Micropara FINALS
Micropara FINALS
Micropara FINALS
Clinical Instructors
Dr. Cyrille Y. Panimdim
Ms. Jessica S. Simporios
Dr. Deborah G. Gemao
Mrs. Ana Lou B. Navaja
M a y 1 0 , 2 0 2 2
Topic Objectives
M a y 1 0 , 2 0 2 2
Unit IV. Collecting Specimen
Collecting Specimen
1. Right specimen
2. Right time
3. Right amount
4. Right container.
Data placed on the specimen
label:
1. Client’s name
2. Address
3. Type of specimen
4. Date
5. Time
COLLECTION OF URINE SPECIMEN
https://www.youtube.com/watch?v=T4uQJ05S
Ie0
Methods in urine collection
1. Straight catheter method
4. Residual Urine
anticoagulant therapy
bleeding disorders
Possible risks of venipuncture:
● weakness or fatigue
● weight loss
● no appetite
● chills
● fever
● sweating at night
Treatment
TB is curable, but it can be life-threatening if a person does not receive the right
treatment. Also, latent TB can progress to active TB if a person does not receive
preventive treatment.
Sputum by AFB
‘Acid-fast bacilli’
smear
Assessment / Diagnostic
Procedures
Bronchoscopy
Assessment / Diagnostic
Procedures
Chest X-ray
Assessment / Diagnostic
Procedures
TB Blood Test
Medical
Management
Medical Management
Click me
Monitor the vital signs & breathing
sounds
Group 2
A. DESCRIPTION
Description:
An acute febrile contagious disease typically marked by the
formation of a false membrane, especially in the throat and nose.
Causative Agent:
Diphtheria is caused by the bacterium Corynebacterium
diphtheria which usually multiplies on or near the surface of the
throat.
Epidemiology:
Diphtheria is usually spread from person to person in
airborne droplets after an infected person has coughed
or sneezed.
B. RISK
FACTORS
2 months
4 months
6 months
15 to 18 months
4 to 6 years
Medical Management is an
umbrella term for two
processes that occur at two
different levels:
Organizational level
-medical management can refer to the management of how
medical treatment is delivered.
Examples of tasks:
examples of responsibilities you may be involved in as a part of
medical management.
Nursing Interventions
Improve thermoregulation
Improve caloric intake.
Improve airway clearance.
https://www.dictionary.com/browse/diphtheria#:~:te
xt=noun%20Pathology.,air%20passages%2C%20espe
cially%20the%20throat
https://www.mayoclinic.org/diseases-
conditions/diphtheria/symptoms-causes/syc-
20351897
https://www.cdc.gov/diphtheria/index.html#:~:text=
Diphtheria%20spreads%20from%20person%20to,wit
h%20a%20diphtheria%20skin%20infection
https://www.lawinsider.com/dictionary/medical-
management
https://www.healthcare-administration-
SOURCES: degree.net/faq/what-are-the-important-
components-of-medical-practice-management-
software/
https://nurseslabs.com/diphtheria/#nursing_interve
ntions
GROUP 2 MEMBERS:
Bajenting, Mhilberlyann
Balaba, Jenny Lou
Baran, Kylene Shayne
Baring, John Belle Loudith
Barro, Antoinette Nicole
THANK YOU!
GROUP 3
PERTUSSIS
Canlas, Rocky James
Batiancilla, Michelle
Baylosis, Marie Kristine
Bureros, Kim Trisha
Camblinda, Charity
Table of Contents
Topics Covered
Clinical
Decription Risk
Manifestation/
Factors
Features
Assessment/ Nursing
Medical
Diagnostic Interventions/
Management
Procedures Management
A. DESCRIPTION
Pertussis, also known as whooping cough, is a highly
contagious respiratory disease. It is caused by the
bacterium Bordetella pertussis. Pertussis is known for
uncontrollable, violent coughing which often makes it hard
to breathe. In many people, it's marked by a severe hacking
cough followed by a high-pitched intake of breath that
sounds like "whoop."
After about 7-10 days, the cough turns into “coughing spells”
that end with a whooping sound as the person tries to
breathe in air because the cough is dry and doesn't produce
mucus, these spells can last up to 1 minute. Sometimes it can
cause your face to briefly turn red or purple.
Non-vaccination in children
Epidemic exposure
— Include a credit or citation
Pregnancy
C. CLINICAL
MANIFESTATION/FEATURES
Early Symptoms
-The disease usually starts with cold-like symptoms and maybe
a mild cough or fever. In babies, the cough can be minimal or not
even there.
-Pertussis is most dangerous for babies. About half of babies
younger than 1 year who get the disease need care in the
hospital.
Take Note!
Pertussis in Babies
It is important to know that many babies with pertussis don’t
cough at all. Instead it causes them to stop breathing and turn
blue. Infant being treated for severe pertussis infection. She
received extracorporeal membrane oxygenation (ECMO), a
procedure that can take over the work of the lungs and heart.
Adolescents and Adults
-can also develop complications from pertussis
-complications are usually less severe in this older age group,
especially in those who received pertussis vaccines
-In one study, hospitalization rates were 0.8% for adolescents and
3% for adults with confirmed pertussis. Clinicians diagnosed
pneumonia in 2% of each group.
Weight loss
Urinary incontinence
Syncope
Rib fractures from severe coughing
Other complications can include anorexia, dehydration, epistaxis,
hernias, and otitis media.
https://youtu.be/Kw7vfuN0G3I
(the sound part of adult pertussis "whooping")
Diagnostic Procedures
Clinicians commonly use several types of laboratory tests to
diagnose Bordetella pertussis. Scientists consider culture the gold
standard because it is the only 100% specific method for
identification. Other tests that can be performed include
polymerase chain reaction (PCR) and serology.
Diagnosis
Healthcare providers diagnose pertussis (whooping cough) by
considering if you have been exposed to pertussis and by doing a:
Figure 1: Proper technique for obtaining a nasopharyngeal specimen for isolation
of Bordetella pertussis
History
Physical examination
Laboratory test
Blood test
Diagnosis Confirmation
Culture
- Useful for confirming pertussis diagnosis when you suspect an
outbreak
- Furthermore, obtaining isolates from culture allows for strain
identification and antimicrobial resistance testing. Identifying
which strains of B. pertussis are causing disease is of public
health importance.
- It is best for you to obtain a culture from nasopharyngeal (NP)
specimens collected during the first 2 weeks of cough. This is
when viable bacteria are still present in the nasopharynx. After
the first 2 weeks, sensitivity decreases and the risk of false-
negatives increases
PCR
Azithromycin
Clarithromycin
Erythromycin
Take Note!
Antibiotics will not be provided if you have had pertussis for
three weeks or longer because the bacteria have already
left your body.
F. NURSING
INTERVENTIONS/MANAGEMENT
Nursing Care Planning and Goals
Cholera
A. Description
>Causative Agent
>Epidemiology
B. Risk Factors
C. Clinical Manifestations
D. Assessment/Diagnostic Procedures
E. Medical Management
F. Nursing Interventions/Management
Cholera is an acute diarrheal
illness caused by infection of
the intestine with Vibrio
cholerae bacteria. People can
get sick when they swallow
food or water contaminated
with cholera bacteria. The
& Causative Agents
Defining Cholera
susceptible to cholera.
bacterium can also
Raw or Undercooked Shellfish be found or
Although large-scale cholera outbreaks are acquired through:
no longer common in developed countries,
eating shellfish from waters known to
carry the bacteria considerably increases
your risk.
Clinical
Parasitology
Microbiology and
Interventions/
Management
For Infants:
Emphasize to the mother to continue
breastfeeding the baby.
If the baby is exclusively breastfeeding, give ORS
or 100 to 200ml clean water in addition to breast
milk
If the baby is not exclusively breastfeeding, teach
the mother to give food-based fluids like rice
water and soups or ORS
Nursing
Parasitology
Microbiology and
Interventions/
Management
For Infants:
Encourage the mother to give frequent small sips
of clean water or ORS from a cup; the child
vomits, tell to wait for at least 10 minutes and
continue slowly
Nursing
Parasitology
Microbiology and
Interventions/
Management
For Children and Adult:
Rehydration is the main goal to compensate for
the fluid loss from diarrhea and vomiting.
Clients are encouraged to take more fluids as
much as possible or are given with ORS to replace
electrolyte losses.
If moderate to severe dehydration ensues,
intravenous infusion with normal saline or
Lactate ringer’s solution is the main priority.
Nursing
Parasitology
Microbiology and
Interventions/
Management
For Children and Adult:
The administration of antibiotics is done to
reduce the volume and duration of diarrhea.
Meanwhile, Zinc supplement is given to children
to reduce the duration of diarrhea and to
minimize its successive episodes.
Group 4 Members
Carunungan, Rodney
Cerro, Kyle Monique
Denoyo, Daimarie
Gonzales, Katrina
Resources
Microbiology and Parasitology
https://rnspeak.com/cholera-management/
https://nurseslabs.com/cholera/
Salmonellosis
n5
CONTENTS OF REPORT
01 02
RISK FACTORS;
INTRODUCTION SIGNS AND
SYMPTOMS
03 04
DIAGNOSiS AND
NURSING
MEDICAL
MANAGEMENT
MANAGEMENT
reporters
Carmell l. Jamaica j.
Diagnostic Procedures, Nursing Interventions
Medical Management
01 introduction
Causative Agent | Epidemiology
jargon
Virulence Serotype/
sp./spp. subsp.
factor serovar
the molecules groups within a
Abbreviation for Abbreviation for
that assist the single species of
species and subspecies
bacterium microorganisms,
several species
colonize the host such as bacteria
at the cellular or viruses, which
level share distinctive
surface
structures.
jargon
Scientific Name:
S. enterica , Typhi S. enterica subsp. enterica
serotype
Species
Non-Specific:
● Mucosal and systemic antibodies
● Genetic resistance
salmonellosis
Non-typhoidal salmonellosis is a worldwide disease of humans and animals. Animals are the main
reservoir, and the disease is usually food borne, although it can be spread from person to person.
The salmonellae that cause Typhoid fever and other enteric fevers spread mainly from person-to-
person via the fecal-oral route and have no significant animal reservoirs. Asymptomatic human
carriers (“typhoid Marys”) may spread the disease.
● CDC estimates Salmonella bacteria cause about 1.35 million infections, 26,500
hospitalizations, and 420 deaths in the United States every year. Food is the source for most
of these illnesses.
02
Risk factors
&
Clinical
manifestations
Risk factors
There are many things that increase your risk
of contracting or spreading salmonella. Here
are habits and practices to avoid:
These pets should also not be kept in facilities that serve these age
groups, such as:
● Daycare
● Hospitals
● Senior centers
● Skilled nursing facilities
People in these risk groups should not touch these animals. All
children and adults should avoid eating or drinking around pets in
this group.
Risk factors
These behaviors increase your risk of getting salmonella
from a pet:
The symptoms usually last about four to seven days and don't typically require a trip to the
healthcare provider, unless it affects an infant or if complications develop.
3
DIAGNOSiS AND
MEDICAL
MANAGEMENT
Assessment/Diagnostic Procedures
Salmonella infection is usually diagnosed based on signs and symptoms. In order to know if the
patient was infected by salmonella it requires testing a specimen sample such as stool, body
tissue, or fluids. This laboratory test can help guide treatment decisions.
● Educate patient and folks. Assess client’s knowledge of salmonellosis, its mode of
transmission, and its treatment; educate the client and the family about the causes of and
treatments for salmonellosis; educate the client about the importance of hand washing
after toileting and perianal hygiene and before preparing food for others; and educate the
client about food preparation and storage methods to reduce contamination by
microorganisms.
● Prevent fluid volume deficit. Assess the client’s skin turgor and mucous membranes for
signs of dehydration; monitor BP for orthostatic changes (changes seen when changing
from a supine to a standing position); instruct the client to monitor weight daily and
consistently with the same scale, preferably at the same time of the day, and wearing the
same amount of clothing; and administer antiemetic medications as ordered.
● Improve nutritional intake. Measure client weight; monitor and record the number of
vomiting, amount and frequency; monitor the client’s food intake; provide a diverse diet
according to his needs; and provide parenteral fluids, as ordered.
FAQs
Frequently Asked Questions
1
Do all salmonellae
cause salmonellosis?
No
2
Does salmonellosis affect
everyone the same way?
No
3
How do i prevent
salmonellosis?
● wash food and kitchenware
thoroughly
● Cook food to the appropriate
temperature
○ 145°F for roasts
○ 160°F for ground meats
○ 165°F for all poultry
4
When should i go to the
doctor?
● If illness persists after a couple of days
● Fever over 101.5°F that lasts over a day
● infants/elderly/individuals with pre-
existing conditions
5
Should i immediately take
antibiotics when i have
salmonellosis?
No
6
How is salmonellosis
transmitted?
● Unhygienic food-related (and/or
water) practices
● Direct animal contact
● Person-to-person
7
How serious is
salmonellosis?
● Worldwide Endemic
● 2nd most common leading cause of
infectious intestinal disease
● 60-80% cases are sporadic
8
Why is it called salmonella?
● Daniel E. Salmon
resources
● https://www.biologyonline.com/dictionary/o-antigen
● https://www.mayoclinic.org/diseases-conditions/salmonella/symptoms-causes/syc-20355329
● https://www.verywellhealth.com/salmonella-causes-risk-factors-2633811
● https://www.verywellhealth.com/salmonella-symptoms-2634330
● https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/salmonella-
bongori#:~:text=Salmonella%20spp.,variety%20of%20warm%2Dblooded%20animals.
● https://byjus.com/biology/flagella/#:~:text=Flagella%20Function&text=They%20help%20an%20or
ganism%20in,used%20as%20a%20secretory%20organelle.
● http://www.antimicrobe.org/h04c.files/history/Nomenclature%20of%20Salmonella.asp
● https://www.cdc.gov/salmonella/general/diagnosis-
treatment.html#:~:text=Diagnostic%20and%20Public%20Health%20Testing,-
Related%20Pages&text=Infection%20is%20diagnosed%20when%20a,genetic%20material%20o
f%20the%20bacteria.
● https://www.singlecare.com/conditions/salmonella-treatment-and-medications
● https://www.verywellhealth.com/salmonella-treatment-4164292
● https://www.google.com/search?q=is+salmonellosis+an+endemic&oq=is+salmonellosis+an+endem
ic&aqs=chrome..69i57j33i10i160l3.5937j0j7&sourceid=chrome&ie=UTF-8
● https://www.cdc.gov/salmonella/index.html#:~:text=CDC%20estimates%20Salmonella%20bacteri
a%20cause,%2C%20fever%2C%20and%20stomach%20cramps.
● https://www.news-medical.net/health/Salmonella-History.aspx
GROUP 6
Rabadon, Scot Graham
Ricacho, Micha Marie
Sagayno, Ivy
Sakkam, Ram Vincent
Sanchez, Rhobinkier
TETANUS
TETANUS
What is Tetanus?
Tetanus is an acute, often fatal, disease contracted through exposure to
the spores produced by the bacterium Clostridium tetani.
It is commonly acquired when the bacteria comes in contact with deep cuts,
wounds, or burns on the body.
Occurrence
TRANSMISSION
Contaminated wounds
Epidemiology
TempORAL pATTERN
Temperature climate: Peaks in
summer
Tropical climate: Year-round, but may
rise during wet seasons
communicability
Not contagious
Risk Factors
The greatest risk factor for tetanus infection is not being
vaccinated or not keeping up with the 10-year booster shots.
prevention:
You can prevent tetanus by being vaccinated.
other recommendation:
Ask your doctor to review your vaccination status regularly.
Check whether you are current on your vaccination schedule
if you are planning international travel.
Clinical Manifestations
Because of the widespread use of vaccines, cases of tetanus are rare in the United
States and other parts of the developed world. The disease remains a threat to
people who aren't up to date on their vaccinations. It's more common in developing
countries.
Symptoms
The average time from infection to
appearance of signs and symptoms
(incubation period) is 10 days. The
incubation period can range from 3 to 21
days.
generalized tetanus
The most common type of tetanus is called
generalized tetanus. Signs and symptoms
begin gradually and then progressively
worsen over two weeks. They usually start at
the jaw and progress downward on the body.
Signs and symptoms of generalized tetanus
include:
Painful muscle spasms and stiff, immovable muscles (muscle rigidity) in your jaw
Tension of muscles around your lips, sometimes producing a persistent grin
Painful spasms and rigidity in your neck muscles
Difficulty swallowing
Rigid abdominal muscles
Progression of tetanus results in repeated painful, seizure-like spasms that last for
several minutes (generalized spasms). Usually, the neck and back arch, the legs
become rigid, the arms are drawn up to the body, and the fists are clenched.
Muscle rigidity in the neck and abdomen may cause breathing difficulties.
These severe spasms may be triggered by minor events that stimulate the senses
— a loud sound, a physical touch, a draft or light.
As the disease progresses, other signs and symptoms may include:
This uncommon form of tetanus results in muscles spasms near the site of a
wound. While it's usually a less severe form of disease, it can progress to
generalized tetanus.
Localized
tetanus
Localized tetanus is an uncommon
form of the disease in which patients
have persistent contraction of muscles
in the same anatomic area as the
injury. These contractions may persist
for many weeks before gradually
subsiding. Localized tetanus may
precede the onset of generalized
tetanus but is generally milder.
Cephalic tetanus
Cephalic tetanus is a rare
form of the disease,
occasionally occurring with
otitis media in which C.
tetani is present in the flora
of the middle ear or
following injuries to the
head. There is involvement
of the cranial nerves,
especially in the facial area.
Neonatal tetanus
Neonatal tetanus is a form of generalized tetanus that occurs in
newborn infants. Neonatal tetanus occurs in infants born without
protective passive immunity because the mother is not immune.
It usually occurs through infection of the unhealed umbilical
stump, particularly when the stump is cut with an unsterile
instrument. In neonatal tetanus, symptoms usually appear from
4 to 14 days after birth, averaging about 7 days.
Diagnostic procedures
Penicillin or Metronidazole
- These antibiotics prevent the bacterium from multiplying and producing the
neurotoxin that causes muscle spasms and stiffness.
In treating muscle spasms and stiffness, patients may be prescribed:
Muscle relaxants, such as baclofen, suppress nerve signals from the brain
to the spinal cord, resulting in less muscle tension.
Surgery
If the tetanus prone wound is very large, they may surgically remove as
much of the damaged and infected muscle as possible (debridement).
Nutrition
A patient with tetanus requires a high daily calorie intake because of increased
muscle activity.
Prevention
Most cases of tetanus occur in people who have never had the vaccine or
who did not have a booster shot within the previous decade.
Vaccination
The tetanus vaccine is routinely given to children as part of the diphtheria
and tetanus toxoids and acellular pertussis (DTaP) shot.
The DTaP vaccine consists of five shots, usually given in the arm or thigh
of children when they are aged:
2 months
4 months
6 months
15 to 18 months
4 to 6 years
Booster
Tdap vaccine is normally given between the ages of 11 and 18 years, and then
another booster every 10 years. If an individual is traveling to an area where
tetanus is common, they should check with a doctor regarding vaccinations.
Nursing Intervention/Management
example
Ineffective airway clearance related to the accumulation of sputum in the trachea and respiratory
muscle spasm
Characterized by:
Ronchi, cyanosis, dyspnea, cough accompanied by sputum ineffective or lenders, the results of
laboratory tests showed: abnormal blood gas analysis (respiratory acidosis)
Objectives:
Effective airway
Criteria:
Clients are not crowded, no lender or sleam
Breathing 16-18 times / minute
No nostril breathing
No additional respiratory muscle
The results of laboratory blood gas analysis of blood is within normal limits (pH = 7.35 to 7.45; PCO2 =
35-45 mmHg, PO2 = 80-100 mmHg)
Nursing Intervention/Management
example
Nursing Interventions and Rationale
2. Physical examination by auscultation of breath sounds heard (there Ronchi) every 2-4 hours.
Rational: Ronchi show an upper respiratory problems due to fluid or a secrete that covered most of
the respiratory tract that needs to be removed to optimize the airway.
3. Clean the mouth and respiratory tract of mucus with a secret and do section.
Rational: section is an act of assistance to issue a secret, thus simplifying the process of respiration.
GONORRHEA
Group 7_N5
Here are your presentors
Pre-conditioning
activity
Before we begin the discussion,
let's first play a game!
Unlock the code !
A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z
1. GONORRHEA
A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z
2. STD
A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z
3. BACTERIA
A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z
4. ABSTINENCE
A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z
5. NEISSERIA GONORRHOEAE
GONORRHEA
Group 7_N5
A. Description
by John Marco Y. Sarol
What is Gonorrhea?
Description
How is
A healthcare provider will use a urine sample to diagnose
gonorrhea gonorrhea. However, if a person had oral or anal sex, the
being healthcare provider may use swabs to collect samples
from the throat or rectum. In some cases, a healthcare
assessed and provider may also use a swab to collect a sample from a
man’s urethra (urine canal) or a woman’s cervix (opening
diagnosed?
to the womb).
E. Medical Management
by Marlyn B. Villarin
Uncomplicated Gonococcal infection of cervix,
urethra and rectum
• Single dose of Tab. Cefixime 400mg, Inj.
Ceftriaxone 125 mg IM, tab. Ciprofloxacin 500mg, tab.
Medical Ofloxacin 400mg, or tab. Levofloxacin 250mg
Gonococcal meningitis:
Medical •Inj. Ceftriaxone 1-2 g IV every 12 hrs X 10-14 days.
Ophthalmia neonatorum:
•Inj. Ceftriaxone 25-50 mg/kg IV/IM single dose( not more than
125 mg)
Management of Sex partners:
All sex partners of patient who have N. gonorroeae
infection should be evaluate and treated for both N.
gonorroeae and C. trachomatis if their last sexual contact
Medical with patient was within 60 days before onset of symptoms
or diagnosis.
Management
Follow up:
Treated patients with CDC regimen need not follow up to
confirm their cure but the patient with persistent
symptoms may be tested for antimicrobial susceptibility
and other cause and tested accordingly.
F. Nursing Interventions/
Management
by Jan Michael D. Sestoso
Nursing Interventions/
Management for Gonorrhea:
1. Use standard precautions when obtaining specimens for
laboratory examination and when caring for the patient
2. Isolate the patient with an eye infection
Nursing Interventions/
Management for Gonorrhea:
6. Tell the patient that until cultures prove negative, he’s still
infectious and should avoid unprotected sexual contact.
7. Urge the patient to inform his sexual partners of his
infection so that they can seek treatment.
8. Advise the partner of an infected person to receive
treatment even if she doesn’t have positive cultures
11. Tell the patient to take anti-infective drugs for the length
of time prescribed.
-Detection
-Effective Diagnosis
for listening !