Influenza for Certified Emergency Nursing (CEN)
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Influenza Symptoms (Image)
Influenza Sneeze Droplet (Image)
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Outline
Influenza
Definition/Etiology:
- A virus in humans ranges from conjunctivitis to flu-like symptoms, including fever, cough, sore throat, and myalgias. In some cases, pneumonia requiring hospitalization has been seen.
Pathophysiology:
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Clinical Presentation:
- Fever, chills, sore throat
- Chest discomfort
- Headache, myalgias
- Shortness of breath (SOB)
- vomiting/diarrhea
- Neurological changes
Objective:
- Cough, wheezing/crackles auscultated
Collaborative Management:
- CBC, serum chemistries, blood cultures, sputum gram stain/cultures, viral cultures
- ABGs
- Chest radiograph
Interventions:
- ABCs, O2
- IV
- CDC notification
- Antivirals – oseltamivir (Tamiflu), peramivir, zanamivir
- Best within 24-48 of symptoms, be cautious d/t neuropsychiatric side effects
- Antipyretics
- Supportive care
Evaluation:
- Hemodynamic status
- Breath sounds and pulse oximetry
- Cardiac rate and rhythm
- Fever control
Linchpins: (Key Points)
- Preventable (largely) with vaccines
- No antibiotics, meds tend to be supportive/treat symptoms
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Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Weintraub, B. (2017). Medical Emergencies and Communicable Diseases. In CEN Online Review. Emergency Nurses Association.
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ABGs
Concepts Covered:
- Respiratory Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Infectious Respiratory Disorder
- Noninfectious Respiratory Disorder
- Newborn Complications
- Circulatory System
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Nursing Care Plan (NCP) for Emphysema
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