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A2 Pediatric Ward
is a mild, but highly contagious viral
infection common in young children.
common in infants and children younger
than 5 years old
A. ETIOLOGY
o HFMD is cause by Enterovirus family of
viruses.
o Coxsackie virus A16 and Enterovirus 71
B. RISK FACTORS
Summer and fall seasons
Toddler age range
High risk exposure location
Ineffective hygiene
Compromised immune system
1. Meningitis
2. Encephalitis
3. Dehydration
4. The skin vesicles may develop a
secondary bacterial infection
The diagnosis of hand foot and mouth
disease is typically based on clinical
grounds.
MAY ADD BY THE DOCTOR:
1.Throat swab
2.Blood sample(culture and immuno
assay)
3.Stool sample
The treatment of hand foot and mouth
disease is supportive.
No anti-viral agent specific for the
etiologic agents.
BACKGROUND OF THE CASE
A.)PATIENT DEMOGRAPHIC AND DIAGNOSIS
Acute pain After 4 hours of *Assess pain, noting Goal met: After
location
related to acute nursing 4 hours of
characteristics and
inflammation of intervention intensity. nursing
hand, foot and patient will intervention,
*Note urine flow and
mouth as verbalize relief characteristics.
patient was
evidenced by of pain. able to
* Encourage to
facial grimace verbalized relief
verbalize concerns.
and abdominal Instruct also the of pain with
pain with pain mother to report any pain score of-0
score of 2. unusualities.
*Provide comfort
measures like back
rub or deep
breathing exercises.
*Administer
analgesics as
indicated.
NURSING GOALS INTERVENTIONS EVALUATION
DIAGNOSIS
Fluid volume After 24 hours * Assess skin turgor Goal met after
deficit related of nursing *monitor vital sign 24 hours of
to poor intake intervention *Monitor intake and nursing
and mouth patient’s body Output intervention,
sores in the fluid balance *Encourage to normal body
mouth as will maintain increase oral fluid fluid balance
evidenced by intake was
poor skin *Weigh daily maintained.
turgor and dry *Administer IV fluid
lips as ordered
NURSING GOALS INTERVENTIONS EVALUATION
DIAGNOSIS