Pediatric Nursing HFMD.doc

 PAGE \* MERGEFORMAT 9 Pediatric Nursing HFMD [Keywords:] Pediatric Care Hand, Foot and Mouth Disease HFMD is a global epidemic, foot and mouth disease can lead to intestinal virus has 20 kinds, mainly 4,5,9,10,16,19 Coxsackie virus type A group, B group 2 5 type and enterovirus 71 (EV71). which the most common type of Coxsackie virus A16. First, clinical manifestations 1. 2 cases showed normal incubation period of 7 days. Children, fever, heat-way ranging from 2 to 7 days, the higher the temperature, the longer the thermal process, the more severe the disease. Often irritability, crying, coughing, runny nose, salivation , poor feeding, loss of appetite and other symptoms. children with fever or fever, while 1 to 2 days after oral herpes can be seen, mainly in the throat rash oral mucosa, cheek, tongue, inner lips, first as a corn-like rash or blisters, ulceration formation of ulcers, surrounded by flush, severe pain, oral herpes 1 to 2 days, children with hand, foot and remote parts such as hands, fingers, foot red papules, and quickly became a small herpes such as grain size, round or oval, long and sticks to the same diameter, containing turbid liquid, surrounded by flush. buttock and perianal also see such a rash. EV71 blisters caused by little more than CAl6 blisters and papules more common. herpes no pain, no itching, usually about 7 days can be dissipated, leaving no scars or marks. Some patients showed only the rash or herpes angina, usually 5 to 7 days self-healing, most of the good prognosis . 2. The performance of a small number of severe cases of hand, foot and mouth disease children (especially less than 3 years of age) may be meningitis, encephalitis, encephalomyelitis, neurogenic pulmonary edema and other serious complications. Nervous system involvement manifested the spirit of the time difference, lethargy , easy to panic, headache, vomiting, limb myoclonus, nystagmus, ataxia, eye movement disorders, weakness or acute f