D-2

• SDG

  → NO GEE CADIRe CCC LL PP

1. NO POVERTY

2. ZERO HUNGER

3. GOOD HEALH & WELLBEING

4. QUALITY EDUCATION

5. EQUALITY GENDER

6. CLEAN WATER & SANITATION

7. INDUSTRY, INNOVATION, INFRASTRUCTRE

8. AFFORDABLE & CLEAN ENERGY

9. REDUCED OF INEQUALITIES

10. SUSTAINABLE CITIES AND COMMUNITIES

11. RESPONSIBLE CONSUMPTION AND PRODUCTION

12. CLIMATE ACTION

13. LIFE BELOW WATER

14. LIFE ON LAND

15. PEACE, JUSTICE AND STRONG INSTITUTION

16. PARTNHERSHIP FOR THE GOALS

• WASTE COLOR

  • BLACK: NON INFECTIOUS ( DRY WASTE)

  • GREEN: NON INFECTIOUS (WET WASTE)

  • YELLOW: INFECTIOUS

  • ORANGE: RADIOACTIVE

  • RED: SHARPS

• LEVELS OF PREVENTION

  • PRIMARY

    • healthy patient

    • health promotion

    • illness prevention

    • Isolation of pt. w/ tb, Cloroquine 1 wk. before going to palawan

  • SECONDARY

    • high risk patient

    • early detection

    • early screening

    • diagnostic tests

    • E. treatment

    • giving Clonidine to pt. w/ HPN, All laboratories, Operation Timbang, IMCI

  • TERTIARY

    • post treated pateints

    • rehab

    • prevention of other complications

    • maintenance provision

    • palliative/ supportive care

    • giving B blockers daily to pt. w/ HPN, O2 humidification, Tracheostomy care

• GERMAN MEALES

  • Forscheimers spot

  • 3 days measles

  • Rubella Virus Togavirus

  • Droplet

  • highly teratogenic

  • incubation period: 14-21 days

  • communicability: until 5 days after the rash

  • confluent rashes (rashes appear together)

  • Rubella Titer

    • N=1:10 /high 1:16 if pregnant= immune

    • below 1:10= (+) rubella

  • MMR vaccine

    • withhold in immunocompromised pt. and to pt. w/ egg allegry

  • Immune serum globulin 1 wk after exposure

• MEASLES

  Rubeola

• Koplik spots

• 7 days meales

• Paramyxoviridae

• droplet, direct contact, indirect, airbone

• incubation period: 1-2 weeks

• communicability: start before the prodrome and lasts until 4 days after rash

• pre eruptive stage

  • catarrhal symptoms (cough, conjunctivitis, coryza)

• eruptive stage

  • maculo papular rash'

• convalescence stage

  • symptoms subside

  • desquamation begin (peeling skin)

• diagnostic: swab (nose & throat)

• urinalysis exam (IgM or IgG)

Treatment Modalities

Anti-viral drug (Isoprenosine)

Antibiotics

Oxygen Inhalation

IV fluids

Nursing Management

Isolation

Maintain standard and airborne precautions.

Place the patient on a negative pressure room

Tepid Sponge Bath (TSB)

Skin care

Oral and nasal hygiene

Eye care (photosensitivity)

Ear care

Daily elimination (Mild laxative)

During febrile stage, limit the diet to fruit juices, milk, and water.

Give medication as ordered by the physician (Penicillin)

Preventive Measures

Immunization with:

Anti-measles at the age of 9 months as a single dose

MMR vaccine (15 mos.); 2nd dose (11 to 12 years old) Measles vaccine should not be given to pregnant women, or to persons with active tuberculosis, leukemia, lymphoma or depressed immune system.