leków przeciwbólowych (acetaminofen, ibuprofen) zgodnie z zaleceniami
  • Zachęcanie do płukania gardła ciepłym roztworem soli
  • Proponowanie ssania pastylki na gardło
  • Zapewnienie odpowiedniej wilgotności powietrza
  • Monitorowanie efektywności zastosowanych środków przeciwbólowych
  • Stosowanie ciepłych okładów na powiększone węzły chłonne

29303132

Dla przygotowania roztworu soli do płukania gardła, należy wymieszać 1 łyżeczkę soli w 250 ml ciepłej wody. Płukanie gardła tym roztworem może przynieść ulgę w bólu gardła.33

Ryzyko niedoboru płynów

Diagnoza: Ryzyko niedoboru płynów związane ze zmniejszonym przyjmowaniem płynów i gorączką, objawiające się słabym napięciem skóry i zmniejszonym wydalaniem moczu.34

Interwencje pielęgniarskie:

  • Zachęcanie do zwiększonego przyjmowania płynów
  • Monitorowanie stanu nawodnienia (napięcie skóry, wilgotność błon śluzowych, wydalanie moczu)
  • Oferowanie różnorodnych płynów (woda, herbata ziołowa, czyste buliony)
  • Edukacja pacjenta w zakresie znaczenia odpowiedniego nawodnienia
  • Monitorowanie równowagi płynów i elektrolitów

35363738

Odpowiednie nawodnienie jest kluczowe w leczeniu mononukleozy zakaźnej, ponieważ pomaga w zwalczaniu gorączki i zapobiega odwodnieniu. Pacjenci powinni być zachęcani do picia dużej ilości płynów, takich jak woda, soki owocowe, herbaty ziołowe i czyste buliony.3940

Deficyt wiedzy dotyczący zarządzania chorobą

Diagnoza: Deficyt wiedzy związany z brakiem znajomości postępowania w mononukleozie, objawiający się pytaniami o ograniczenia aktywności i zapobieganie transmisji.41

Interwencje pielęgniarskie:

  • Edukacja pacjenta na temat choroby, jej przebiegu i potencjalnych powikłań
  • Informowanie o metodach zapobiegania przenoszeniu wirusa
  • Wyjaśnienie znaczenia ograniczeń aktywności fizycznej
  • Instruowanie o objawach, które wymagają natychmiastowej konsultacji medycznej
  • Zapewnienie materiałów edukacyjnych
  • Odpowiadanie na pytania i wyjaśnianie wątpliwości

42434445

Leczenie i postępowanie w mononukleozie

Mononukleoza zakaźna jest chorobą wirusową, na którą nie ma specyficznego leczenia przyczynowego. Antybiotyki nie są skuteczne w leczeniu zakażeń wirusowych, w tym mononukleozy. Leczenie koncentruje się głównie na łagodzeniu objawów i zapobieganiu powikłaniom.464748

Leczenie objawowe

W leczeniu objawowym mononukleozy zakaźnej stosuje się następujące metody:4950

  • Odpoczynek – jest kluczowym elementem leczenia, szczególnie we wczesnej fazie choroby, gdy objawy są najbardziej nasilone. Pacjent powinien odpoczywać, dopóki nie poczuje się lepiej.
  • Nawodnienie – picie dużej ilości płynów pomaga zwalczać gorączkę i łagodzić ból gardła.
  • Leki przeciwbólowe i przeciwgorączkowe – acetaminofen (Tylenol) lub ibuprofen (Advil, Motrin) mogą być stosowane w celu łagodzenia bólu gardła, bólu głowy i obniżenia gorączki.
  • Łagodzenie bólu gardła – płukanie gardła ciepłym roztworem soli, ssanie pastylek na gardło.
  • Unikanie wysiłku fizycznego – pacjent powinien unikać sportów kontaktowych i intensywnych ćwiczeń przez co najmniej 4-6 tygodni, aby zmniejszyć ryzyko pęknięcia śledziony.

515253

W rzadkich przypadkach, gdy dochodzi do znacznego obrzęku gardła i migdałków, które mogą utrudniać oddychanie, lekarz może przepisać kortykosteroidy w celu zmniejszenia obrzęku.545556

Leki stosowane w leczeniu objawowym mononukleozy Wskazania Dawkowanie Uwagi
Acetaminofen (Tylenol) Gorączka, ból gardła, bóle głowy Zgodnie z zaleceniami na opakowaniu Nie należy przekraczać zalecanej dawki dobowej
Ibuprofen (Advil, Motrin) Gorączka, ból gardła, bóle mięśniowe Zgodnie z zaleceniami na opakowaniu Przyjmować po posiłku, aby zmniejszyć ryzyko podrażnienia żołądka
Naproksen (Aleve) Gorączka, ból gardła, bóle mięśniowe Zgodnie z zaleceniami na opakowaniu Przyjmować po posiłku, aby zmniejszyć ryzyko podrażnienia żołądka
Kortykosteroidy Silny obrzęk gardła i migdałków Według zaleceń lekarza Stosowane tylko w ciężkich przypadkach

575859

Zapobieganie rozprzestrzenianiu się wirusa

Mononukleoza zakaźna jest chorobą zakaźną, która przenosi się głównie przez ślinę. W celu ograniczenia rozprzestrzeniania się wirusa pacjent powinien:6061

  • Unikać całowania innych osób
  • Nie dzielić się jedzeniem, napojami, naczyniami, sztućcami i szczoteczkami do zębów
  • Regularnie myć ręce
  • Stosować zasady higieny kaszlu i kichania
  • Unikać bliskiego kontaktu z innymi osobami w okresie najbardziej zakaźnym (gdy występuje gorączka)

626364

Pacjenci z mononukleozą nie powinni oddawać krwi, ponieważ istnieje ryzyko przeniesienia wirusa poprzez produkty krwiopochodne.6566

Monitorowanie i zapobieganie powikłaniom

Mononukleoza zakaźna może prowadzić do różnych powikłań, z których najpoważniejszym jest pęknięcie śledziony. Inne potencjalne powikłania obejmują:6768

697071

Pielęgniarka powinna monitorować pacjenta pod kątem objawów tych powikłań i poinformować go o sytuacjach, które wymagają natychmiastowej konsultacji medycznej, takich jak:7273

  • Nagły, ostry ból w lewej górnej części brzucha (może wskazywać na pęknięcie śledziony)
  • Trudności w oddychaniu
  • Utrzymująca się wysoka gorączka
  • Silne bóle głowy
  • Objawy odwodnienia
  • Objawy żółtaczki (zażółcenie skóry i białkówek oczu)

747576

Edukacja pacjenta i wsparcie

Edukacja pacjenta jest kluczowym elementem opieki nad osobą z mononukleozą zakaźną. Pielęgniarka powinna przekazać pacjentowi i jego rodzinie następujące informacje:7778

Informacje o chorobie i jej przebiegu

  • Mononukleoza jest zakażeniem wirusowym, które nie reaguje na antybiotyki
  • Większość objawów ustępuje w ciągu 2-4 tygodni, ale zmęczenie może utrzymywać się dłużej
  • Choroba może być przenoszona przez ślinę, dlatego ważne jest przestrzeganie zasad higieny
  • Wirus Epsteina-Barr pozostaje nieaktywny w organizmie po wyzdrowieniu, ale rzadko powoduje nawrót choroby

79808182

Zalecenia dotyczące samoopieki

  • Odpoczynek – pacjent powinien odpoczywać i unikać nadmiernego wysiłku, dopóki nie poczuje się lepiej
  • Nawodnienie – picie dużej ilości płynów jest kluczowe dla zwalczania gorączki i zapobiegania odwodnieniu
  • Leki – stosowanie leków przeciwbólowych i przeciwgorączkowych zgodnie z zaleceniami
  • Łagodzenie bólu gardła – płukanie gardła ciepłym roztworem soli, ssanie pastylek na gardło
  • Dieta – spożywanie pełnowartościowych posiłków, w miarę możliwości

83848586

Ograniczenia aktywności fizycznej

  • Unikanie sportów kontaktowych przez co najmniej 4-6 tygodni po ustąpieniu objawów
  • Unikanie podnoszenia ciężkich przedmiotów
  • Stopniowy powrót do normalnej aktywności w miarę poprawy samopoczucia
  • Konsultacja z lekarzem przed powrotem do intensywnej aktywności fizycznej

87888990

Zapobieganie przenoszeniu wirusa

  • Unikanie całowania innych osób
  • Niedzielenie się naczyniami, sztućcami, jedzeniem i napojami
  • Regularne mycie rąk
  • Unikanie bliskiego kontaktu z innymi osobami, szczególnie gdy występuje gorączka
  • Nieodawanie krwi w przypadku zdiagnozowanej mononukleozy

91929394

Objawy wymagające natychmiastowej konsultacji

  • Nagły, ostry ból w lewej górnej części brzucha
  • Trudności w oddychaniu
  • Utrzymująca się wysoka gorączka
  • Objawy odwodnienia (zmniejszone wydalanie moczu, silne pragnienie, zawroty głowy)
  • Nasilanie się objawów zamiast ich ustępowania
  • Pojawienie się nowych objawów

95969798

Powrót do codziennych aktywności

Powrót do normalnych aktywności po mononukleozie zakaźnej powinien być stopniowy. Pacjent może wrócić do szkoły lub pracy, gdy gorączka ustąpi i będzie w stanie uczestniczyć w codziennych czynnościach, jednak pełne wyzdrowienie może zająć kilka tygodni lub miesięcy.99100

Niektórzy pacjenci, szczególnie uczniowie i studenci, mogą początkowo potrzebować skróconego dnia szkolnego lub pracy, ze względu na utrzymujące się zmęczenie. Powrót do normalnych aktywności powinien być dostosowany do indywidualnych potrzeb i możliwości pacjenta.101102

Bardzo ważne jest unikanie sportów kontaktowych i intensywnych ćwiczeń fizycznych przez co najmniej 4-6 tygodni po ustąpieniu objawów, aby zmniejszyć ryzyko pęknięcia śledziony. Pacjent powinien uzyskać zgodę lekarza przed powrotem do uprawiania sportu.103104105

Zalecenia dotyczące powrotu do aktywności

  • Powrót do szkoły lub pracy, gdy gorączka ustąpi i pacjent będzie czuł się na tyle dobrze, aby uczestniczyć w codziennych czynnościach
  • Stopniowe zwiększanie czasu spędzanego w szkole lub pracy
  • Planowanie okresów odpoczynku w ciągu dnia
  • Unikanie sportów kontaktowych i intensywnych ćwiczeń przez co najmniej 4-6 tygodni
  • Konsultacja z lekarzem przed powrotem do uprawiania sportu
  • Kontynuowanie dobrych nawyków zdrowotnych, takich jak odpowiednie nawodnienie i zbilansowana dieta

106107108109

Wskaźniki efektywnej opieki pielęgniarskiej

Skuteczna opieka pielęgniarska nad pacjentem z mononukleozą zakaźną powinna prowadzić do następujących rezultatów:110

  • Poprawa poziomu energii pacjenta w ciągu 2-4 tygodni
  • Utrzymanie odpowiedniego nawodnienia i odżywienia
  • Unikanie powikłań, szczególnie pęknięcia śledziony
  • Zmniejszenie bólu gardła i powiększenia węzłów chłonnych
  • Wykazanie przez pacjenta zrozumienia ograniczeń aktywności
  • Powrót do normalnych codziennych czynności w ciągu 4-6 tygodni
  • Stosowanie przez pacjenta odpowiednich środków zapobiegających przenoszeniu infekcji

111112113114

Opieka pielęgniarska odgrywa kluczową rolę w procesie zdrowienia pacjenta z mononukleozą zakaźną. Poprzez odpowiednią ocenę, planowanie i realizację interwencji pielęgniarskich, edukację pacjenta oraz monitorowanie potencjalnych powikłań, pielęgniarka przyczynia się do szybszego powrotu pacjenta do zdrowia i zapobiega poważnym powikłaniom tej choroby.115116

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

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

Materiały źródłowe

  • #1 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #2 Mono Signs, Causes, & Duration (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/mononucleosis.html
    Mono is contagious. It spreads from person to person through contact with saliva (spit). It’s nicknamed „the kissing disease” because it can spread through kissing. […] The best treatment for mono is plenty of rest and fluids, especially early in the illness when symptoms are most severe. For fever and aching muscles, try taking acetaminophen or ibuprofen. Don’t take aspirin. Aspirin has been linked to a serious disease in kids and teens called Reye syndrome, which can lead to liver failure and death. […] Mono can make the spleen swell for a few weeks or longer. An enlarged spleen can rupture, causing pain and bleeding inside the belly, and needs emergency surgery. So doctors recommend that teens who have mono avoid contact sports for at least a month after symptoms are gone. Don’t do any strenuous activities until your doctor says it’s OK. […] In most cases, mono symptoms go away in a matter of weeks with plenty of rest and fluids. If they seem to linger or get worse, or if you have any other questions, call your doctor.
  • #3 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Infectious mononucleosis (mono), commonly known as the kissing disease, is a viral infection primarily caused by the Epstein-Barr virus (EBV). This nursing diagnosis focuses on identifying and treating mono symptoms, preventing complications, and supporting patient recovery through evidence-based interventions. […] Mononucleosis presents distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate successful management of mononucleosis: The patient will demonstrate improved energy levels within 2-4 weeks, The patient will maintain adequate hydration and nutrition, The patient will avoid complications (especially splenic rupture), The patient will report decreased throat pain and lymphadenopathy, The patient will demonstrate an understanding of activity restrictions, The patient will return to normal daily activities within 4-6 weeks, The patient will practice proper infection control measures.
  • #4 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Your doctor may suspect mononucleosis based on your signs and symptoms, how long they’ve lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. […] There’s no specific therapy available to treat infectious mononucleosis. Antibiotics don’t work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. […] Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • #5 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. […] Symptomatic treatment, the mainstay of care, includes adequate hydration, analgesics, antipyretics, and adequate rest. […] Corticosteroids, acyclovir, and antihistamines are not recommended for routine treatment of infectious mononucleosis, although corticosteroids may benefit patients with respiratory compromise or severe pharyngeal edema. […] Patients with infectious mononucleosis should be withdrawn from contact or collision sports for at least four weeks after the onset of symptoms. […] The mainstay of treatment for infectious mononucleosis is good supportive care, including adequate hydration; nonsteroidal anti-inflammatory drugs or acetaminophen for fever and myalgias; and throat lozenges or sprays, or gargling with a 2 percent lidocaine (Xylocaine) solution to relieve pharyngeal discomfort.
  • #6 Mononucleosis (Infectious): Symptoms, Diagnosis and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/mononucleosis
    Infectious mononucleosis (mon oh new klee OH siss), also known as mono, is an illness usually caused by the Epstein-Barr virus (EBV). […] Nationwide Children’s Hospital offers a team of experts focused on the treatment of children with mononucleosis. […] Because a virus causes mono, antibiotics (such as penicillin) will not help unless the child has another infection caused by bacteria. Mono symptoms usually go away on their own after a few weeks. […] The best treatment is getting plenty of rest, drinking lots of liquids and eating healthy. […] People who have mono should not do contact sports or vigorous exercise until the doctor says it is okay. Even playful wrestling at home could harm the enlarged spleen. […] Call your child’s doctor if any of these things occurs: Sudden, sharp pains in the upper left abdomen (tummy) that last more than 5 minutes. […] Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional.
  • #7 Mono Signs, Causes, & Duration (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/mononucleosis.html
    Mono is contagious. It spreads from person to person through contact with saliva (spit). It’s nicknamed „the kissing disease” because it can spread through kissing. […] The best treatment for mono is plenty of rest and fluids, especially early in the illness when symptoms are most severe. For fever and aching muscles, try taking acetaminophen or ibuprofen. Don’t take aspirin. Aspirin has been linked to a serious disease in kids and teens called Reye syndrome, which can lead to liver failure and death. […] Mono can make the spleen swell for a few weeks or longer. An enlarged spleen can rupture, causing pain and bleeding inside the belly, and needs emergency surgery. So doctors recommend that teens who have mono avoid contact sports for at least a month after symptoms are gone. Don’t do any strenuous activities until your doctor says it’s OK. […] In most cases, mono symptoms go away in a matter of weeks with plenty of rest and fluids. If they seem to linger or get worse, or if you have any other questions, call your doctor.
  • #8 Mononucleosis; Causes, Diagnosis and Treatment | Banner Health
    https://www.bannerhealth.com/services/infectious-disease/treatment/mono
    Mononucleosis, commonly known as mono or glandular fever, is a viral infection that usually affects teenagers and young adults, especially college students. But anyone can get it. […] With it, you may have symptoms like extreme fatigue, weakness, sore throat, swollen lymph nodes and fever. Symptoms can last weeks or months. […] Mono isn’t usually life-threatening, but it can make you very uncomfortable and disrupt your life. Complications can include an enlarged spleen and liver problems. People with severe cases of mono or people with weakened immune systems are at higher risk for complications. […] If you think you might have mono or have symptoms that last more than 10 days, see a health care provider. To diagnose it, they may perform these evaluations and tests: […] It’s important to get an accurate diagnosis so you can avoid unnecessary treatment, treat symptoms and take steps to prevent transmission and complications.
  • #9 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    Michael Mohseni; Michael P. Boniface; Charles Graham; Chaddie Doerr. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management […] Obtain a history of exposure […] Check vitals and document presence of fever […] Encourage not sharing food or personal care items […] Encourage patient not to kiss […] Educate patient on avoiding sports for at least 6 weeks […] Encourage hydration […] Tell the patient not to take penicillin-like antibiotics as it may result in a rash […] Take acetaminophen for pain and headache […] Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness.
  • #10 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Infectious mononucleosis (mono), commonly known as the kissing disease, is a viral infection primarily caused by the Epstein-Barr virus (EBV). This nursing diagnosis focuses on identifying and treating mono symptoms, preventing complications, and supporting patient recovery through evidence-based interventions. […] Mononucleosis presents distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate successful management of mononucleosis: The patient will demonstrate improved energy levels within 2-4 weeks, The patient will maintain adequate hydration and nutrition, The patient will avoid complications (especially splenic rupture), The patient will report decreased throat pain and lymphadenopathy, The patient will demonstrate an understanding of activity restrictions, The patient will return to normal daily activities within 4-6 weeks, The patient will practice proper infection control measures.
  • #11 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    Michael Mohseni; Michael P. Boniface; Charles Graham; Chaddie Doerr. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management […] Obtain a history of exposure […] Check vitals and document presence of fever […] Encourage not sharing food or personal care items […] Encourage patient not to kiss […] Educate patient on avoiding sports for at least 6 weeks […] Encourage hydration […] Tell the patient not to take penicillin-like antibiotics as it may result in a rash […] Take acetaminophen for pain and headache […] Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness.
  • #12 Infectious Mononucleosis – Medical Surgical
    https://www.naxlex.com/nursing/study-guides/infectious-mononucleosis-1695631193
    A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient’s care plan? Select all that apply. […] Administer antiviral medications. […] Encourage adequate fluid intake. […] Advise the patient to rest and avoid strenuous activities. […] Provide comfort measures for sore throat, such as warm saline gargles. […] A nurse is teaching a community health class about preventing the transmission of infectious mononucleosis. Which preventive measures should the nurse emphasize? […] Avoid sharing eating utensils and drinks. […] A nurse is caring for a client suspected of having infectious mononucleosis (IM). Which laboratory test is most indicative of IM? […] Positive heterophile antibody test. […] A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse? […] I’ll take antibiotics to treat the viral infection. […] A nurse is monitoring a client with infectious mononucleosis (IM). Which finding would the nurse expect to assess in the client’s laboratory results? […] Elevated liver function test results.
  • #13 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #14 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #15 Mononucleosis (Mono or the Kissing Disease)
    https://my.clevelandclinic.org/health/diseases/13974-mononucleosis
    Mononucleosis treatments focus on helping you feel better by relieving symptoms. Your self-care might include: […] Rest: Mono makes you very tired. Sleep helps your body fight infection. […] Hydration: Drink plenty of fluids to prevent dehydration. […] Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ease fever, inflammation, headaches and muscle aches. […] Sore throat soothers: You can gargle with salt water and use throat lozenges. […] Avoid sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture. You should avoid contact sports and strenuous exercise while you’re sick and for up to four weeks afterward. […] Most cases of infectious mononucleosis (mono) don’t cause serious problems. But symptoms like extreme fatigue, sore throat and body aches can disrupt school, work and life. Your healthcare provider can provide suggestions for finding relief. Rest and over-the-counter medications are often the best ways to ease symptoms. It’s also important to avoid strenuous physical activity that may rupture an enlarged spleen.
  • #16 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Your doctor may suspect mononucleosis based on your signs and symptoms, how long they’ve lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. […] There’s no specific therapy available to treat infectious mononucleosis. Antibiotics don’t work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. […] Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • #17 Patient education: Infectious mononucleosis (mono) in adults and adolescents (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/infectious-mononucleosis-mono-in-adults-and-adolescents-beyond-the-basics
    Rest — Mono can cause severe fatigue, although most people recover within two to four weeks. For some, significant tiredness lasts for weeks to months. Early in the infection, it is important to get adequate rest, although complete bed rest is unnecessary. […] People with mono who develop an enlarged spleen are at risk of splenic rupture until the spleen returns to normal size. This can take a few weeks or longer. Although you can return to school or work when you are feeling better, it’s important to avoid activities that can cause injury to the spleen. […] Most people who suffer from infectious mono recover entirely without long-term complications. Symptoms usually begin to improve within one to two weeks.
  • #18 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label.
  • #19
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed as much as you can until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon (5mL) of salt in 1 cup (250 mL) of warm water.
  • #20 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #21 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #22 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The patient should be told about the signs and symptoms of splenic rupture and when to return to the hospital. […] All patients should be told about the need to follow up until the symptoms subside and permission to return to physical activity. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated. […] Finally, all clinicians looking after patients with mononucleosis should be aware of the potential complications, and make the appropriate referral to the specialist when symptoms arise.
  • #23 About Infectious Mononucleosis (Mono) | EBV and Mono | CDC
    https://www.cdc.gov/epstein-barr/about/mononucleosis.html
    Most people get better in 2 to 4 weeks. […] You can help relieve symptoms of infectious mononucleosis by: Drinking fluids to stay hydrated, Getting plenty of rest, Taking over-the-counter medications for pain and fever. […] If you have infectious mononucleosis, you should not take penicillin antibiotics like ampicillin or amoxicillin. Based on the severity of the symptoms, a healthcare provider may recommend treatment of specific organ systems affected by infectious mononucleosis. […] Because your spleen may become enlarged as a result of infectious mononucleosis, you should avoid contact sports until you fully recover. Participating in contact sports can be strenuous and may cause the spleen to rupture.
  • #24
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bu1309
    Be safe with medicines. Have your child take medicines exactly as prescribed. […] Give your child acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for fever or pain. […] Do not let your child play contact sports or lift anything heavy for 4 weeks. These activities can increase the chance that the spleen may rupture. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if your child does not get better as expected.
  • #25 Mononucleosis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/symptoms-causes/syc-20350328
    If you have mononucleosis, it’s important to be careful of certain complications such as an enlarged spleen. Rest and enough fluids are keys to recovery. […] If your symptoms don’t get better on their own in a week or two, see your doctor. […] Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately you may need surgery. […] Mononucleosis is spread through saliva. If you’re infected, you can help prevent spreading the virus to others by not kissing them and by not sharing food, dishes, glasses and utensils until several days after your fever has improved and even longer, if possible. And remember to wash your hands regularly to prevent spread of the virus.
  • #26 What You Need to Know About Mononucleosis | AdventHealth
    https://www.adventhealth.com/blog/what-you-need-know-about-mononucleosis
    You may experience a severe, persistent sore throat with swollen tonsils. Sometimes, white patches with pus will appear on your tonsils. Drink plenty of fluids, such as water, herbal tea and clear soups, to stay hydrated. Gargling with warm salt water can also temporarily relieve sore throat pain. […] The lymph nodes in your neck, armpits and groin may become tender and enlarged. Warm compresses and over-the-counter pain relievers such as acetaminophen or ibuprofen can help. […] Mono can also cause your spleen to become enlarged. That means that even though you probably wont notice any obvious symptoms, its best to avoid sports and physical activities. A blow to your body may rupture your spleen, which is a life-threatening complication that causes pain and internal bleeding. Go to the emergency room right away if you feel sharp, sudden pain in your upper left abdomen. […] If you suspect you or your child has mononucleosis, were here to help. Thanks to our conveniently located urgent care centers and emergency rooms, you can find expert care close to home. Our experienced health care professionals are here to give you whole-person care when you need it most.
  • #27 Mononucleosis (Kissing Disease): Symptoms, Causes, & Treatment
    https://www.webmd.com/a-to-z-guides/understanding-mononucleosis-causes
    No medications treat mono. Antibiotics and antivirals dont work on EBV. Things that may help you feel better include: […] It can take a while to completely recover from mono. The best way to speed up your healing is to rest as much as you can. […] Your doctor will likely tell you to wait about a month before you do strenuous activities such as sports, weightlifting, or moving heavy objects. These things increase your risk of rupturing your spleen, which is a medical emergency. Mono can cause your spleen, an organ in your belly area, to become enlarged. […] It’s also important to avoid alcohol when you have mono. Mono can affect your liver, and drinking alcohol on top of it could lead to liver damage. […] You’ll probably return to your usual routines slowly and gradually. Ask your doctor about when it’s safe to do so.
  • #28 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #29 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label.
  • #30
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed as much as you can until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon (5mL) of salt in 1 cup (250 mL) of warm water.
  • #31 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. […] Symptomatic treatment, the mainstay of care, includes adequate hydration, analgesics, antipyretics, and adequate rest. […] Corticosteroids, acyclovir, and antihistamines are not recommended for routine treatment of infectious mononucleosis, although corticosteroids may benefit patients with respiratory compromise or severe pharyngeal edema. […] Patients with infectious mononucleosis should be withdrawn from contact or collision sports for at least four weeks after the onset of symptoms. […] The mainstay of treatment for infectious mononucleosis is good supportive care, including adequate hydration; nonsteroidal anti-inflammatory drugs or acetaminophen for fever and myalgias; and throat lozenges or sprays, or gargling with a 2 percent lidocaine (Xylocaine) solution to relieve pharyngeal discomfort.
  • #32 What You Need to Know About Mononucleosis | AdventHealth
    https://www.adventhealth.com/blog/what-you-need-know-about-mononucleosis
    You may experience a severe, persistent sore throat with swollen tonsils. Sometimes, white patches with pus will appear on your tonsils. Drink plenty of fluids, such as water, herbal tea and clear soups, to stay hydrated. Gargling with warm salt water can also temporarily relieve sore throat pain. […] The lymph nodes in your neck, armpits and groin may become tender and enlarged. Warm compresses and over-the-counter pain relievers such as acetaminophen or ibuprofen can help. […] Mono can also cause your spleen to become enlarged. That means that even though you probably wont notice any obvious symptoms, its best to avoid sports and physical activities. A blow to your body may rupture your spleen, which is a life-threatening complication that causes pain and internal bleeding. Go to the emergency room right away if you feel sharp, sudden pain in your upper left abdomen. […] If you suspect you or your child has mononucleosis, were here to help. Thanks to our conveniently located urgent care centers and emergency rooms, you can find expert care close to home. Our experienced health care professionals are here to give you whole-person care when you need it most.
  • #33
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed as much as you can until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon (5mL) of salt in 1 cup (250 mL) of warm water.
  • #34 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #35 Mononucleosis (Mono or the Kissing Disease)
    https://my.clevelandclinic.org/health/diseases/13974-mononucleosis
    Mononucleosis treatments focus on helping you feel better by relieving symptoms. Your self-care might include: […] Rest: Mono makes you very tired. Sleep helps your body fight infection. […] Hydration: Drink plenty of fluids to prevent dehydration. […] Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ease fever, inflammation, headaches and muscle aches. […] Sore throat soothers: You can gargle with salt water and use throat lozenges. […] Avoid sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture. You should avoid contact sports and strenuous exercise while you’re sick and for up to four weeks afterward. […] Most cases of infectious mononucleosis (mono) don’t cause serious problems. But symptoms like extreme fatigue, sore throat and body aches can disrupt school, work and life. Your healthcare provider can provide suggestions for finding relief. Rest and over-the-counter medications are often the best ways to ease symptoms. It’s also important to avoid strenuous physical activity that may rupture an enlarged spleen.
  • #36 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Your doctor may suspect mononucleosis based on your signs and symptoms, how long they’ve lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. […] There’s no specific therapy available to treat infectious mononucleosis. Antibiotics don’t work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. […] Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • #37 About Infectious Mononucleosis (Mono) | EBV and Mono | CDC
    https://www.cdc.gov/epstein-barr/about/mononucleosis.html
    Most people get better in 2 to 4 weeks. […] You can help relieve symptoms of infectious mononucleosis by: Drinking fluids to stay hydrated, Getting plenty of rest, Taking over-the-counter medications for pain and fever. […] If you have infectious mononucleosis, you should not take penicillin antibiotics like ampicillin or amoxicillin. Based on the severity of the symptoms, a healthcare provider may recommend treatment of specific organ systems affected by infectious mononucleosis. […] Because your spleen may become enlarged as a result of infectious mononucleosis, you should avoid contact sports until you fully recover. Participating in contact sports can be strenuous and may cause the spleen to rupture.
  • #38 Infectious Mononucleosis: Diagnosis and Treatment : Emergency Care BC
    https://emergencycarebc.ca/clinical_resource/clinical-summary/infectious-mononucleosis-diagnosis-and-treatment/
    Supportive care alone: rest, hydration, and symptomatic management. […] Abstain from strenuous exercise for 3-4 weeks after symptom onset to limit risk of splenic rupture. However, splenic rupture reported to occur spontaneously. […] Patients involved in contact sports, or activities involving high intra-abdominal pressure, require longer periods of rest. […] Patients with IM presenting with upper airway obstruction often admitted to hospital or observed for several hours. […] Often given but insufficient evidence to recommend the routine usage of glucocorticoids in the treatment of IM. […] Insufficient evidence to recommend the use of antiviral medications (acyclovir, valacyclovir, ganciclovir, etc.) in the treatment of IM.
  • #39 Mono Testing | Mono | iCare Emergency Room and Urgent Care
    https://www.icare-er.com/mono-testing/
    Mono, short for infectious mononucleosis, is often dubbed the “kissing disease,” and it necessitates specialized testing for a definitive diagnosis. […] If you suspect you have mononucleosis, it’s crucial to be vigilant about potential complications, such as an enlarged spleen. Rest and maintaining proper hydration are key factors in the recovery process. […] Mononucleosis, often referred to as mono, is a viral infection caused by the Epstein-Barr virus (EBV). There is no specific medication to cure mono since it is a viral infection. However, the focus of treatment is on managing symptoms and providing supportive care to help your body fight off the virus. Here are some key steps to consider if you have mono: Rest is crucial during mono, as your body needs energy to fight the infection. Give yourself time to recover and avoid strenuous physical activity that could potentially lead to complications, especially if your spleen is enlarged. Hydration: Stay well-hydrated by drinking plenty of fluids, such as water, herbal teas, and clear broths. This helps combat fever and prevents dehydration. Pain and Fever Relief: Over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help alleviate fever, sore throat, and muscle aches. Follow the recommended dosage instructions and consult a healthcare professional if you have any concerns.
  • #40 Infectious Mononucleosis | Student Wellness
    https://wellness.uoguelph.ca/services/health-services/services/self-care-resources/infectious-mononucleosis
    The main goal is to relieve symptoms: […] Rest. Sleep helps your body fight infection 8 hours /night […] Drink plenty of fluids. Prevent dehydration […] Eat 3 healthy meals/day […] If you have a sore throat: gargle with warm salt water, use lozenges […] Ibuprofen (Advil, Motrin) can be taken to relieve pain and fever […] NO sports, physical activities or exercise of any kind until your doctor tells you it is safe. Moving around too much puts you at risk of rupturing your spleen, especially if it is enlarged. You need to avoid physical activity and contact sports for about 4 6 weeks after you have had mono due to risk of rupturing your spleen. If you have a sharp, sudden pain just below your left ribs seek medical attention immediately.
  • #41 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Nursing Diagnosis Statement: Fatigue related to viral infection and inflammatory response as evidenced by verbalized exhaustion, decreased activity tolerance, and increased need for rest. […] Nursing Diagnosis Statement: Risk for Injury related to enlarged spleen and potential for splenic rupture as evidenced by the presence of splenomegaly. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of lymphoid tissue and pharyngitis as evidenced by sore throat, difficulty swallowing, and enlarged lymph nodes. […] Nursing Diagnosis Statement: Risk for Deficient Fluid Volume related to decreased oral intake and fever as evidenced by poor skin turgor and decreased urine output. […] Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with mononucleosis management as evidenced by questioning about activity restrictions and transmission prevention.
  • #42 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #43 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    Michael Mohseni; Michael P. Boniface; Charles Graham; Chaddie Doerr. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management […] Obtain a history of exposure […] Check vitals and document presence of fever […] Encourage not sharing food or personal care items […] Encourage patient not to kiss […] Educate patient on avoiding sports for at least 6 weeks […] Encourage hydration […] Tell the patient not to take penicillin-like antibiotics as it may result in a rash […] Take acetaminophen for pain and headache […] Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness.
  • #44 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products.
  • #45 understand about mononucleosis (mono) | Walking Urgent CareAccessibility ToolsIncrease TextDecrease TextGrayscaleLinks UnderlineReadable FontAccessibility ToolsIncrease TextDecrease TextGrayscaleLinks UnderlineReadable Font
    https://walkinmedicine.com/know-about-mono/
    Here’s what you should know about Mononucleosis. […] Mononucleosis, often called the “kissing disease,” is a viral infection typically spread through saliva or other bodily fluids, depending on the virus. […] While long-term complications are rare, it’s important to seek medical care for proper testing and symptom management. […] If diagnosed with mono, you’ll also receive guidance on how to prevent spreading it to others. […] Currently, there is no prescription treatment for mono. […] Since there is no cure for mono, your doctor will provide advice on managing symptoms. […] Rest is key, and you may be advised to avoid strenuous activities to prevent complications like a ruptured spleen. […] If you are experiencing symptoms, it’s important to seek care from a facility equipped to diagnose and treat your condition.
  • #46 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Your doctor may suspect mononucleosis based on your signs and symptoms, how long they’ve lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. […] There’s no specific therapy available to treat infectious mononucleosis. Antibiotics don’t work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. […] Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • #47 Mononucleosis (Infectious): Symptoms, Diagnosis and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/mononucleosis
    Infectious mononucleosis (mon oh new klee OH siss), also known as mono, is an illness usually caused by the Epstein-Barr virus (EBV). […] Nationwide Children’s Hospital offers a team of experts focused on the treatment of children with mononucleosis. […] Because a virus causes mono, antibiotics (such as penicillin) will not help unless the child has another infection caused by bacteria. Mono symptoms usually go away on their own after a few weeks. […] The best treatment is getting plenty of rest, drinking lots of liquids and eating healthy. […] People who have mono should not do contact sports or vigorous exercise until the doctor says it is okay. Even playful wrestling at home could harm the enlarged spleen. […] Call your child’s doctor if any of these things occurs: Sudden, sharp pains in the upper left abdomen (tummy) that last more than 5 minutes. […] Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional.
  • #48 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. […] Symptomatic treatment, the mainstay of care, includes adequate hydration, analgesics, antipyretics, and adequate rest. […] Corticosteroids, acyclovir, and antihistamines are not recommended for routine treatment of infectious mononucleosis, although corticosteroids may benefit patients with respiratory compromise or severe pharyngeal edema. […] Patients with infectious mononucleosis should be withdrawn from contact or collision sports for at least four weeks after the onset of symptoms. […] The mainstay of treatment for infectious mononucleosis is good supportive care, including adequate hydration; nonsteroidal anti-inflammatory drugs or acetaminophen for fever and myalgias; and throat lozenges or sprays, or gargling with a 2 percent lidocaine (Xylocaine) solution to relieve pharyngeal discomfort.
  • #49 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Your doctor may suspect mononucleosis based on your signs and symptoms, how long they’ve lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. […] There’s no specific therapy available to treat infectious mononucleosis. Antibiotics don’t work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. […] Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • #50 About Epstein-Barr Virus (EBV) | EBV and Mono | CDC
    https://www.cdc.gov/epstein-barr/about/index.html
    EBV is the most common cause of infectious mononucleosis, also called „mono.” This contagious disease is common among teens and adults. […] Most people get better in 2 to 4 weeks. There is no specific treatment for EBV. However, some things can be done to help relieve symptoms such as: […] Drinking fluids to stay hydrated […] Getting plenty of rest […] Taking over-the-counter medications for pain and fever.
  • #51 Mononucleosis (Mono or the Kissing Disease)
    https://my.clevelandclinic.org/health/diseases/13974-mononucleosis
    Mononucleosis treatments focus on helping you feel better by relieving symptoms. Your self-care might include: […] Rest: Mono makes you very tired. Sleep helps your body fight infection. […] Hydration: Drink plenty of fluids to prevent dehydration. […] Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ease fever, inflammation, headaches and muscle aches. […] Sore throat soothers: You can gargle with salt water and use throat lozenges. […] Avoid sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture. You should avoid contact sports and strenuous exercise while you’re sick and for up to four weeks afterward. […] Most cases of infectious mononucleosis (mono) don’t cause serious problems. But symptoms like extreme fatigue, sore throat and body aches can disrupt school, work and life. Your healthcare provider can provide suggestions for finding relief. Rest and over-the-counter medications are often the best ways to ease symptoms. It’s also important to avoid strenuous physical activity that may rupture an enlarged spleen.
  • #52 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label.
  • #53 Epstein-Barr Virus (EBV) – Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus
    Treatment for Epstein-Barr virus addresses symptoms associated with the infection. Treatment includes: Staying hydrated and drinking plenty of fluids. Resting. Taking over-the-counter medicine for a fever and pain. […] Getting enough rest is important to prevent symptoms from getting worse. It is especially important that you avoid excessive physical activity that could lead to a ruptured spleen if the virus causes your spleen to enlarge. […] If you have symptoms of Epstein-Barr virus or have mononucleosis, you should avoid school or work or attending events where you are in close contact with others because the condition is highly contagious. […] Your healthcare provider will suggest you stay home until you feel better and your symptoms start to fade. You may experience lingering symptoms, like fatigue, for several weeks after other symptoms go away.
  • #54 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Given the lack of evidence for bed rest in many other conditions, it seems sensible to recommend that patients base their return to usual activities on their energy levels. […] Corticosteroids are recommended in patients with significant pharyngeal edema that causes or threatens respiratory compromise. […] Athletes should not compete in contact or collision sports for a minimum of three to four weeks after the onset of symptoms.
  • #55 Mononucleosis (Mono): Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/primary-care/mononucleosis-mono/treatment
    To diagnose mononucleosis, a primary care doctor will perform an examination and sometimes order tests to determine the cause of your symptoms. […] A primary care physician can evaluate your symptoms and order blood tests to make or confirm a diagnosis of mono. If you have mono, your doctor will provide you with guidance about how to get better. […] There is no cure for mono. The best mono treatment is getting lots of rest and drinking plenty of fluids. You may also choose to take over-the-counter pain relievers like acetaminophen (Tylenol) to relieve aches and fever. […] If your tonsils are so swollen that you are having trouble breathing, your doctor may prescribe a steroid medication to reduce the inflammation.
  • #56 Infectious Mononucleosis (Mono) in Teens and Young Adults | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/i/infectious-mononucleosis-mono-in-teens-and-young-adults.html
    Prescription medicines are rarely needed in the treatment of mono. In most cases of mono, care to ease symptoms is all that is needed. […] To ease symptoms, help your child: Get lots of rest, Drink plenty of fluids to stay hydrated, Take over-the-counter medicine for fever and discomfort. […] In more severe cases, swelling of the throat and tonsils may make breathing hard. If breathing becomes difficult, your child should be seen right away in an emergency department. Your child will often be seen by an ear, nose, and throat healthcare provider (otolaryngologist). Corticosteroids will often be used to reduce the swelling. […] Corticosteroids may also be prescribed if the fever and fatigue are severe or last a long time, to reduce inflammation and ease the symptoms.
  • #57 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label.
  • #58
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label. […] Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
  • #59 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. […] Symptomatic treatment, the mainstay of care, includes adequate hydration, analgesics, antipyretics, and adequate rest. […] Corticosteroids, acyclovir, and antihistamines are not recommended for routine treatment of infectious mononucleosis, although corticosteroids may benefit patients with respiratory compromise or severe pharyngeal edema. […] Patients with infectious mononucleosis should be withdrawn from contact or collision sports for at least four weeks after the onset of symptoms. […] The mainstay of treatment for infectious mononucleosis is good supportive care, including adequate hydration; nonsteroidal anti-inflammatory drugs or acetaminophen for fever and myalgias; and throat lozenges or sprays, or gargling with a 2 percent lidocaine (Xylocaine) solution to relieve pharyngeal discomfort.
  • #60 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    Michael Mohseni; Michael P. Boniface; Charles Graham; Chaddie Doerr. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management […] Obtain a history of exposure […] Check vitals and document presence of fever […] Encourage not sharing food or personal care items […] Encourage patient not to kiss […] Educate patient on avoiding sports for at least 6 weeks […] Encourage hydration […] Tell the patient not to take penicillin-like antibiotics as it may result in a rash […] Take acetaminophen for pain and headache […] Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness.
  • #61 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products.
  • #62 Mononucleosis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/symptoms-causes/syc-20350328
    If you have mononucleosis, it’s important to be careful of certain complications such as an enlarged spleen. Rest and enough fluids are keys to recovery. […] If your symptoms don’t get better on their own in a week or two, see your doctor. […] Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately you may need surgery. […] Mononucleosis is spread through saliva. If you’re infected, you can help prevent spreading the virus to others by not kissing them and by not sharing food, dishes, glasses and utensils until several days after your fever has improved and even longer, if possible. And remember to wash your hands regularly to prevent spread of the virus.
  • #63 Epstein-Barr Virus (EBV) – Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus
    Treatment for Epstein-Barr virus addresses symptoms associated with the infection. Treatment includes: Staying hydrated and drinking plenty of fluids. Resting. Taking over-the-counter medicine for a fever and pain. […] Getting enough rest is important to prevent symptoms from getting worse. It is especially important that you avoid excessive physical activity that could lead to a ruptured spleen if the virus causes your spleen to enlarge. […] If you have symptoms of Epstein-Barr virus or have mononucleosis, you should avoid school or work or attending events where you are in close contact with others because the condition is highly contagious. […] Your healthcare provider will suggest you stay home until you feel better and your symptoms start to fade. You may experience lingering symptoms, like fatigue, for several weeks after other symptoms go away.
  • #64 Pediatric Mononucleosis and Epstein-Barr Virus Infection Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/963894-treatment
    Splenic rupture is an acute abdominal emergency that usually requires surgical intervention. […] Surgical consultation should be sought when the patient has abdominal pain or evidence of shock. […] No dietary modifications are required. […] Acceptable activity level during the acute illness depends on severity of the patient’s symptoms. […] Patients should not participate in contact sports or heavy lifting for at least 2-3 weeks, although some authors recommend avoiding activities that may cause splenic trauma for 2 months. […] Patients with primary infectious mononucleosis do not require any isolation. […] Use good hand washing techniques with adequate soap and water. […] Maintain clean conditions, especially when young children are present (eg, in daycare), and avoid children sharing the toys.
  • #65 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products.
  • #66
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label. […] Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
  • #67 Mono: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/mononucleosis
    using OTC pain medications such as acetaminophen (Tylenol) […] Never give aspirin to children or teenagers because it could lead to Reyes syndrome, a rare disorder that can cause brain and liver damage. Find out more about home remedies for mono. […] […] […] Mono complications […] Mono is typically not serious. In some cases, people who have mono get secondary infections such as strep throat, sinus infections, or tonsillitis. In rare cases, some people may develop the following complications: […] Enlarged spleen […] You should wait at least 1 month before doing any vigorous activities, lifting heavy objects, or playing contact sports to avoid rupturing your spleen, which may be swollen from the infection. […] Talk to your doctor about when you can return to your normal activities.
  • #68 Mono: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/mononucleosis
    A ruptured spleen in people who have mono is rare, but it is a life-threatening emergency. Call your doctor immediately if you have mono and experience a sharp, sudden pain in the upper left part of your abdomen. […] […] […] Inflammation of the liver […] Hepatitis (liver inflammation) or jaundice (yellowing of the skin and eyes) may occasionally occur in people who have mono. […] […] […] Rare complications […] According to the Mayo Clinic, mono can also cause some of these extremely rare complications: […] anemia, which is a decrease in your red blood cell count […] thrombocytopenia, which is a decrease in platelets, the part of your blood that begins the clotting process […] inflammation of the heart […] complications that involve the nervous system, such as meningitis or Guillain-Barr syndrome
  • #69 Pediatric Mononucleosis and Epstein-Barr Virus Infection Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/963894-treatment
    An effective vaccine against EBV is currently unavailable. […] EBV infection has been associated with a number of different malignancies of both lymphoid and epithelial origin and accounts for 1.8% of all cancer-related deaths worldwide. […] Each year worldwide there are about 84,000 cases of gastric carcinoma, 78,000 cases of nasopharyngeal carcinoma, 29,000 cases of Hodgkin lymphoma, 7000 cases of Burkitt lymphoma, and 2000 cases of lymphoma in transplant recipients associated with EBV.
  • #70 Mononucleosis (Mono) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/mono.html
    Mononucleosis (mono) is a viral infection that causes a sore throat and fever. Cases often happen in teens and young adults. It goes away on its own after a few weeks of rest. […] The best treatment for mono is plenty of rest and fluids, especially early in the illness when symptoms are most severe. There is no specific medicine for mono, but acetaminophen or ibuprofen can help to relieve fever and aching muscles. […] In most cases, mono symptoms go away in a matter of weeks with plenty of rest and fluids. If they seem to linger or get worse, or if you have any other questions, call your doctor. […] Doctors recommend that kids who have mono avoid contact sports for at least a month after symptoms are gone. Your child should stay away from rough play, heavy lifting, and any strenuous activities until the doctor says it’s OK.
  • #71 What is Mono? | Brown University Health
    https://www.brownhealth.org/be-well/what-mono
    It is best to treat mono with hydration and rest. There is no specific treatment, so doctors mainly aim to ease symptoms. Dr. Gherardi suggests that you take ibuprofen or acetaminophen for fever, sore throat, or other discomforts but may prescribe a corticosteroid medication to reduce tonsil swelling. Most people recover from mono after about two weeks, though some symptoms may persist for longer. […] Mono, while not serious and very common, can contribute to the cause of secondary infections in the future, such as strep throat, sinus infections, or tonsillitis. Some people report that even the common cold worsens in severity of symptoms after having mono. Rarely, it may cause swelling of the spleen, which requires those affected to rest and refrain from contact sports and heavy lifting for a few weeks.
  • #72 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The patient should be told about the signs and symptoms of splenic rupture and when to return to the hospital. […] All patients should be told about the need to follow up until the symptoms subside and permission to return to physical activity. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated. […] Finally, all clinicians looking after patients with mononucleosis should be aware of the potential complications, and make the appropriate referral to the specialist when symptoms arise.
  • #73 What You Need to Know About Mononucleosis | AdventHealth
    https://www.adventhealth.com/blog/what-you-need-know-about-mononucleosis
    You may experience a severe, persistent sore throat with swollen tonsils. Sometimes, white patches with pus will appear on your tonsils. Drink plenty of fluids, such as water, herbal tea and clear soups, to stay hydrated. Gargling with warm salt water can also temporarily relieve sore throat pain. […] The lymph nodes in your neck, armpits and groin may become tender and enlarged. Warm compresses and over-the-counter pain relievers such as acetaminophen or ibuprofen can help. […] Mono can also cause your spleen to become enlarged. That means that even though you probably wont notice any obvious symptoms, its best to avoid sports and physical activities. A blow to your body may rupture your spleen, which is a life-threatening complication that causes pain and internal bleeding. Go to the emergency room right away if you feel sharp, sudden pain in your upper left abdomen. […] If you suspect you or your child has mononucleosis, were here to help. Thanks to our conveniently located urgent care centers and emergency rooms, you can find expert care close to home. Our experienced health care professionals are here to give you whole-person care when you need it most.
  • #74 Mononucleosis (Infectious): Symptoms, Diagnosis and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/mononucleosis
    Infectious mononucleosis (mon oh new klee OH siss), also known as mono, is an illness usually caused by the Epstein-Barr virus (EBV). […] Nationwide Children’s Hospital offers a team of experts focused on the treatment of children with mononucleosis. […] Because a virus causes mono, antibiotics (such as penicillin) will not help unless the child has another infection caused by bacteria. Mono symptoms usually go away on their own after a few weeks. […] The best treatment is getting plenty of rest, drinking lots of liquids and eating healthy. […] People who have mono should not do contact sports or vigorous exercise until the doctor says it is okay. Even playful wrestling at home could harm the enlarged spleen. […] Call your child’s doctor if any of these things occurs: Sudden, sharp pains in the upper left abdomen (tummy) that last more than 5 minutes. […] Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional.
  • #75 Mononucleosis (Mono) Care Plan for Children | K Health
    https://khealth.com/treatment/pediatrics/infectious-mononucleosis/
    Infectious mononucleosis, or mono, is an illness caused by the Epstein Barr Virus that invades the bodys lymph nodes. […] There is no specific treatment for mono. Supportive care targets symptoms. Tylenol and ibuprofen can be used for fever and throat pain. Warm salt water gargles and cold foods can also help soothe a sore throat. In rare cases, when throat swelling blocks the airway sufficiently, steroids might be administered but this is not routine. Rest and hydration are also important. […] Children diagnosed with mono should not participate in contact sports for at least 3-6 weeks after diagnosis. The spleen gets bigger during a mono infection and, if struck, can burst. This can be life threatening. […] In younger children, throat pain and swelling can be severe enough to make it hard to breath and swallow. If your child has difficulty breathing or cannot drink to stay hydrated, take them to the emergency room.
  • #76 Mononucleosis: Common Symptoms & Care – Orange Urgent Care
    https://orangeurgentcare.com/mononucleosis-common-symptoms-care/
    When to Seek Emergency Care: […] While complications from Mono are rare, if you experience severe difficulty breathing, persistent high fever, or sharp abdominal pain, seek emergency care immediately. […] Stay Informed, Stay Healthy: […] At our Urgent Care Center, we are committed to providing reliable information and quality care. Whether you suspect Mono, are experiencing symptoms of an infection, or have questions about infectious diseases, please don’t hesitate to reach out or visit us. […] Let’s navigate through life’s health challenges together. […] We offer easy, walk-in availability at our center anytime between our convenient operating hours, or reserve your spot online! No appointment is necessary. Let our team of experienced medical professionals help you find relief from many of the most common ailments, injuries, and illnesses. We are dedicated to efficient and compassionate care for all your urgent healthcare needs!
  • #77 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #78 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    Michael Mohseni; Michael P. Boniface; Charles Graham; Chaddie Doerr. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management […] Obtain a history of exposure […] Check vitals and document presence of fever […] Encourage not sharing food or personal care items […] Encourage patient not to kiss […] Educate patient on avoiding sports for at least 6 weeks […] Encourage hydration […] Tell the patient not to take penicillin-like antibiotics as it may result in a rash […] Take acetaminophen for pain and headache […] Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness.
  • #79 Patient education: Infectious mononucleosis (mono) in adults and adolescents (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/infectious-mononucleosis-mono-in-adults-and-adolescents-beyond-the-basics
    Patient education: Infectious mononucleosis (mono) in adults and adolescents (Beyond the Basics) […] Infectious mononucleosis, also known as „mono” or the „kissing disease,” is an infection that typically causes fever, sore throat, fatigue, and/or enlarged lymph nodes in the neck. It most commonly occurs in adolescents and young adults. […] In general, mononucleosis is not considered a serious illness. However, mononucleosis can lead to significant loss of time from school or work due to profound fatigue and, on rare occasions, can cause severe or even life-threatening illness. […] The goal of mono treatment is to ease the symptoms while the immune system contains the virus. Antibiotics are not helpful because a virus causes mono, and antibiotics only treat bacterial infections. No antiviral medications are known to treat or cure Epstein-Barr virus effectively.
  • #80 Patient education: Infectious mononucleosis (mono) in adults and adolescents (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/infectious-mononucleosis-mono-in-adults-and-adolescents-beyond-the-basics
    Rest — Mono can cause severe fatigue, although most people recover within two to four weeks. For some, significant tiredness lasts for weeks to months. Early in the infection, it is important to get adequate rest, although complete bed rest is unnecessary. […] People with mono who develop an enlarged spleen are at risk of splenic rupture until the spleen returns to normal size. This can take a few weeks or longer. Although you can return to school or work when you are feeling better, it’s important to avoid activities that can cause injury to the spleen. […] Most people who suffer from infectious mono recover entirely without long-term complications. Symptoms usually begin to improve within one to two weeks.
  • #81 Infectious Mononucleosis | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/infectious-mononucleosis
    Infectious mononucleosis is a viral illness that can cause flu-like symptoms, fatigue, and swollen lymph glands. […] Infectious mononucleosis is very contagious and is easily spread through saliva. […] Once you or your child has had infectious mononucleosis, the virus remains inactive in the throat and blood cells for life. […] Symptoms of infectious mononucleosis can vary child to child. […] The symptoms usually last for about two to four weeks, but some people continue to feel tired for weeks after that. […] Infectious mononucleosis is usually diagnosed based on symptoms and a physical exam. […] In some cases, your child’s doctor may also order tests to confirm a diagnosis, including a white blood cell count, heterophile antibody test, or monospot test. […] There is no specific treatment for infectious mononucleosis and no vaccine to prevent it.
  • #82 Glandular fever | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/glandular-fever
    Glandular fever is also known as infectious mononucleosis. […] There is no specific treatment for glandular fever affected individuals recover spontaneously (on their own, without treatment). […] There is no specific treatment for glandular fever. You will not have to be isolated from other people. […] While glandular fever itself cannot be treated, you can treat the symptoms to try and remove some of the discomfort. Suggestions include: rest, as required; stay well hydrated; use over the counter medications such as paracetamol or ibuprofen, as directed on the packet, for management of fever or pain; gargle with a glass of warm water to ease your sore throat; sucking on sugar-free lollies or lozenges may also help.
  • #83 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label.
  • #84
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Get plenty of rest. Stay in bed as much as you can until you feel well enough to be up. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon (5mL) of salt in 1 cup (250 mL) of warm water.
  • #85 Mononucleosis (Mono) Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/mononucleosis-mono/
    Mononucleosis (mono) is a common illness caused by a virus. It can start with a sore throat and swollen glands. And then it can leave you feeling tired and weak for weeks or months. Mono goes away on its own, but rest and good self-care can help you feel better. […] Treatment for mono usually involves self-care measures like rest and over-the-counter medicines to reduce pain and fever. In severe cases, corticosteroids may be used to reduce swelling of the throat, tonsils, or spleen. […] Here are some things you can do to ease mono symptoms. […] Get plenty of rest. Stay in bed until you feel well enough to be up. […] Drink plenty of fluids. […] For a sore throat, suck on lozenges or gargle with salt water. To make salt water, mix 1 teaspoon of salt in 8 ounces of warm water. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever.
  • #86 Mononucleosis (Mono) Symptoms & Treatment | Baptist Health
    https://www.baptisthealth.com/care-services/conditions-treatments/mononucleosis
    Plenty of rest: Fatigue is a major condition with mono and sleep will help your body fight infection. […] Plenty of fluids: Fight off dehydration with an increased intake of liquids […] Over-the-counter pain relievers: Rely on ibuprofen and acetaminophen to relieve fever, inflammation and head and muscle aches […] Throat lozenges: Get relief for throat pain with these, or gargle with salt water […] Avoiding physical activity: An enlarged spleen can be part of mono, and physical activity can increase the risk of rupture. Avoid physical activity while youre ill and for up to four weeks after your recovery.
  • #87 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #88
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bu1309
    Be safe with medicines. Have your child take medicines exactly as prescribed. […] Give your child acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for fever or pain. […] Do not let your child play contact sports or lift anything heavy for 4 weeks. These activities can increase the chance that the spleen may rupture. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if your child does not get better as expected.
  • #89 Pediatric Mononucleosis and Epstein-Barr Virus Infection Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/963894-treatment
    Splenic rupture is an acute abdominal emergency that usually requires surgical intervention. […] Surgical consultation should be sought when the patient has abdominal pain or evidence of shock. […] No dietary modifications are required. […] Acceptable activity level during the acute illness depends on severity of the patient’s symptoms. […] Patients should not participate in contact sports or heavy lifting for at least 2-3 weeks, although some authors recommend avoiding activities that may cause splenic trauma for 2 months. […] Patients with primary infectious mononucleosis do not require any isolation. […] Use good hand washing techniques with adequate soap and water. […] Maintain clean conditions, especially when young children are present (eg, in daycare), and avoid children sharing the toys.
  • #90 Mononucleosis (Kissing Disease): Symptoms, Causes, & Treatment
    https://www.webmd.com/a-to-z-guides/understanding-mononucleosis-causes
    No medications treat mono. Antibiotics and antivirals dont work on EBV. Things that may help you feel better include: […] It can take a while to completely recover from mono. The best way to speed up your healing is to rest as much as you can. […] Your doctor will likely tell you to wait about a month before you do strenuous activities such as sports, weightlifting, or moving heavy objects. These things increase your risk of rupturing your spleen, which is a medical emergency. Mono can cause your spleen, an organ in your belly area, to become enlarged. […] It’s also important to avoid alcohol when you have mono. Mono can affect your liver, and drinking alcohol on top of it could lead to liver damage. […] You’ll probably return to your usual routines slowly and gradually. Ask your doctor about when it’s safe to do so.
  • #91 Mononucleosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mononucleosis-care-instructions.tw12342
    Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products.
  • #92
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12342
    Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), for a sore throat or headache or to lower a fever. Read and follow all instructions on the label. […] Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Do not play contact sports for 4 weeks. Do not lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus to others. Do not kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. The virus is spread when saliva from an infected person gets in another person’s mouth. It’s hard to know how long you may be contagious. […] If you know you have mono, do not donate blood. There is a chance of spreading the virus through blood products. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
  • #93 Mononucleosis (Mono) Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/mononucleosis-mono/
    When you have mono: […] Don’t play contact sports for 4 weeks. Don’t lift anything heavy. Too much activity increases the chance that your spleen may break open (rupture). […] Try not to spread the virus. Don’t kiss and don’t share dishes, glasses, eating utensils, or toothbrushes for at least a few weeks. […] If you know you have mono, don’t donate blood. There’s a chance of spreading the virus through blood products.
  • #94 Infectious Mononucleosis – Medical Surgical
    https://www.naxlex.com/nursing/study-guides/infectious-mononucleosis-1695631193
    A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient’s care plan? Select all that apply. […] Administer antiviral medications. […] Encourage adequate fluid intake. […] Advise the patient to rest and avoid strenuous activities. […] Provide comfort measures for sore throat, such as warm saline gargles. […] A nurse is teaching a community health class about preventing the transmission of infectious mononucleosis. Which preventive measures should the nurse emphasize? […] Avoid sharing eating utensils and drinks. […] A nurse is caring for a client suspected of having infectious mononucleosis (IM). Which laboratory test is most indicative of IM? […] Positive heterophile antibody test. […] A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse? […] I’ll take antibiotics to treat the viral infection. […] A nurse is monitoring a client with infectious mononucleosis (IM). Which finding would the nurse expect to assess in the client’s laboratory results? […] Elevated liver function test results.
  • #95 Mononucleosis (Infectious): Symptoms, Diagnosis and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/mononucleosis
    Infectious mononucleosis (mon oh new klee OH siss), also known as mono, is an illness usually caused by the Epstein-Barr virus (EBV). […] Nationwide Children’s Hospital offers a team of experts focused on the treatment of children with mononucleosis. […] Because a virus causes mono, antibiotics (such as penicillin) will not help unless the child has another infection caused by bacteria. Mono symptoms usually go away on their own after a few weeks. […] The best treatment is getting plenty of rest, drinking lots of liquids and eating healthy. […] People who have mono should not do contact sports or vigorous exercise until the doctor says it is okay. Even playful wrestling at home could harm the enlarged spleen. […] Call your child’s doctor if any of these things occurs: Sudden, sharp pains in the upper left abdomen (tummy) that last more than 5 minutes. […] Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional.
  • #96 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The patient should be told about the signs and symptoms of splenic rupture and when to return to the hospital. […] All patients should be told about the need to follow up until the symptoms subside and permission to return to physical activity. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated. […] Finally, all clinicians looking after patients with mononucleosis should be aware of the potential complications, and make the appropriate referral to the specialist when symptoms arise.
  • #97 Infectious Mononucleosis (Mono) in Teens and Young Adults – Conditions and Treatments | Children’s National Hospital
    https://www.childrensnational.org/get-care/health-library/infectious-mononucleosis
    Infectious mononucleosis (mono) is often caused by the Epstein-Barr virus (EBV). […] Symptoms of mono can take between 4 to 6 weeks to appear. […] The spleen may enlarge because of the virus. Its then at risk of rupture if your child is injured or in an accident. […] Treatment will depend on your childs symptoms, age and general health. It will also depend on how severe the condition is. […] Prescription medicines are rarely needed in the treatment of mono. […] In most cases of mono, care to ease symptoms is all that is needed. […] To ease symptoms, help your child: Get lots of rest, Drink plenty of fluids to stay hydrated, Take over-the-counter medicine for fever and discomfort. […] The spleen may become enlarged because of the virus. An enlarged spleen is at risk of rupture if your child is injured or in an accident, or if major pressure is put on the stomach area. […] Call the healthcare provider if your teen or young adult has: Symptoms that dont get better, or get worse, New symptoms.
  • #98 What You Need to Know About Mononucleosis | AdventHealth
    https://www.adventhealth.com/blog/what-you-need-know-about-mononucleosis
    You may experience a severe, persistent sore throat with swollen tonsils. Sometimes, white patches with pus will appear on your tonsils. Drink plenty of fluids, such as water, herbal tea and clear soups, to stay hydrated. Gargling with warm salt water can also temporarily relieve sore throat pain. […] The lymph nodes in your neck, armpits and groin may become tender and enlarged. Warm compresses and over-the-counter pain relievers such as acetaminophen or ibuprofen can help. […] Mono can also cause your spleen to become enlarged. That means that even though you probably wont notice any obvious symptoms, its best to avoid sports and physical activities. A blow to your body may rupture your spleen, which is a life-threatening complication that causes pain and internal bleeding. Go to the emergency room right away if you feel sharp, sudden pain in your upper left abdomen. […] If you suspect you or your child has mononucleosis, were here to help. Thanks to our conveniently located urgent care centers and emergency rooms, you can find expert care close to home. Our experienced health care professionals are here to give you whole-person care when you need it most.
  • #99 Mononucleosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mononucleosis/diagnosis-treatment/drc-20350333
    Most signs and symptoms of mononucleosis ease within a few weeks, but it may be two to three months before you feel completely normal. The more rest you get, the sooner you should recover. Returning to your usual schedule too soon can increase the risk of a relapse. […] Seek the help of friends and family as you recover from mononucleosis. College students should also contact the campus student health center staff for assistance or treatment, if necessary. […] If you suspect you have mononucleosis, see your family doctor. Here’s some information to help you get ready for your appointment and know what to expect from your doctor.
  • #100 Patient education: Infectious mononucleosis (mono) in adults and adolescents (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/infectious-mononucleosis-mono-in-adults-and-adolescents-beyond-the-basics
    Rest — Mono can cause severe fatigue, although most people recover within two to four weeks. For some, significant tiredness lasts for weeks to months. Early in the infection, it is important to get adequate rest, although complete bed rest is unnecessary. […] People with mono who develop an enlarged spleen are at risk of splenic rupture until the spleen returns to normal size. This can take a few weeks or longer. Although you can return to school or work when you are feeling better, it’s important to avoid activities that can cause injury to the spleen. […] Most people who suffer from infectious mono recover entirely without long-term complications. Symptoms usually begin to improve within one to two weeks.
  • #101 Mono – School Nursing
    https://allnurses.com/mono-t670263/
    Got a phone call from mother at the end of the day, was about to log off my computer. Mother states that she’s in the doctor’s office and LD is diagnosed with Mononucleosis. […] I got the paperwork today and it says she’s not allowed back until she’s 24 hour free of fever, and she still hasn’t, the poor thing. […] Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I’ve had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly. […] The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever’s gone, return to school is possible. […] If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean.
  • #102 Epstein-Barr Virus (EBV) – Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus
    Treatment for Epstein-Barr virus addresses symptoms associated with the infection. Treatment includes: Staying hydrated and drinking plenty of fluids. Resting. Taking over-the-counter medicine for a fever and pain. […] Getting enough rest is important to prevent symptoms from getting worse. It is especially important that you avoid excessive physical activity that could lead to a ruptured spleen if the virus causes your spleen to enlarge. […] If you have symptoms of Epstein-Barr virus or have mononucleosis, you should avoid school or work or attending events where you are in close contact with others because the condition is highly contagious. […] Your healthcare provider will suggest you stay home until you feel better and your symptoms start to fade. You may experience lingering symptoms, like fatigue, for several weeks after other symptoms go away.
  • #103 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #104
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bu1309
    Be safe with medicines. Have your child take medicines exactly as prescribed. […] Give your child acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for fever or pain. […] Do not let your child play contact sports or lift anything heavy for 4 weeks. These activities can increase the chance that the spleen may rupture. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if your child does not get better as expected.
  • #105 Epstein-Barr Virus Infectious Mononucleosis | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1279.html
    Given the lack of evidence for bed rest in many other conditions, it seems sensible to recommend that patients base their return to usual activities on their energy levels. […] Corticosteroids are recommended in patients with significant pharyngeal edema that causes or threatens respiratory compromise. […] Athletes should not compete in contact or collision sports for a minimum of three to four weeks after the onset of symptoms.
  • #106 Mono – School Nursing
    https://allnurses.com/mono-t670263/
    Got a phone call from mother at the end of the day, was about to log off my computer. Mother states that she’s in the doctor’s office and LD is diagnosed with Mononucleosis. […] I got the paperwork today and it says she’s not allowed back until she’s 24 hour free of fever, and she still hasn’t, the poor thing. […] Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I’ve had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly. […] The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever’s gone, return to school is possible. […] If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean.
  • #107 Mono – School Nursing
    https://allnurses.com/mono-t670263/
    Mono is not reportable in Illinois. Our policy is doctor’s note to return to school (stating diagnosis), no exclusion, and fact sheet emailed to parents of the kids in that grade level. […] Even though not reportable, be aware that mono is contagious (although not as super contagious as parents think!) and I would look out for more cases. […] Symptoms usually don’t appear until 4-7 weeks later, so I’ll keep an eye out for any suspicious symptoms, especially from Kinder and 1st. […] The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever’s gone, return to school is possible.
  • #108 Mononucleosis (Kissing Disease): Symptoms, Causes, & Treatment
    https://www.webmd.com/a-to-z-guides/understanding-mononucleosis-causes
    No medications treat mono. Antibiotics and antivirals dont work on EBV. Things that may help you feel better include: […] It can take a while to completely recover from mono. The best way to speed up your healing is to rest as much as you can. […] Your doctor will likely tell you to wait about a month before you do strenuous activities such as sports, weightlifting, or moving heavy objects. These things increase your risk of rupturing your spleen, which is a medical emergency. Mono can cause your spleen, an organ in your belly area, to become enlarged. […] It’s also important to avoid alcohol when you have mono. Mono can affect your liver, and drinking alcohol on top of it could lead to liver damage. […] You’ll probably return to your usual routines slowly and gradually. Ask your doctor about when it’s safe to do so.
  • #109 Mononucleosis; Causes, Diagnosis and Treatment | Banner Health
    https://www.bannerhealth.com/services/infectious-disease/treatment/mono
    There’s no vaccine to protect against mono and no cure for mono. It can take a while to recover and return to your normal activities. Treating it focuses on relieving symptoms and helping your body heal with: […] In some cases, you may need corticosteroids to reduce swelling in the throat and tonsils or other treatments for severe symptoms. […] If you have mono, you should avoid contact sports, strenuous exercise, heavy lifting and other activities that could cause trauma to your abdomen for at least a month after your symptoms clear up. […] With mono, you’re likely to recover with rest and self-care. Talk to a health care provider if symptoms get worse or if: […] If you need care for mono, reach out to the experts at Banner Health. Our team of providers can evaluate your symptoms and help ensure you get the treatment you need so you can recover and get back to your regular activities as quickly as possible.
  • #110 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Infectious mononucleosis (mono), commonly known as the kissing disease, is a viral infection primarily caused by the Epstein-Barr virus (EBV). This nursing diagnosis focuses on identifying and treating mono symptoms, preventing complications, and supporting patient recovery through evidence-based interventions. […] Mononucleosis presents distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate successful management of mononucleosis: The patient will demonstrate improved energy levels within 2-4 weeks, The patient will maintain adequate hydration and nutrition, The patient will avoid complications (especially splenic rupture), The patient will report decreased throat pain and lymphadenopathy, The patient will demonstrate an understanding of activity restrictions, The patient will return to normal daily activities within 4-6 weeks, The patient will practice proper infection control measures.
  • #111 Mononucleosis Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/epstein-barr-virus-nclex-review/
    Infectious mononucleosis (mono), commonly known as the kissing disease, is a viral infection primarily caused by the Epstein-Barr virus (EBV). This nursing diagnosis focuses on identifying and treating mono symptoms, preventing complications, and supporting patient recovery through evidence-based interventions. […] Mononucleosis presents distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate successful management of mononucleosis: The patient will demonstrate improved energy levels within 2-4 weeks, The patient will maintain adequate hydration and nutrition, The patient will avoid complications (especially splenic rupture), The patient will report decreased throat pain and lymphadenopathy, The patient will demonstrate an understanding of activity restrictions, The patient will return to normal daily activities within 4-6 weeks, The patient will practice proper infection control measures.
  • #112
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bu1309
    Mononucleosis (mono) is an infection. It’s usually caused by the Epstein-Barr virus. […] Symptoms include a fever and a very sore throat. Your child may also have swollen glands and tonsils and feel weak and tired. […] So it’s important for your child to avoid rough sports or challenging activities while your child has mono. These can put extra pressure on the spleen. […] Most children get better after 2 to 4 weeks. But it could take several more weeks before your child’s normal energy is back. Lots of rest will help your child feel better. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems. […] Have your child rest and stay in bed as much as possible until they feel well enough to be up.
  • #113 Mononucleosis | Infectious Diseases
    https://health.ucdavis.edu/conditions/mononucleosis
    Mononucleosis (mono) often affects teens and young adults, causing extreme fatigue and other prolonged symptoms. […] Our UC Davis Health physicians help you recover from mono while lowering the risk of infecting others. Children and teens with mono receive specialized care from our pediatrics team. […] There isn’t a specific medication for mono. The infection typically clears up within four weeks with at-home care. People with mono should talk to their provider before participating in activities that might injure their spleen, leading to serious complications. […] It’s important to drink lots of fluids and stay hydrated while recovering from a viral infection. […] Extreme fatigue is a common mono symptom. Sleep and rest can give your autoimmune system the boost it needs to fight the infection. […] Don’t share food, drinks or personal hygiene items with someone who’s ill. […] Wearing condoms is the best way to lower your risk of sexually transmitted infections (STIs).
  • #114 Infectious Mononucleosis (Mono) in Teens and Young Adults | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/i/infectious-mononucleosis-mono-in-teens-and-young-adults.html
    Prescription medicines are rarely needed in the treatment of mono. In most cases of mono, care to ease symptoms is all that is needed. […] To ease symptoms, help your child: Get lots of rest, Drink plenty of fluids to stay hydrated, Take over-the-counter medicine for fever and discomfort. […] In more severe cases, swelling of the throat and tonsils may make breathing hard. If breathing becomes difficult, your child should be seen right away in an emergency department. Your child will often be seen by an ear, nose, and throat healthcare provider (otolaryngologist). Corticosteroids will often be used to reduce the swelling. […] Corticosteroids may also be prescribed if the fever and fatigue are severe or last a long time, to reduce inflammation and ease the symptoms.
  • #115 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568755/
    Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. […] Recall the nursing management of a patient with infectious mononucleosis. […] Nursing Management: Obtain a history of exposure, Check vitals and document presence of fever, Encourage not sharing food or personal care items, Encourage patient not to kiss, Educate patient on avoiding sports for at least 6 weeks, Encourage hydration, Tell the patient not to take penicillin-like antibiotics as it may result in a rash, Take acetaminophen for pain and headache, Inform patients to miss school until symptoms subside. […] Once a patient has been diagnosed with infectious mononucleosis, the nurse and primary care provider should educate the patient on potential complications and the course of the illness. […] The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated.
  • #116 Mononucleosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568755/
    The patient should be told to avoid all physical activity for at least 4-6 weeks to minimize the risk of splenic rupture. […] The patient should be told about the signs and symptoms of splenic rupture and when to return to the hospital. […] All patients should be told about the need to follow up until the symptoms subside and permission to return to physical activity. […] The pharmacist should educate the patient on supportive care and the need to remain hydrated. […] Finally, all clinicians looking after patients with mononucleosis should be aware of the potential complications, and make the appropriate referral to the specialist when symptoms arise.

Zobacz więcej

naproksen trombocytopenia anemia powiększenie węzłów chłonnych zapalenie serca wirus Epsteina-Barr mononukleoza zakaźna zapalenie gardła obrzęk migdałków ibuprofen choroba pocałunków zapalenie wątroby zapalenie migdałków zespół Guillaina-Barrégo leki przeciwbólowe pęknięcie śledziony antybiotyki penicylinowe żółtaczka splenomegalia diagnozy pielęgniarskie zapalenie zatok dysfagia paciorkowcowe zapalenie gardła badanie fizykalne leki przeciwgorączkowe acetaminofen kortykosteroidy zapalenie opon mózgowych powiększenie śledziony