Ospa wietrzna
Charakterystyka, pielęgnacja i opieka

Ospa wietrzna (varicella) to wysoce zakaźna choroba wirusowa wywołana przez varicella-zoster virus (VZV), charakteryzująca się pęcherzykową wysypką i przebiegiem zwykle łagodnym u dzieci, ale potencjalnie ciężkim u osób z grup ryzyka, takich jak dorośli, kobiety ciężarne czy immunosupresyjne. Diagnostyka opiera się głównie na obrazie klinicznym, a leczenie obejmuje terapię przeciwwirusową (acyklowir, famcyklowir, walacyklowir), immunoglobulinę VZIG podawaną do 10 dni od ekspozycji oraz leczenie objawowe, w tym acetaminofen (unikając aspiryny ze względu na ryzyko zespołu Reye’a). Kluczowe jest monitorowanie powikłań, takich jak wtórne zakażenia bakteryjne skóry, zapalenie płuc, zapalenie mózgu oraz ścisła kontrola stanu nawodnienia i odżywienia pacjenta, zwłaszcza przy obecności owrzodzeń jamy ustnej. Profilaktyka opiera się na szczepieniach, które są skuteczne w ponad 90% przypadków i zalecane są dla dzieci w wieku 12-15 miesięcy oraz 4-6 lat, a także na izolacji pacjentów do momentu pokrycia wszystkich pęcherzy strupem (zwykle 5-7 dni).

Ospa wietrzna – wprowadzenie

Ospa wietrzna (varicella) to wysoce zakaźna choroba wywołana przez wirus varicella-zoster (VZV). Charakteryzuje się pęcherzykową wysypką i jest szczególnie rozpowszechniona wśród dzieci, choć może dotknąć osoby w każdym wieku, które nie były wcześniej zaszczepione lub narażone na wirusa. U większości zdrowych dzieci choroba ma łagodny przebieg i ustępuje samoistnie, jednakże może prowadzić do poważnych powikłań, zwłaszcza u osób z grup wysokiego ryzyka, takich jak nastolatki, dorośli, kobiety ciężarne oraz osoby z osłabionym układem odpornościowym12.

Podejście terapeutyczne w ospie wietrznej obejmuje środki wspierające, terapię przeciwwirusową, podawanie immunoglobuliny varicella-zoster (VZIG) oraz leczenie wtórnego zakażenia bakteryjnego. Diagnostyka opiera się głównie na obrazie klinicznym, przy czym charakterystyczna wysypka jest zwykle wystarczająca do postawienia rozpoznania34.

Ocena pielęgniarska pacjenta z ospą wietrzną

Ocena pielęgniarska dziecka z ospą wietrzną obejmuje następujące elementy:

  • Zebranie wywiadu – należy ustalić, czy w ostatnim czasie wystąpiło ognisko ospy wietrznej w społeczności oraz czy doszło do ekspozycji na wirusa varicella w szkole, przedszkolu lub wśród członków rodziny5
  • Regularna ocena wysypki pod kątem objawów wtórnego zakażenia bakteryjnego, takich jak zwiększone zaczerwienienie, obrzęk lub ropienie6
  • Monitorowanie objawów niewydolności oddechowej, zmian neurologicznych (np. dezorientacja, drgawki) lub wysokiej gorączki, które mogą wskazywać na zapalenie płuc lub zapalenie mózgu7
  • Ocena poziomu dyskomfortu pacjenta i skuteczności środków przynoszących ulgę8
  • Monitorowanie stanu nawodnienia i odżywienia, szczególnie jeśli pacjent ma gorączkę lub nie chce jeść z powodu owrzodzeń jamy ustnej (które czasami towarzyszą ospie wietrznej)9

Diagnozy pielęgniarskie w ospie wietrznej

Na podstawie danych z oceny główne diagnozy pielęgniarskie obejmują1011:

  • Hipertermia związana z zakażeniem wirusowym
  • Uszkodzenie integralności skóry związane z czynnikami mechanicznymi (np. stres, zadrapania, tarcie)
  • Zaburzenie obrazu ciała związane z obecnością zmian skórnych
  • Deficyt wiedzy dotyczący stanu chorobowego i potrzeb terapeutycznych
  • Ryzyko zakażenia związane z uszkodzeniem tkanki skórnej

Opieka pielęgniarska nad pacjentem z ospą wietrzną

Zwalczanie świądzenia

Świąd jest jednym z najbardziej dokuczliwych objawów ospy wietrznej. Aby złagodzić świądzenie i dyskomfort, pielęgniarka powinna zastosować następujące interwencje1213:

  • Stosowanie chłodnych kompresów i regularne kąpiele; ciepłe okłady oraz kąpiele z płatkami owsianymi lub skrobią kukurydzianą mogą zmniejszyć świąd i zapewnić komfort14
  • Aplikacja łagodzących balsamów, takich jak calamine, oraz zachęcanie do kąpieli w letniej wodzie z płatkami owsianymi15
  • Dodanie sody oczyszczonej do płytkiej, letniej kąpieli. Dziecko może korzystać z do trzech kąpieli dziennie, jeśli przynosi to ulgę16
  • Kąpiele w zawiesinie z koloidalnych płatków owsianych (dostępnych w aptekach) mogą pomóc złagodzić świądzenie17
  • Po kąpieli należy delikatnie osuszyć skórę, nie pocierając jej18

Zapobieganie drapaniu

Drapanie zmian skórnych może prowadzić do wtórnych zakażeń bakteryjnych i pozostawić blizny. Aby temu zapobiec, należy1920:

  • Przycinać krótko paznokcie u dzieci, aby zminimalizować uszkodzenia skóry podczas drapania21
  • Zakładać dziecku rękawiczki lub skarpetki na noc, co może zmniejszyć drapanie podczas snu22
  • Jeśli dziecko zdrapie pęcherz, należy dokładnie umyć ręce wodą z mydłem przez co najmniej 20 sekund23
  • Stosować doustne leki przeciwhistaminowe, które mogą zmniejszyć świąd i pomóc w zasypianiu24

Zarządzanie gorączką i bólem

W przypadku wystąpienia gorączki lub bólu, pielęgniarka powinna2526:

  • Podawać acetaminofen (Tylenol) w celu zmniejszenia gorączki i dyskomfortu
  • NIGDY nie podawać aspiryny lub produktów zawierających aspirynę dzieciom poniżej 19 roku życia z ospą wietrzną, ponieważ może to prowadzić do zespołu Reye’a – poważnego schorzenia uszkadzającego wątrobę i mózg2728
  • Monitorować temperaturę i skuteczność stosowanych leków przeciwgorączkowych29
  • W przypadku utrzymywania się gorączki powyżej 102°F (38,9°C) przez dłużej niż cztery dni, należy skontaktować się z lekarzem30

Nawodnienie i odżywianie

Odpowiednie nawodnienie i odżywianie są kluczowe w czasie choroby31:

  • Zachęcać pacjenta do zwiększonego spożycia płynów, szczególnie jeśli ma gorączkę lub nie chce jeść z powodu owrzodzeń jamy ustnej32
  • Zalecać rodzicom zapewnienie pełnej i nieograniczonej diety dla dziecka; niektóre dzieci z ospą wietrzną mają zmniejszony apetyt i należy je zachęcać do przyjmowania wystarczającej ilości płynów, aby utrzymać nawodnienie33
  • W przypadku owrzodzeń jamy ustnej, które utrudniają jedzenie, oferować chłodne, miękkie, łagodne posiłki. Unikać kwaśnych lub słonych pokarmów34
  • Zapewnić wsparcie w utrzymaniu odpowiedniego nawodnienia i odżywienia przez cały okres choroby35

Izolacja i zapobieganie transmisji

Ospa wietrzna jest wysoce zakaźna, dlatego ważne jest zapobieganie jej rozprzestrzenianiu się3637:

  • Wprowadzić standardowe środki ostrożności, plus środki ostrożności związane z przenoszeniem drogą powietrzną i kontaktową, do czasu aż wszystkie zmiany skórne pokryją się strupem38
  • Pacjentów należy usunąć z poczekalni lub miejsc publicznych i umieścić w pomieszczeniu z ujemnym ciśnieniem powietrza, gdy tylko podejrzewa się ospę wietrzną39
  • Tylko pracownicy służby zdrowia z udokumentowaną odpornością na ospę wietrzną, stosujący standardowe, powietrzne i kontaktowe środki ostrożności, powinni opiekować się pacjentami z ospą wietrzną40
  • Poinformować pacjentów o konieczności pozostania w izolacji domowej do czasu, aż wszystkie pęcherze pokryją się strupem, zwykle około 5-7 dni od pojawienia się wysypki4142
  • Dzieci z ospą wietrzną powinny być wyłączone z zajęć szkolnych lub przedszkolnych do czasu, aż wszystkie pęcherze wyschną i pokryją się strupem43

Leczenie farmakologiczne ospy wietrznej

Leki przeciwwirusowe

Leki przeciwwirusowe mogą być zalecane dla osób z większym ryzykiem powikłań ospy wietrznej4445:

  • Acyklowir, famcyklowir lub walacyklowir są wskazane dla osób z grupy wysokiego ryzyka, w tym: osób powyżej 12 roku życia, kobiet w ciąży, osób z przewlekłymi chorobami skóry lub płuc, osób poddawanych długotrwałej terapii salicylanami lub steroidami, oraz osób z osłabionym układem odpornościowym4647
  • Leczenie przeciwwirusowe działa najlepiej, jeśli zostanie rozpoczęte jak najwcześniej, najlepiej w ciągu pierwszych 24 godzin od pojawienia się wysypki4849
  • Dożylne podawanie acyklowiru jest zalecane wyłącznie w leczeniu ospy wietrznej u dzieci z niedoborami odporności lub u zdrowych dzieci z zapaleniem płuc lub zapaleniem mózgu wywołanym przez ospę wietrzną50

Leczenie objawowe

Poza lekami przeciwwirusowymi, leczenie objawowe obejmuje5152:

  • Środki przeciwgorączkowe (acetaminofen) – należy unikać stosowania aspiryny u dzieci ze względu na ryzyko zespołu Reye’a53
  • Doustne leki przeciwhistaminowe (np. difenhydramina, cetyryzyna) w celu zmniejszenia świądu54
  • Balsamy kojące zawierające fenol, mentol i kamforę, takie jak balsam calamine55
  • Kąpiele z dodatkiem płatków owsianych, sody oczyszczonej lub nieprzetworzonej owsianki56

Immunoglobulina varicella-zoster (VZIG)

Immunoglobulina varicella-zoster (VariZIG) jest wskazana dla osób z wysokim ryzykiem zakażenia, w ciągu 10 dni (najlepiej w ciągu 4 dni) od ekspozycji na ospę wietrzną57:

  • Zmniejsza powikłania i wskaźnik śmiertelności ospy wietrznej, ale nie jej częstość występowania58
  • Szczególnie zalecana dla kobiet w ciąży, które nie są odporne na wirusa, a zostały narażone na ekspozycję59
  • Gdy ospa wietrzna u matki rozwija się w ciągu 5 dni przed lub 2 dni po porodzie, ospa wietrzna u noworodka jest prawdopodobnie ciężka i rozległa. Wymagana jest profilaktyka lub leczenie za pomocą VZIG i acyklowiru60

Edukacja pacjenta i rodziny

Edukacja pacjenta i rodziny jest kluczowym elementem opieki pielęgniarskiej nad osobą z ospą wietrzną6162:

  • Nauczyć rodziców, jak dbać o wysypkę, aby zmniejszyć świąd i zapobiec zakażeniu63
  • Upewnić się, że pacjenci rozumieją, jak przyjmować leki przeciwwirusowe, jeśli zostały przepisane, i aby ukończyć pełny cykl leczenia64
  • Edukować pacjentów i rodziny o znaczeniu szczepionki przeciwko ospie wietrznej w zapobieganiu chorobie65
  • Informować opiekunów o znaczeniu unikania podawania aspiryny dzieciom z gorączką w celu zapobiegania zespołowi Reye’a66
  • Instruować o konieczności obserwacji objawów powikłań, takich jak utrzymująca się wysoka gorączka, trudności w oddychaniu lub dezorientacja67

Rozpoznawanie i leczenie powikłań

Ospa wietrzna może prowadzić do różnych powikłań, które wymagają natychmiastowej interwencji medycznej6869:

  • Wtórne zakażenia bakteryjne skóry – objawiające się zwiększonym zaczerwienieniem, obrzękiem lub ropną wydzieliną w miejscu zmian70
  • Zapalenie płuc – objawiające się trudnościami w oddychaniu, kaszlem i wysoką gorączką71
  • Zapalenie mózgu – objawy to silne bóle głowy, sztywność karku, senność lub drgawki72
  • Zespół Reye’a – rzadkie, ale poważne powikłanie związane z podawaniem aspiryny dzieciom z ospą wietrzną73
  • W przypadku wystąpienia któregokolwiek z tych objawów należy natychmiast skontaktować się z lekarzem74

Szczepienie przeciwko ospie wietrznej

Szczepienie jest najskuteczniejszą metodą zapobiegania ospie wietrznej7576:

  • Szczepionka przeciwko ospie wietrznej jest zalecana dla wszystkich dzieci w wieku 12-15 miesięcy, a druga dawka w wieku 4-6 lat77
  • Szczepionka jest wysoce skuteczna, zapobiegając chorobie w ponad 90% przypadków78
  • Nawet jeśli osoba zaszczepiona zachoruje na ospę wietrzną, objawy są zwykle łagodniejsze79
  • Szczepienie może być skuteczne również po ekspozycji na wirusa, jeśli zostanie podane w ciągu 3-5 dni od kontaktu80
  • Wysoki poziom wyszczepienia w społeczności może zapobiec rozprzestrzenianiu się ospy wietrznej i chronić osoby, które nie mogą być zaszczepione (efekt odporności zbiorowiskowej)81

Dokumentacja pielęgniarska

Dokumentacja pielęgniarska w przypadku dziecka z ospą wietrzną powinna obejmować82:

  • Temperaturę i inne wyniki oceny, w tym oznaki życiowe i stan psychiczny
  • Charakterystykę zmian skórnych lub stan ogólny
  • Czynniki przyczynowe i przyczyniające się
  • Wpływ stanu chorobowego na wizerunek osobisty i styl życia
  • Aktualna lub niedawna terapia antybiotykowa
  • Plan opieki
  • Plan edukacyjny
  • Odpowiedzi na interwencje, nauczanie i wykonane działania
  • Osiągnięcie lub postęp w kierunku pożądanych wyników
  • Modyfikacje planu opieki

Opieka nad pacjentami z grup wysokiego ryzyka

Niektóre grupy pacjentów wymagają szczególnej uwagi i specjalistycznej opieki w przypadku ospy wietrznej8384:

  • Kobiety w ciąży – ospa wietrzna w trakcie ciąży może prowadzić do powikłań zarówno u matki, jak i u dziecka. Należy natychmiast skontaktować się z lekarzem w przypadku ekspozycji85
  • Noworodki – szczególnie narażone na ciężki przebieg choroby, wymagają natychmiastowej konsultacji lekarskiej86
  • Osoby z osłabionym układem odpornościowym – wymagają dożylnej terapii przeciwwirusowej i ścisłego monitorowania87
  • Dorośli – ospa wietrzna jest zwykle cięższa u dorosłych, zalecane jest wczesne leczenie przeciwwirusowe88
  • Personel medyczny – specjalne protokoły dla pracowników służby zdrowia narażonych na ospę wietrzną, w tym furlough (tymczasowe zwolnienie z pracy) i szczepienia89

Oczekiwane wyniki opieki pielęgniarskiej

Pożądane wyniki opieki pielęgniarskiej dla dziecka z ospą wietrzną obejmują9091:

  • Pacjent będzie odczuwał komfort, co będzie widoczne poprzez zdolność do odpoczynku
  • Pacjent lub opiekun będzie w stanie omówić niezbędne informacje dotyczące choroby, objawów, leczenia i możliwych powikłań varicella zoster
  • Pacjent pozostanie wolny od wtórnego zakażenia, co będzie widoczne dzięki nienaruszeniu skóry bez zaczerwienienia czy zmian
  • Pacjent będzie miał minimalne ryzyko przeniesienia choroby dzięki stosowaniu uniwersalnych środków ostrożności
  • Pacjent będzie wyrażał uczucia dotyczące zmian skórnych i będzie kontynuował codzienne aktywności
  • Pacjent będzie demonstrował pozytywny obraz ciała, co będzie widoczne poprzez zdolność do patrzenia na, rozmawiania o i dbania o zmiany skórne
  • Skóra pacjenta pozostanie wolna od wtórnych zakażeń bakteryjnych
  • Pacjent doświadczy zmniejszenia dyskomfortu spowodowanego świądem i gorączką
  • Pacjent lub opiekun będzie demonstrował zrozumienie właściwych procedur izolacji, aby zapobiec rozprzestrzenianiu się wirusa
  • Pacjent utrzyma odpowiednie nawodnienie i odżywienie przez cały okres choroby

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    Chickenpox is a contagious virus that causes an extremely itchy rash. Chickenpox, an infectious disease, produces a blister-like rash. Chickenpox is an infection that causes an itchy, blister-like skin rash. A virus called varicella-zoster causes it. Chickenpox is highly contagious. But its much less common today because theres a vaccine that protects you from it. Children are the most susceptible to getting chickenpox, although you can get it as an adult, too. […] Make sure your child gets plenty of rest and fluids. Chickenpox will go away on its own in a week or two. To help your child feel less itchy, you can: Press a cool, moist rag on the rash. Keep your child cool. Encourage your child not to scratch. Trim their fingernails so they can’t scratch. Put a lotion with antihistamines on the rash. These lotions are available at the drugstore. If you don’t know what to buy, ask the pharmacist for help. Give your child an over-the-counter (OTC) form of antihistamine. Diphenhydramine (Benadryl) and cetirizine (Zyrtec) are two examples of OTC antihistamines. Give your child a cool bath or shower every day. You can also give your child an oatmeal bath. When youre drying them off, dont rub them with the towel. Instead, pat your child dry. Give your child plenty of water and fluids to prevent dehydration. A soft, bland diet can help if they have blisters in their mouth.
  • #2 Chickenpox: Symptoms, treatment, stages, and causes
    https://www.medicalnewstoday.com/articles/239450
    Chickenpox is a viral illness that causes a blister-like rash. The rash first appears on the face and trunk and then spreads throughout the body. […] Chickenpox develops in stages. Before the rash appears, there may be fatigue or a general feeling of being unwell (malaise), fever that lasts 3-5 days and is usually less than 102 F (39 C), loss of appetite, muscle or joint aches, cold-like symptoms such as a cough or runny nose, and headache. […] After these symptoms, an itchy rash will present on the face, body, or inside the mouth. The rash will develop in spots and sometimes can also appear on the eyelids or the genitals. The severity of the rash can vary. […] A doctor may prescribe medication or give advice on how to reduce symptoms of itchiness and discomfort, and also on how to prevent transmission of the infection.
  • #3 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Chickenpox is primarily a childhood disease but can affect individuals of all ages who have not been previously vaccinated or exposed to the virus. […] Treatment approaches include supportive measures, antiviral therapy, administration of varicella-zoster immune globulin (VZIG), and management of secondary bacterial infection. […] Assessment of a child with chicken pox includes the following: History taking. The history should elicit if a recent outbreak of chickenpox in the community has occurred and if any exposure to varicella at school, daycare, or among family members has occurred. […] Based on the assessment data, the major nursing diagnoses are: Hyperthermia related to viral infection. Impaired skin integrity related to mechanical factors (eg stress, tear, friction). Disturbed body image related to lesions on the skin. Deficient knowledge about the condition and treatment needs. Risk for infection related to damaged skin tissue.
  • #4 Chickenpox – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chickenpox/diagnosis-treatment/drc-20351287
    Most often, health care providers find out you have chickenpox based on the rash. […] In otherwise healthy children, chickenpox often needs no medical treatment. Some children may be able to take a type of medicine called an antihistamine to calm itching. But for the most part, the disease just needs to run its course. […] For people who are at high risk of complications from chickenpox, providers sometimes prescribe medicines to shorten the length of the illness and to help lower the risk of complications. […] If you or your child gets complications, your provider will figure out the right treatment. For example, antibiotics can treat infected skin and pneumonia. Brain swelling, also called encephalitis, is often treated with antiviral medicine. Treatment in the hospital may be needed.
  • #5 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Chickenpox is primarily a childhood disease but can affect individuals of all ages who have not been previously vaccinated or exposed to the virus. […] Treatment approaches include supportive measures, antiviral therapy, administration of varicella-zoster immune globulin (VZIG), and management of secondary bacterial infection. […] Assessment of a child with chicken pox includes the following: History taking. The history should elicit if a recent outbreak of chickenpox in the community has occurred and if any exposure to varicella at school, daycare, or among family members has occurred. […] Based on the assessment data, the major nursing diagnoses are: Hyperthermia related to viral infection. Impaired skin integrity related to mechanical factors (eg stress, tear, friction). Disturbed body image related to lesions on the skin. Deficient knowledge about the condition and treatment needs. Risk for infection related to damaged skin tissue.
  • #6 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #7 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #8 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #9 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Encourage increased fluid intake, particularly if the patient has a fever or is reluctant to eat due to mouth sores (which sometimes accompany chickenpox). […] Administer antipyretics as prescribed and educate the patient to avoid aspirin in children to prevent Reye’s syndrome. […] Teach patients or caregivers how to recognize signs of complications, such as persistent high fever, difficulty breathing, or confusion. […] The patients skin will remain free of secondary bacterial infections. […] The patient will experience reduced discomfort from itching and fever. […] The patient or caregiver will demonstrate understanding of proper isolation procedures to prevent the spread of the virus. […] The patient will maintain adequate hydration and nutrition throughout the illness. […] Instruct patients to remain isolated at home until all lesions have crusted over, usually about seven to 10 days after the rash first appears.
  • #10 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Chickenpox is primarily a childhood disease but can affect individuals of all ages who have not been previously vaccinated or exposed to the virus. […] Treatment approaches include supportive measures, antiviral therapy, administration of varicella-zoster immune globulin (VZIG), and management of secondary bacterial infection. […] Assessment of a child with chicken pox includes the following: History taking. The history should elicit if a recent outbreak of chickenpox in the community has occurred and if any exposure to varicella at school, daycare, or among family members has occurred. […] Based on the assessment data, the major nursing diagnoses are: Hyperthermia related to viral infection. Impaired skin integrity related to mechanical factors (eg stress, tear, friction). Disturbed body image related to lesions on the skin. Deficient knowledge about the condition and treatment needs. Risk for infection related to damaged skin tissue.
  • #11 Nursing care for patient with CHICKEN POX [Autosaved].pptx
    https://www.slideshare.net/slideshow/nursing-care-for-patient-with-chicken-pox-autosavedpptx/266493906
    Nursing Diagnosis Based on the assessment data, the major nursing diagnoses are: Hyperthermia related to viral infection. Impaired skin integrity related to mechanical factors (eg stress, scratch, friction). Disturbed body image related to lesions on the skin. Deficient knowledge about the condition and treatment needs. Risk for infection related to damaged skin tissue. […] Nursing Interventions Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort.
  • #12 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Desired outcomes for a child with chicken pox include: Client will be comfortable as evidenced by the ability to rest. Client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of varicella zoster. Client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. Client will have minimal risk for disease transmission through the use of universal precautions. Client will verbalize feelings about lesions and continues daily activities. Client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. Manage pruritus in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Trim fingernails. Trimming the child’s fingernails and having the child wear mittens while sleeping may reduce scratching. Dietary measures. Advise parents to provide a full and unrestricted diet to the child; some children with varicella have reduced appetite and should be encouraged to take sufficient fluids to maintain hydration.
  • #13 Chickenpox – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chickenpox/diagnosis-treatment/drc-20351287
    To help ease the symptoms of mild chickenpox, you can follow these self-care tips. […] Scratching the skin can cause scarring and slow healing. It also can raise the risk that the sores will get infected. […] The chickenpox rash can be very itchy, and broken blisters called vesicles sometimes sting. For relief of these and other symptoms, you can try: A cool bath with added baking soda, aluminum acetate or uncooked oatmeal. Or you could add colloidal oatmeal, a finely ground oatmeal that is made for soaking. […] Call your provider if a fever lasts longer than four days and is higher than 102 F (38.9 C). And don’t give aspirin to children and teenagers who have chickenpox. This can lead to a serious medical problem called Reye’s syndrome. […] Rest as much as possible. Try not to touch skin with chickenpox on it. And think about wearing a face mask over the nose and mouth in public. Chickenpox is highly contagious until skin blisters have fully crusted.
  • #14 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Desired outcomes for a child with chicken pox include: Client will be comfortable as evidenced by the ability to rest. Client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of varicella zoster. Client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. Client will have minimal risk for disease transmission through the use of universal precautions. Client will verbalize feelings about lesions and continues daily activities. Client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. Manage pruritus in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Trim fingernails. Trimming the child’s fingernails and having the child wear mittens while sleeping may reduce scratching. Dietary measures. Advise parents to provide a full and unrestricted diet to the child; some children with varicella have reduced appetite and should be encouraged to take sufficient fluids to maintain hydration.
  • #15 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #16 Home Remedies for Chickenpox: Natural Treatments That Really Work
    https://www.healthline.com/health/home-remedies-for-chickenpox
    Calamine lotion can help reduce itching. This lotion contains skin-soothing properties, including zinc oxide. […] Oatmeal baths can be soothing and itch-relieving for chickenpox. Taking a bath wont spread the chickenpox from one area of your skin to another. […] Scratching your blisters may be tempting, but it can worsen your discomfort and expose your skin to infection. […] Another itch-relieving option to add to a bath is baking soda. Add one cup of baking soda to a shallow, lukewarm bath. Soak for 15 to 20 minutes. Your child can take up to three baths a day if they find this approach soothing. […] The chamomile tea in your kitchen cabinet may also soothe itchy chickenpox areas. Chamomile has antiseptic and anti-inflammatory effects when applied to your skin. […] If your childs chickenpox blisters are especially painful or if you child has a fever, you may wish to give them medication. […] While most cases of chickenpox will go away with time, there are some instances where you should call your doctor or pediatrician.
  • #17
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf10219
    Help your child get plenty of rest. […] Try to keep your child from scratching the chickenpox rash. […] Give your child warm or cool baths with oatmeal bath products, such as Aveeno. This will reduce itching. You can also add a handful of oatmeal (ground to a powder) to your child’s bath. After a bath, pat rather than rub your child’s skin dry. […] Wet a soft cloth with cool water or with cool water mixed with baking soda. Put the cool compress directly on the skin to cool your child’s skin and relieve itching. […] Use soothing lotions that can help dry chickenpox blisters, such as those that contain: Phenol, menthol, and camphor, such as calamine lotion. […] Try to keep your child from getting hot and sweaty. Getting hot will make the itching worse. […] Be safe with medicines. Read and follow all instructions on the label.
  • #18 Chickenpox: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chickenpox-care-instructions.uf8362
    Chickenpox is a common disease caused by the varicella virus. Chickenpox causes an itchy rash and red spots or blisters (pox) on the skin all over the body. […] Most healthy children need only home treatment for chickenpox. People who are older than age 12, are pregnant, or have a weak immune system may need medicine. […] 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. […] Get plenty of rest. […] Take warm or cool baths with oatmeal bath products, such as Aveeno. This will reduce itching. […] Take acetaminophen (Tylenol) to reduce fever and discomfort. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Wet a soft cloth with cool water alone or cool water mixed with baking soda. Put the cool compress directly on the skin to cool your skin and relieve itching.
  • #19 How to care for a child with chickenpox
    https://www.aad.org/public/everyday-care/itchy-skin/rash/chicken-pox
    Keep your childs fingernails trimmed short. This will help prevent skin infections caused by scratching the blisters. […] For most healthy children, chickenpox clears on its own without treatment. […] If you have a newborn with chickenpox or your child has a weakened immune system, trouble breathing, or develops any blisters that become infected, see your childs doctor.
  • #20 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    There are several tips you can do at home to help ease chickenpox symptoms and prevent skin infections: Try calamine lotion and a cool bath with added baking soda, uncooked oatmeal, or colloidal oatmeal may help ease some of the itching. […] Try to keep fingernails trimmed short and minimize scratching to prevent the virus from spreading to others and to help prevent skin infections. […] If you scratch a blister, wash your hands with soap and water for at least 20 seconds.
  • #21 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Desired outcomes for a child with chicken pox include: Client will be comfortable as evidenced by the ability to rest. Client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of varicella zoster. Client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. Client will have minimal risk for disease transmission through the use of universal precautions. Client will verbalize feelings about lesions and continues daily activities. Client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. Manage pruritus in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Trim fingernails. Trimming the child’s fingernails and having the child wear mittens while sleeping may reduce scratching. Dietary measures. Advise parents to provide a full and unrestricted diet to the child; some children with varicella have reduced appetite and should be encouraged to take sufficient fluids to maintain hydration.
  • #22 Parent’s First Aid Guide: Handling Chickenpox with Care
    https://cprcare.com/blog/parents-first-aid-guide-for-chicken-pox/
    To stop scratching: To prevent scratching while sleeping, cover your child’s hands with mittens or gloves. Trim and maintain clean fingernails. […] If your kid’s mouth is covered in blisters: Chickenpox in the mouth can make it difficult to drink or eat. Offer cool, soft, bland meals. Avoid foods like orange juice and pretzels that are acidic or salty. Give acetaminophen to your child to help with pain relief. […] With the knowledge of first aid, you will be able to help your child more effectively and give first aid for chickenpox confidently.
  • #23 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    There are several tips you can do at home to help ease chickenpox symptoms and prevent skin infections: Try calamine lotion and a cool bath with added baking soda, uncooked oatmeal, or colloidal oatmeal may help ease some of the itching. […] Try to keep fingernails trimmed short and minimize scratching to prevent the virus from spreading to others and to help prevent skin infections. […] If you scratch a blister, wash your hands with soap and water for at least 20 seconds.
  • #24 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    Chickenpox is a contagious virus that causes an extremely itchy rash. Chickenpox, an infectious disease, produces a blister-like rash. Chickenpox is an infection that causes an itchy, blister-like skin rash. A virus called varicella-zoster causes it. Chickenpox is highly contagious. But its much less common today because theres a vaccine that protects you from it. Children are the most susceptible to getting chickenpox, although you can get it as an adult, too. […] Make sure your child gets plenty of rest and fluids. Chickenpox will go away on its own in a week or two. To help your child feel less itchy, you can: Press a cool, moist rag on the rash. Keep your child cool. Encourage your child not to scratch. Trim their fingernails so they can’t scratch. Put a lotion with antihistamines on the rash. These lotions are available at the drugstore. If you don’t know what to buy, ask the pharmacist for help. Give your child an over-the-counter (OTC) form of antihistamine. Diphenhydramine (Benadryl) and cetirizine (Zyrtec) are two examples of OTC antihistamines. Give your child a cool bath or shower every day. You can also give your child an oatmeal bath. When youre drying them off, dont rub them with the towel. Instead, pat your child dry. Give your child plenty of water and fluids to prevent dehydration. A soft, bland diet can help if they have blisters in their mouth.
  • #25
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8362
    Chickenpox is a common disease caused by the varicella virus. Chickenpox causes an itchy rash and red spots or blisters (pox) on the skin all over the body. […] Most healthy children need only home treatment for chickenpox. People who are older than age 12, are pregnant, or have a weak immune system may need medicine. […] 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 if you are having problems. […] Get plenty of rest. […] Take acetaminophen (Tylenol) to reduce fever and discomfort. […] Take your medicines exactly as prescribed. […] Try not to scratch the chickenpox rash. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a new or worsening cough, and you are short of breath. […] 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.
  • #26
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf10219
    Ask the doctor about giving your child an over-the-counter antihistamine to help calm the itching. […] Give your child acetaminophen (Tylenol) for fever and pain. Do not give aspirin to anyone younger than 18. It has been linked to Reye syndrome, a serious illness. […] Do not use lotions or creams that contain antihistamines. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has a new or worsening cough and is short of breath. […] 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.
  • #27 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #28 Chickenpox | Caring for kids
    https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/chickenpox
    Chickenpox is very dangerous for people with immune system problems like leukemia, or for people taking medications that weaken the immune system. […] If your child gets chickenpox, do not give aspirin [acetylsalicylic acid (ASA)] or any products that contain aspirin. Taking aspirin increases the risk of getting Reyes syndrome. This severe illness can damage the liver and brain. If you want to control your child’s fever, use acetaminophen (Tylenol, Tempra, Panadol and others). […] Encourage your child not to scratch. Scratching can cause infection from bacteria that get into the skin. Adding baking soda to bathwater can be soothing. Your doctor may recommend a cream to help reduce the itch. […] Infants with chickenpox, and older children or adults with a severe disease may be treated with antiviral drugs.
  • #29 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Documentation for a child with chicken pox includes: Temperature and other assessment findings, including vital signs and state of mentation. Characteristics of lesions or condition. Causative and contributing factors. Impact of condition on personal image and lifestyle. Current or recent antibiotic therapy. Plan of care. Teaching plan. Responses to interventions, teaching, and actions performed. Attainment or progress towards desired outcomes. Modifications to plan of care.
  • #30 Chickenpox – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chickenpox/diagnosis-treatment/drc-20351287
    To help ease the symptoms of mild chickenpox, you can follow these self-care tips. […] Scratching the skin can cause scarring and slow healing. It also can raise the risk that the sores will get infected. […] The chickenpox rash can be very itchy, and broken blisters called vesicles sometimes sting. For relief of these and other symptoms, you can try: A cool bath with added baking soda, aluminum acetate or uncooked oatmeal. Or you could add colloidal oatmeal, a finely ground oatmeal that is made for soaking. […] Call your provider if a fever lasts longer than four days and is higher than 102 F (38.9 C). And don’t give aspirin to children and teenagers who have chickenpox. This can lead to a serious medical problem called Reye’s syndrome. […] Rest as much as possible. Try not to touch skin with chickenpox on it. And think about wearing a face mask over the nose and mouth in public. Chickenpox is highly contagious until skin blisters have fully crusted.
  • #31 Chickenpox | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chickenpox
    Symptoms of chickenpox can occur within 2 to 3 weeks after exposure to the virus. […] Treatment is mainly aimed at relieving symptoms. Antiviral treatment may be required for serious illness. […] For most people, chickenpox causes mild illness that gets better without specific treatment. You can relieve symptoms and prevent complications by: resting, drinking plenty of fluids to prevent dehydration, using paracetamol to bring down fevers, using creams or lotions, such as calamine lotion, to reduce the itching, wearing mittens to prevent scratching, having colloidal oatmeal baths may also help reduce itching. […] People with serious illness may need treatment with antiviral medication and hospital admission. […] People with chickenpox should avoid contact with other people, particularly those at increased risk of serious illness, such as newborn babies, pregnant women and people with a weakened immune system.
  • #32 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Encourage increased fluid intake, particularly if the patient has a fever or is reluctant to eat due to mouth sores (which sometimes accompany chickenpox). […] Administer antipyretics as prescribed and educate the patient to avoid aspirin in children to prevent Reye’s syndrome. […] Teach patients or caregivers how to recognize signs of complications, such as persistent high fever, difficulty breathing, or confusion. […] The patients skin will remain free of secondary bacterial infections. […] The patient will experience reduced discomfort from itching and fever. […] The patient or caregiver will demonstrate understanding of proper isolation procedures to prevent the spread of the virus. […] The patient will maintain adequate hydration and nutrition throughout the illness. […] Instruct patients to remain isolated at home until all lesions have crusted over, usually about seven to 10 days after the rash first appears.
  • #33 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Desired outcomes for a child with chicken pox include: Client will be comfortable as evidenced by the ability to rest. Client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of varicella zoster. Client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. Client will have minimal risk for disease transmission through the use of universal precautions. Client will verbalize feelings about lesions and continues daily activities. Client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. Manage pruritus in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Trim fingernails. Trimming the child’s fingernails and having the child wear mittens while sleeping may reduce scratching. Dietary measures. Advise parents to provide a full and unrestricted diet to the child; some children with varicella have reduced appetite and should be encouraged to take sufficient fluids to maintain hydration.
  • #34 Parent’s First Aid Guide: Handling Chickenpox with Care
    https://cprcare.com/blog/parents-first-aid-guide-for-chicken-pox/
    To stop scratching: To prevent scratching while sleeping, cover your child’s hands with mittens or gloves. Trim and maintain clean fingernails. […] If your kid’s mouth is covered in blisters: Chickenpox in the mouth can make it difficult to drink or eat. Offer cool, soft, bland meals. Avoid foods like orange juice and pretzels that are acidic or salty. Give acetaminophen to your child to help with pain relief. […] With the knowledge of first aid, you will be able to help your child more effectively and give first aid for chickenpox confidently.
  • #35 Varicella Nursing Diagnosis & Care Plan – NurseStudy.Net
    https://nursestudy.net/varicella-chickenpox-nursing-diagnosis/
    Varicella, commonly known as chickenpox, is a highly contagious viral infection caused by the varicella-zoster virus (VZV). It primarily affects children but can also occur in adults. […] As a nurse, understanding the nursing diagnosis, care plans, and interventions for varicella is crucial for providing effective patient care and preventing complications. […] The following are common nursing care planning goals and expected outcomes for varicella: The patient will maintain intact skin without signs of infection, The patient will experience relief from itching and discomfort, The patient will maintain adequate hydration and nutrition, The patient will demonstrate an understanding of infection control measures, The patients fever will resolve within the normal range, The patient will show no signs of complications (e.g., pneumonia, encephalitis), The patient will verbalize understanding of the disease process and home care instructions.
  • #36 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #37 Managing Varicella (Chickenpox) Exposures in Health Care Settings – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/hcp/hcexposure.html
    Varicella (chickenpox) is spread by direct contact and inhalation of aerosols from vesicles or respiratory secretions. Standard precautions, plus airborne precautions and contact precautions, should be followed until all lesions are crusted over. Patients should be removed from any waiting rooms or public areas and placed in a negative airflow room as soon as varicella is suspected. […] Only health care workers with documented immunity to varicella, using standard, airborne, and contact precautions, should care for patients with varicella. […] To prevent transmission of varicella in health care facilities, all health care workers should have evidence of immunity to varicella. This information should be documented and readily available. […] Health care workers exposed to varicella with adequate evidence of immunity to varicella: Monitor daily for symptoms of varicella from days 8-21 after exposure.
  • #38 Managing Varicella (Chickenpox) Exposures in Health Care Settings – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/hcp/hcexposure.html
    Varicella (chickenpox) is spread by direct contact and inhalation of aerosols from vesicles or respiratory secretions. Standard precautions, plus airborne precautions and contact precautions, should be followed until all lesions are crusted over. Patients should be removed from any waiting rooms or public areas and placed in a negative airflow room as soon as varicella is suspected. […] Only health care workers with documented immunity to varicella, using standard, airborne, and contact precautions, should care for patients with varicella. […] To prevent transmission of varicella in health care facilities, all health care workers should have evidence of immunity to varicella. This information should be documented and readily available. […] Health care workers exposed to varicella with adequate evidence of immunity to varicella: Monitor daily for symptoms of varicella from days 8-21 after exposure.
  • #39 Managing Varicella (Chickenpox) Exposures in Health Care Settings – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/hcp/hcexposure.html
    Varicella (chickenpox) is spread by direct contact and inhalation of aerosols from vesicles or respiratory secretions. Standard precautions, plus airborne precautions and contact precautions, should be followed until all lesions are crusted over. Patients should be removed from any waiting rooms or public areas and placed in a negative airflow room as soon as varicella is suspected. […] Only health care workers with documented immunity to varicella, using standard, airborne, and contact precautions, should care for patients with varicella. […] To prevent transmission of varicella in health care facilities, all health care workers should have evidence of immunity to varicella. This information should be documented and readily available. […] Health care workers exposed to varicella with adequate evidence of immunity to varicella: Monitor daily for symptoms of varicella from days 8-21 after exposure.
  • #40 Managing Varicella (Chickenpox) Exposures in Health Care Settings – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/hcp/hcexposure.html
    Varicella (chickenpox) is spread by direct contact and inhalation of aerosols from vesicles or respiratory secretions. Standard precautions, plus airborne precautions and contact precautions, should be followed until all lesions are crusted over. Patients should be removed from any waiting rooms or public areas and placed in a negative airflow room as soon as varicella is suspected. […] Only health care workers with documented immunity to varicella, using standard, airborne, and contact precautions, should care for patients with varicella. […] To prevent transmission of varicella in health care facilities, all health care workers should have evidence of immunity to varicella. This information should be documented and readily available. […] Health care workers exposed to varicella with adequate evidence of immunity to varicella: Monitor daily for symptoms of varicella from days 8-21 after exposure.
  • #41 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Encourage increased fluid intake, particularly if the patient has a fever or is reluctant to eat due to mouth sores (which sometimes accompany chickenpox). […] Administer antipyretics as prescribed and educate the patient to avoid aspirin in children to prevent Reye’s syndrome. […] Teach patients or caregivers how to recognize signs of complications, such as persistent high fever, difficulty breathing, or confusion. […] The patients skin will remain free of secondary bacterial infections. […] The patient will experience reduced discomfort from itching and fever. […] The patient or caregiver will demonstrate understanding of proper isolation procedures to prevent the spread of the virus. […] The patient will maintain adequate hydration and nutrition throughout the illness. […] Instruct patients to remain isolated at home until all lesions have crusted over, usually about seven to 10 days after the rash first appears.
  • #42 Varicella Information for Schools and Child Care – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/school/index.html
    Schools and child cares are to report all suspected and confirmed cases of chickenpox at their facility, even if they have not been diagnosed by a healthcare provider. […] Exclude children or staff with chickenpox from school or child care until all blisters have crusted. This is usually four to seven days after the rash began. […] Chickenpox occurring in vaccinated persons (called „breakthrough infection”) is usually mild but is still considered infectious. […] Parents should be notified if their child is exposed to a case of chickenpox. […] Susceptible pregnant people and people with a weakened immune system are at high risk of severe disease and should be advised to contact their health care provider. […] Call MDH to report the beginning of an outbreak at 651-201-5414 or 1-877-676-5414. […] Recommend the following: Two doses of chickenpox vaccine for individuals who have no history of chickenpox disease and are unvaccinated. […] Identify and notify immunocompromised and pregnant people because they are at high risk for complications.
  • #43 Chickenpox: Home Care (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/chickenpox-sheet.html
    Chickenpox (varicella) is much less common in the U.S. than it used to be, thanks to the chickenpox vaccine. If someone does get chickenpox, the infection and the rash it causes will go away without treatment. But chickenpox spreads easily from person to person, so a child who has the virus should stay home until the rash is completely crusted over. […] To help ease itchiness: Use cool wet compresses or give baths in lukewarm water every 34 hours for the first few days. Oatmeal bath products, available at supermarkets and drugstores, can help to relieve itching. (Baths do not spread the rash.) Pat (don’t rub) the body dry. Put calamine lotion on itchy areas (but don’t use it on the face, especially near the eyes). Ask your doctor or pharmacist about pain-relieving creams to apply to sores in the genital area. Ask the doctor about using over-the-counter (OTC) medicine to take by mouth for itching. […] To help prevent chickenpox, kids should get the chickenpox vaccine when they’re 12 to 15 months old, and a booster shot when they’re 4 to 6 years old. To help keep the virus from spreading, family members should wash their hands well and often.
  • #44 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #45 How to manage chickenpox in primary care
    https://www.healthcert.com/blog/chickenpox
    Chickenpox, or varicella, is a highly contagious viral infection caused by the varicella-zoster virus (VZV). GPs play a vital role in diagnosing, managing, and preventing chickenpox. The management of chickenpox in primary care focuses on symptomatic relief, preventing complications, and addressing high-risk cases. Acetaminophen is recommended for fever. Avoiding aspirin is recommended due to the risk of Reyes syndrome. Oral antihistamines (e.g. diphenhydramine) and topical calamine lotion or colloidal oatmeal baths can help alleviate itching. Adequate fluid intake is necessary to promote hydration. The patient’s fingernails should be trimmed short to prevent secondary bacterial infection from scratching. Topical antibiotics may be needed if there are signs of secondary infection. Antiviral treatment with acyclovir or valacyclovir is recommended for individuals at high risk of complications, including immunocompromised patients, pregnant women, neonates and infants under one year of age, adolescents (particularly those over twelve years old), and adults, who are at greater risk of severe disease. Antiviral therapy is most effective when started within 24 hours of rash onset. Patients should avoid contact with susceptible individuals, such as pregnant women, newborns, and immunocompromised persons until all lesions have crusted. Children with chickenpox should be kept out of school or daycare until they are no longer contagious. GPs are crucial in the early recognition, management, and prevention of chickenpox. Appropriate care, including symptomatic treatment, antiviral therapy, and vaccination, at this level significantly reduces the morbidity associated with chickenpox.
  • #46 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #47 Varicella-Zoster Virus (Chickenpox) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448191/
    As a protective measure, those infected are usually required to stay home while infectious. Keeping nails short and wearing gloves may prevent scratching and reduce the risk of secondary infections. Topical calamine lotion may relieve pruritus. Daily cleansing with warm water helps avoid secondary bacterial infection. Acetaminophen may reduce fever; however, aspirin should be avoided as it may cause Reye syndrome. […] Infection tends to be more severe in adults, and treatment with antiviral drugs (acyclovir or valacyclovir) is advised if they can be started within 24 to 48 hours of rash onset. Acyclovir, when initiated within 24 to 72 hours following the appearance of the cutaneous eruption, has demonstrated efficacy in reducing both the length and severity of varicella. Antivirals are typically indicated in adults, including pregnant women, because this group is more prone to complications. The preferred treatment is usually oral therapy, but intravenous antivirals are indicated for immunocompromised patients, especially those undergoing chronic systemic corticosteroid therapy, due to their heightened risk of severe illness and sequelae. Supportive care, such as increasing water intake and using antipyretics and antihistamines, is essential to management.
  • #48 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #49
    https://www.healthychildren.org/English/health-issues/vaccine-preventable-diseases/Pages/Varicella-ChickenPox.aspx
    Your pediatrician can prescribe an antiviral medication called acyclovir that can reduce the symptoms of chickenpox. However, to work best, it must be given within 24 hours after the first signs of infection. […] The chickenpox vaccine is recommended for all children who have not had the disease. Most people who get the vaccine are protected for life and won’t get chickenpox. […] Children receive two doses of chickenpox vaccine to ensure the broadest protection. […] The chickenpox vaccine also lowers the risk of another painful rash, called shingles, later in life. The virus that causes chickenpox also causes shingles. […] Most people who get both doses of the vaccine will not get chickenpox. Getting two doses is the best way to help protect your child and others.
  • #50 Pediatric Chickenpox Treatment & Management: Approach Considerations, Supportive Therapy, Antiviral Therapy
    https://emedicine.medscape.com/article/969773-treatment
    Warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Topical calamine lotion may produce caking of lesions and excessive drying of the skin, causing the child to scratch. Oral antihistamines, such as diphenhydramine and hydroxyzine, are used for severe pruritus. Caution must be used with topical diphenhydramine; toxicity may occur from systemic absorption if it is applied to the entire body. […] The routine use of acyclovir or valacyclovir in healthy children is recommended by the AAP if it can be given within 24 hours after the rash first appears in children older than 12 years, those with chronic cutaneous or pulmonary disorders, those on long-term salicylate therapy, and children receiving corticosteroids. […] Intravenous acyclovir is recommended only for the treatment of varicella in immunocompromised children or in healthy children with varicella pneumonia or encephalitis.
  • #51
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8362
    Chickenpox is a common disease caused by the varicella virus. Chickenpox causes an itchy rash and red spots or blisters (pox) on the skin all over the body. […] Most healthy children need only home treatment for chickenpox. People who are older than age 12, are pregnant, or have a weak immune system may need medicine. […] 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 if you are having problems. […] Get plenty of rest. […] Take acetaminophen (Tylenol) to reduce fever and discomfort. […] Take your medicines exactly as prescribed. […] Try not to scratch the chickenpox rash. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a new or worsening cough, and you are short of breath. […] 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.
  • #52 Varicella-Zoster Virus | Infection Control | CDC
    https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/varicella.html
    For healthcare personnel with varicella (chickenpox), exclude from work until all lesions have dried and crusted; or, for those who only have non-vesicular lesions that do not crust, exclude from work until no new lesions appear within a 24-hour period. […] For immunocompetent healthcare personnel who have localized herpes zoster (shingles), including vaccine-strain herpes zoster, and for immunocompromised healthcare personnel who have localized herpes zoster and have had disseminated disease ruled out: Cover all lesions and, when feasible, exclude from direct care of patients at high risk for severe varicella (e.g., in protective environments) until all lesions are dried and crusted. […] If lesions cannot be covered (e.g., on the hands or face), exclude from work until all lesions have dried and crusted.
  • #53 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #54 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    Chickenpox is a contagious virus that causes an extremely itchy rash. Chickenpox, an infectious disease, produces a blister-like rash. Chickenpox is an infection that causes an itchy, blister-like skin rash. A virus called varicella-zoster causes it. Chickenpox is highly contagious. But its much less common today because theres a vaccine that protects you from it. Children are the most susceptible to getting chickenpox, although you can get it as an adult, too. […] Make sure your child gets plenty of rest and fluids. Chickenpox will go away on its own in a week or two. To help your child feel less itchy, you can: Press a cool, moist rag on the rash. Keep your child cool. Encourage your child not to scratch. Trim their fingernails so they can’t scratch. Put a lotion with antihistamines on the rash. These lotions are available at the drugstore. If you don’t know what to buy, ask the pharmacist for help. Give your child an over-the-counter (OTC) form of antihistamine. Diphenhydramine (Benadryl) and cetirizine (Zyrtec) are two examples of OTC antihistamines. Give your child a cool bath or shower every day. You can also give your child an oatmeal bath. When youre drying them off, dont rub them with the towel. Instead, pat your child dry. Give your child plenty of water and fluids to prevent dehydration. A soft, bland diet can help if they have blisters in their mouth.
  • #55 Chickenpox: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chickenpox-care-instructions.uf8362
    Use soothing lotions that can help dry chickenpox blisters, such as those that contain: Phenol, menthol, and camphor, such as calamine lotion. […] Try not to scratch the chickenpox rash. […] Call your doctor now or seek immediate medical care if: You have a new or worsening cough, and you are short of breath. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #56 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    There are several tips you can do at home to help ease chickenpox symptoms and prevent skin infections: Try calamine lotion and a cool bath with added baking soda, uncooked oatmeal, or colloidal oatmeal may help ease some of the itching. […] Try to keep fingernails trimmed short and minimize scratching to prevent the virus from spreading to others and to help prevent skin infections. […] If you scratch a blister, wash your hands with soap and water for at least 20 seconds.
  • #57 Pediatric Chickenpox Treatment & Management: Approach Considerations, Supportive Therapy, Antiviral Therapy
    https://emedicine.medscape.com/article/969773-treatment
    Varicella zoster immune globulin (VariZIG by Cangene) was approved by the FDA in December 2012. It is indicated for high-risk individuals within 10 days (ideally within 4 days) of chickenpox exposure. This agent reduces complications and the mortality rate of varicella, not its incidence. […] When maternal varicella has developed within 5 days before or 2 days after delivery, neonatal varicella is likely to be severe and disseminated. Prophylaxis or treatment is required with VZIG and acyclovir. Without these drugs, mortality rates may be as high as 30%. […] A high level of suspicion is necessary for early recognition and timely appropriate treatment of secondary infections. Suspect secondary infection if systemic manifestations do not improve in 3-4 days, the fever returns or worsens, or the child’s condition deteriorates after initial improvement.
  • #58 Pediatric Chickenpox Treatment & Management: Approach Considerations, Supportive Therapy, Antiviral Therapy
    https://emedicine.medscape.com/article/969773-treatment
    Varicella zoster immune globulin (VariZIG by Cangene) was approved by the FDA in December 2012. It is indicated for high-risk individuals within 10 days (ideally within 4 days) of chickenpox exposure. This agent reduces complications and the mortality rate of varicella, not its incidence. […] When maternal varicella has developed within 5 days before or 2 days after delivery, neonatal varicella is likely to be severe and disseminated. Prophylaxis or treatment is required with VZIG and acyclovir. Without these drugs, mortality rates may be as high as 30%. […] A high level of suspicion is necessary for early recognition and timely appropriate treatment of secondary infections. Suspect secondary infection if systemic manifestations do not improve in 3-4 days, the fever returns or worsens, or the child’s condition deteriorates after initial improvement.
  • #59 Chickenpox (Varicella) – Leeds, Grenville and Lanark District Health Unit
    https://healthunit.org/for-professionals/health-care-dental/communicable-disease-resources/reportable-disease-toolkit/chickenpox/
    Varicella zoster immune globulin (VarIg) should be considered for individuals at increased risk of severe varicella. Optimal benefit of VarIg is achieved if administered within 96 hours after first exposure, with protection lasting approximately three weeks. […] Pregnant contacts should be advised to consult with their physician promptly to confirm history of varicella vaccination or disease. If not confirmed, serologic testing should be performed. VarIg should be offered if serologic testing shows no immunity or cannot be obtained within 96 hours if there has been a significant exposure.
  • #60 Pediatric Chickenpox Treatment & Management: Approach Considerations, Supportive Therapy, Antiviral Therapy
    https://emedicine.medscape.com/article/969773-treatment
    Varicella zoster immune globulin (VariZIG by Cangene) was approved by the FDA in December 2012. It is indicated for high-risk individuals within 10 days (ideally within 4 days) of chickenpox exposure. This agent reduces complications and the mortality rate of varicella, not its incidence. […] When maternal varicella has developed within 5 days before or 2 days after delivery, neonatal varicella is likely to be severe and disseminated. Prophylaxis or treatment is required with VZIG and acyclovir. Without these drugs, mortality rates may be as high as 30%. […] A high level of suspicion is necessary for early recognition and timely appropriate treatment of secondary infections. Suspect secondary infection if systemic manifestations do not improve in 3-4 days, the fever returns or worsens, or the child’s condition deteriorates after initial improvement.
  • #61 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Teach caregivers how to care for the rash to reduce itching and prevent infection. […] Ensure patients understand how to take antiviral medications if prescribed and to complete the full course. […] Educate patients and families about the importance of the varicella vaccine for prevention of chickenpox.
  • #62 Varicella-Zoster Virus (Chickenpox) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448191/
    Education can reduce chickenpox morbidity. Parents of infected children should clip their fingernails to prevent skin damage and bacterial infections. Parents should also be advised not to give young children aspirin to treat fever and avoid Reye syndrome. Patients should use cold compresses and moisturizers to avoid irritation and dryness. […] Effectively managing varicella (eg, chickenpox) requires a coordinated, patient-centered approach that involves physicians, advanced clinicians, nurses, pharmacists, and other healthcare professionals. Nurses are vital in monitoring symptoms, educating patients and families on infection control, and providing supportive care. The interprofessional healthcare team also enhances patient care and outcomes when addressing complications from varicella infection. Advanced clinicians, nurses, pharmacists, and other allied healthcare professionals collaborate seamlessly to ensure a well-coordinated response.
  • #63 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Teach caregivers how to care for the rash to reduce itching and prevent infection. […] Ensure patients understand how to take antiviral medications if prescribed and to complete the full course. […] Educate patients and families about the importance of the varicella vaccine for prevention of chickenpox.
  • #64 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Teach caregivers how to care for the rash to reduce itching and prevent infection. […] Ensure patients understand how to take antiviral medications if prescribed and to complete the full course. […] Educate patients and families about the importance of the varicella vaccine for prevention of chickenpox.
  • #65 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Teach caregivers how to care for the rash to reduce itching and prevent infection. […] Ensure patients understand how to take antiviral medications if prescribed and to complete the full course. […] Educate patients and families about the importance of the varicella vaccine for prevention of chickenpox.
  • #66 Varicella-Zoster Virus (Chickenpox) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448191/
    Education can reduce chickenpox morbidity. Parents of infected children should clip their fingernails to prevent skin damage and bacterial infections. Parents should also be advised not to give young children aspirin to treat fever and avoid Reye syndrome. Patients should use cold compresses and moisturizers to avoid irritation and dryness. […] Effectively managing varicella (eg, chickenpox) requires a coordinated, patient-centered approach that involves physicians, advanced clinicians, nurses, pharmacists, and other healthcare professionals. Nurses are vital in monitoring symptoms, educating patients and families on infection control, and providing supportive care. The interprofessional healthcare team also enhances patient care and outcomes when addressing complications from varicella infection. Advanced clinicians, nurses, pharmacists, and other allied healthcare professionals collaborate seamlessly to ensure a well-coordinated response.
  • #67 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Encourage increased fluid intake, particularly if the patient has a fever or is reluctant to eat due to mouth sores (which sometimes accompany chickenpox). […] Administer antipyretics as prescribed and educate the patient to avoid aspirin in children to prevent Reye’s syndrome. […] Teach patients or caregivers how to recognize signs of complications, such as persistent high fever, difficulty breathing, or confusion. […] The patients skin will remain free of secondary bacterial infections. […] The patient will experience reduced discomfort from itching and fever. […] The patient or caregiver will demonstrate understanding of proper isolation procedures to prevent the spread of the virus. […] The patient will maintain adequate hydration and nutrition throughout the illness. […] Instruct patients to remain isolated at home until all lesions have crusted over, usually about seven to 10 days after the rash first appears.
  • #68 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    Call your healthcare provider if your child has any of the following symptoms: Severe headache or fever that doesnt go away. Sores in their eyes. Sores that get bigger or have yellow pus in them. Difficulty breathing or breathing very fast. Stiff neck or muscle/joint stiffness. Has trouble waking up. […] Chickenpox can be more serious in adults. You should contact a healthcare provider right away if you believe you have chickenpox, especially if you or someone in your house is pregnant or if you live with someone who has a suppressed immune system.
  • #69 Chickenpox (varicella) – symptoms, treatment, vaccine | healthdirect
    https://www.healthdirect.gov.au/chickenpox
    Speak to your doctor about getting vaccinated if you have never had chickenpox or been vaccinated against chickenpox. […] Vaccination against chickenpox is strongly recommended if you work in childcare, aged care, or healthcare. […] Complications linked to chickenpox are rare, but can be serious. They may include bacterial infection of skin blisters, scarring, pneumonia, and meningitis or encephalitis.
  • #70 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Nurses should focus on alleviating discomfort, preventing complications, and educating patients and caregivers on preventing the spread of the infection. […] Regularly assess the rash for signs of secondary bacterial infection, such as increased redness, swelling, or pus. […] Be vigilant about monitoring symptoms of respiratory distress, neurological changes (e.g., confusion, seizures), or high fever that could indicate pneumonia or encephalitis. […] Assess the patient’s level of discomfort and effectiveness of symptom relief measures. […] Apply soothing lotions like calamine and encourage lukewarm oatmeal baths to reduce itching. Keep nails trimmed to prevent skin damage from scratching. […] Implement standard and airborne precautions to prevent the spread of the virus to others, especially in healthcare settings. Teach patients about the importance of covering the mouth and nose when coughing or sneezing and maintaining good hand hygiene.
  • #71 Shingles and chickenpox (Varicella-zoster virus) Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/shingles-and-chickenpox-varicella-zoster-virus
    Intense itching is the most common complication of chickenpox. It can be very distressing, particularly for small children. Many home remedies can help relieve the discomfort. It is important not to scratch the scabs because this can lead to scarring. […] In some cases, a secondary bacterial infection may develop at sites that were scratched. If the skin around the scab becomes red, swollen, or warm, this may be a sign of a secondary bacterial infection. If you or your child develops these symptoms contact your health care provider because in rare cases, serious bacterial complications can occur. […] Varicella pneumonia is an uncommon but serious complication of chickenpox. It usually develops 1 to 6 days after the chickenpox rash appears. Fever and cough may be signs of varicella pneumonia. Pregnant women, people who are immunocompromised, and smokers are at increased risk for this lung complication.
  • #72 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    Call your healthcare provider if your child has any of the following symptoms: Severe headache or fever that doesnt go away. Sores in their eyes. Sores that get bigger or have yellow pus in them. Difficulty breathing or breathing very fast. Stiff neck or muscle/joint stiffness. Has trouble waking up. […] Chickenpox can be more serious in adults. You should contact a healthcare provider right away if you believe you have chickenpox, especially if you or someone in your house is pregnant or if you live with someone who has a suppressed immune system.
  • #73 How to Treat Chickenpox | Chickenpox (Varicella) | CDC
    https://www.cdc.gov/chickenpox/treatment/index.html
    The use of aspirin in children with chickenpox is associated with Reye’s syndrome, a severe disease that affects the liver and brain and can cause death. […] If your child has chickenpox, use non-aspirin medications, such as acetaminophen, to help ease fever from chickenpox. […] Antiviral medication is recommended for people with chickenpox who are more likely to develop dangerous illnesses, including: Otherwise, healthy people older than 12 years of age, People with chronic skin or lung disease, People receiving long-term salicylate therapy or steroid therapy, Pregnant women, People with a weakened immune system. […] There are antiviral medications licensed for the treatment of chickenpox. The medication works best if given as early as possible, preferably within the first 24 hours after the rash starts.
  • #74
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf10219
    Ask the doctor about giving your child an over-the-counter antihistamine to help calm the itching. […] Give your child acetaminophen (Tylenol) for fever and pain. Do not give aspirin to anyone younger than 18. It has been linked to Reye syndrome, a serious illness. […] Do not use lotions or creams that contain antihistamines. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has a new or worsening cough and is short of breath. […] 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.
  • #75 Chickenpox | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chickenpox
    Chickenpox can be prevented through vaccination. Two doses of vaccine (varicella-containing vaccine) are recommended. Vaccination helps protect against infection and serious illness. […] High levels of vaccination in the community can prevent the spread of chickenpox and protect people in the community who cannot be vaccinated, such as those who are too young or too unwell. This is called herd immunity.
  • #76 Chickenpox | Washington State Department of Health
    https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/chickenpox
    Older children and adults need 2 doses of chickenpox vaccine if they have not been vaccinated or are not immune to chickenpox. […] People may get vaccinated after chickenpox exposure to prevent or reduce illness. […] Most people experience minor or no side effects. The most common side effects of chickenpox vaccine include: Sore arm, redness, or rash where the shot was given, Fever, Allergic reaction (rarely). […] Getting chickenpox vaccine is over 99% effective at preventing the disease. […] Getting vaccinated protects yourself, your family, and others in the community. This protects people who cant get vaccinated, such as those with weakened immune systems, infants, and pregnant people. […] Chickenpox vaccine is required for childcare and school entry in the state of Washington.
  • #77 Patient education: Chickenpox prevention and treatment (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/chickenpox-prevention-and-treatment-beyond-the-basics
    Patient education: Chickenpox prevention and treatment (Beyond the Basics) […] Today, thanks to the advent of the varicella vaccine, chickenpox is relatively rare. This article will discuss the prevention and treatment of chickenpox. […] The chickenpox vaccine protects against infection in 80 to 90 percent of those who are vaccinated. […] Vaccination in children — In the United States, the varicella vaccine is recommended for all children at 12 through 15 months of age. A second dose is recommended at 4 to 6 years of age. […] Vaccination in adults — Most adults have not been given the varicella vaccine because they already had the infection in childhood, prior to the availability of vaccine in 1995. […] If you are at risk for chickenpox but are unsure whether you have had the infection, you can have a blood test to check for immunity to varicella.
  • #78 Chickenpox | Washington State Department of Health
    https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/chickenpox
    Older children and adults need 2 doses of chickenpox vaccine if they have not been vaccinated or are not immune to chickenpox. […] People may get vaccinated after chickenpox exposure to prevent or reduce illness. […] Most people experience minor or no side effects. The most common side effects of chickenpox vaccine include: Sore arm, redness, or rash where the shot was given, Fever, Allergic reaction (rarely). […] Getting chickenpox vaccine is over 99% effective at preventing the disease. […] Getting vaccinated protects yourself, your family, and others in the community. This protects people who cant get vaccinated, such as those with weakened immune systems, infants, and pregnant people. […] Chickenpox vaccine is required for childcare and school entry in the state of Washington.
  • #79 Chickenpox (varicella) – symptoms, treatment, vaccine | healthdirect
    https://www.healthdirect.gov.au/chickenpox
    Chickenpox can be more dangerous for some groups of people, including pregnant women, people with weakened immune systems, and babies. […] If you are in one of these groups and have been near someone with chickenpox, you should see your doctor even if you have no symptoms. […] There is no specific treatment for chickenpox. […] Most people with chickenpox have mild symptoms and get better quickly, but chickenpox can still be uncomfortable. […] You can also try to ease your symptoms with these tips: Use soothing lotions and antihistamines to reduce itching, take paracetamol to lower your fever, keep hydrated with water and other fluids, and get plenty of rest. […] The best way to prevent chickenpox is through vaccination. […] Most vaccinated people will not get chickenpox. If you do get infected you will generally have a milder form of chickenpox and a quicker recovery.
  • #80 Chickenpox (Varicella) – Leeds, Grenville and Lanark District Health Unit
    https://healthunit.org/for-professionals/health-care-dental/communicable-disease-resources/reportable-disease-toolkit/chickenpox/
    Cases of varicella that present with mild illness may be permitted to return to child care settings or school as soon as cases are well enough to participate in normal activities, regardless of the state of the rash. […] Health care workers (HCWs) with acute varicella illness must be excluded from work until lesions are dried and crusted. […] Treatment of cases where indicated is under the direction of the attending health care provider. Varicella infection in pregnancy requires prompt treatment initiated within 24-48 hours of rash onset to prevent maternal and fetal sequelae. […] Contacts should be advised about signs and symptoms of VZV infection that can occur within 21 days after exposure and seek medical attention upon symptom onset. […] Univalent varicella vaccine should be administered to susceptible individuals within 3 days of exposure. Administration up to 5 days after exposure has been shown to be effective in preventing or reducing the severity of varicella.
  • #81 Chickenpox | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chickenpox
    Chickenpox can be prevented through vaccination. Two doses of vaccine (varicella-containing vaccine) are recommended. Vaccination helps protect against infection and serious illness. […] High levels of vaccination in the community can prevent the spread of chickenpox and protect people in the community who cannot be vaccinated, such as those who are too young or too unwell. This is called herd immunity.
  • #82 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Documentation for a child with chicken pox includes: Temperature and other assessment findings, including vital signs and state of mentation. Characteristics of lesions or condition. Causative and contributing factors. Impact of condition on personal image and lifestyle. Current or recent antibiotic therapy. Plan of care. Teaching plan. Responses to interventions, teaching, and actions performed. Attainment or progress towards desired outcomes. Modifications to plan of care.
  • #83 Chickenpox (varicella) – symptoms, treatment, vaccine | healthdirect
    https://www.healthdirect.gov.au/chickenpox
    Chickenpox can be more dangerous for some groups of people, including pregnant women, people with weakened immune systems, and babies. […] If you are in one of these groups and have been near someone with chickenpox, you should see your doctor even if you have no symptoms. […] There is no specific treatment for chickenpox. […] Most people with chickenpox have mild symptoms and get better quickly, but chickenpox can still be uncomfortable. […] You can also try to ease your symptoms with these tips: Use soothing lotions and antihistamines to reduce itching, take paracetamol to lower your fever, keep hydrated with water and other fluids, and get plenty of rest. […] The best way to prevent chickenpox is through vaccination. […] Most vaccinated people will not get chickenpox. If you do get infected you will generally have a milder form of chickenpox and a quicker recovery.
  • #84 Chickenpox | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/chickenpox/
    Some children and adults are at special risk of serious problems if they catch chickenpox. […] These people should speak to their GP as soon as they are exposed to the chickenpox virus or they develop chickenpox symptoms. […] If you get chickenpox while you’re pregnant, there is also a small but significant risk to your unborn baby. […] If you are infected with chickenpox 7 days before or 7 days after giving birth, your newborn baby may develop a more serious type of chickenpox.
  • #85 Chickenpox | Caring for kids
    https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/chickenpox
    Many schools and daycare centres have policies that require children with chickenpox to stay home for 5 days after the rash appears. The goal is to protect other children from the disease. […] If you are pregnant and have not had chickenpox, call your doctor right away if you are exposed to chickenpox. Your doctor may want to give you a special type of immune globulin (VariZIG) that has antibodies to chickenpox to help prevent you from getting a severe infection. […] The best way to protect your child from chickenpox is vaccination. If your child is not yet vaccinated and comes in contact with another child or family member who has chickenpox, they may still be protected if they are vaccinated right away.
  • #86 Chickenpox: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/4017-chickenpox
    If your baby (up to age 3 months) gets chickenpox, let your childs healthcare provider know right away. Chickenpox is more dangerous to newborns than to other healthy people. […] The treatment for adults is the same as for children. But your healthcare provider may recommend an antiviral medication. Adults who are at risk for severe symptoms or who have certain medical conditions may benefit from antiviral drugs. […] Chickenpox is contagious until all bumps on your body are scabs. If you have any fluid-filled blisters that havent broken or scabbed over, youre still able to spread the virus. […] Your child can go back to school about seven to 10 days after the rash appears. You dont need to wait for the scabs to go away completely, but you do need to wait until all the blisters have scabbed over. Youre contagious while the blisters have fluid.
  • #87
    https://www.ncid.sg/Health-Professionals/Diseases-and-Conditions/Pages/Chickenpox.aspx
    Benign self-limited illness in immunocompetent children but can be a severe disease in adolescents, adults, and immunosuppressed or immunocompromised individuals of any age. […] Usually symptomatic treatment including anti-histamines and anti-pyretics for uncomplicated disease. […] Acyclovir, famciclovir and valcyclovir can be used for the early treatment of chickenpox (start within 24 – 48 hours of rash). […] Antivirals are also efficacious for the early treatment of complicated disease like pneumonitis and encephalitis. […] Immunosuppressed children should be treated with intravenous acyclovir, even if more than 24 hours have passed since the onset of symptoms (mortality rate of 7-14 %). […] Patients can transmit the virus via the airborne route during the infectious period. […] Respiratory precautions are required.
  • #88 Varicella-Zoster Virus (Chickenpox) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448191/
    As a protective measure, those infected are usually required to stay home while infectious. Keeping nails short and wearing gloves may prevent scratching and reduce the risk of secondary infections. Topical calamine lotion may relieve pruritus. Daily cleansing with warm water helps avoid secondary bacterial infection. Acetaminophen may reduce fever; however, aspirin should be avoided as it may cause Reye syndrome. […] Infection tends to be more severe in adults, and treatment with antiviral drugs (acyclovir or valacyclovir) is advised if they can be started within 24 to 48 hours of rash onset. Acyclovir, when initiated within 24 to 72 hours following the appearance of the cutaneous eruption, has demonstrated efficacy in reducing both the length and severity of varicella. Antivirals are typically indicated in adults, including pregnant women, because this group is more prone to complications. The preferred treatment is usually oral therapy, but intravenous antivirals are indicated for immunocompromised patients, especially those undergoing chronic systemic corticosteroid therapy, due to their heightened risk of severe illness and sequelae. Supportive care, such as increasing water intake and using antipyretics and antihistamines, is essential to management.
  • #89 Managing Varicella (Chickenpox) Exposures in Health Care Settings – MN Dept. of Health
    https://www.health.state.mn.us/diseases/varicella/hcp/hcexposure.html
    Health care workers exposed to varicella with one documented dose of varicella vaccine: Should receive a second dose of varicella vaccine. Monitor daily for symptoms of varicella from days 8-21 after exposure. […] Health care workers exposed to zoster without any documented varicella vaccine: Furlough from days 8-21 after exposure or remove from patient care settings during this time. These health care workers should be offered varicella vaccine within 3-5 days after exposure if it is not otherwise contraindicated. If they are at high risk for severe disease and cannot receive varicella vaccine, it is recommended these health care workers receive VariZIG.
  • #90 Chicken Pox (Varicella) Nursing Care Planning and Management
    https://nurseslabs.com/chicken-pox-varicella/
    Desired outcomes for a child with chicken pox include: Client will be comfortable as evidenced by the ability to rest. Client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of varicella zoster. Client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. Client will have minimal risk for disease transmission through the use of universal precautions. Client will verbalize feelings about lesions and continues daily activities. Client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Interventions for a child with chicken pox include: Patient education. Educate parents about the importance and safety of the Varicella Zoster vaccine. Manage pruritus. Manage pruritus in patients with varicella with cool compresses and regular bathing; warm soaks and oatmeal or cornstarch baths may reduce itching and provide comfort. Trim fingernails. Trimming the child’s fingernails and having the child wear mittens while sleeping may reduce scratching. Dietary measures. Advise parents to provide a full and unrestricted diet to the child; some children with varicella have reduced appetite and should be encouraged to take sufficient fluids to maintain hydration.
  • #91 Chickenpox: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/chickenpox/?srsltid=AfmBOopVrVjikO4K73ZK1DlkplnU2a6K9k5OIC5x51ThNUT445j4Pw4P
    Encourage increased fluid intake, particularly if the patient has a fever or is reluctant to eat due to mouth sores (which sometimes accompany chickenpox). […] Administer antipyretics as prescribed and educate the patient to avoid aspirin in children to prevent Reye’s syndrome. […] Teach patients or caregivers how to recognize signs of complications, such as persistent high fever, difficulty breathing, or confusion. […] The patients skin will remain free of secondary bacterial infections. […] The patient will experience reduced discomfort from itching and fever. […] The patient or caregiver will demonstrate understanding of proper isolation procedures to prevent the spread of the virus. […] The patient will maintain adequate hydration and nutrition throughout the illness. […] Instruct patients to remain isolated at home until all lesions have crusted over, usually about seven to 10 days after the rash first appears.