Transcript Haiti Orientation

Haiti: Orientation
Judy Hafner MS, RN, CNE, CMSRN
Patient Population
• Newborn to elder
• Males/Females
Disorders/Diseases/Complaints
• Scalp/skin
• Eye
• Allergies
• Respiratory infection
• Cardiac
• Gastrointestinal
• Vaginitis/Chlamydia/STI
Lice
Transmission of Lice and Scabies
• Humid
• Warm
• Close living conditions
• Sleeping together
• Shared clothing, bedding
Scabies
Ringworm/Tinea
Eye dryness/Vision
Allergy complaints
• Sneezing
• Wheezing
• Nasal congestion
• Coughing
• Itchy, watery eyes
• Runny nose
• Itchy throat
• Stomach discomfort
Respiratory Infections
• Upper respiratory infections
•
•
Sinus infection-sinus pressure, drainage, cough, temperature
Bronchitis-persistent cough, possible wheezing, temperature
• Lower respiratory infections
•
Pneumonia –cough, SOB, adventitious lung sounds, temperature, fatigue
• SOB-move to front of the line
Cardiac disorders
• Vital sign alterations
• Shortness of breath (SOB)
• Dizziness
• Fatigue
• Edema
Intestinal worms
Vital Signs
• Temperature
• Pulse
• Respirations
• Blood Pressure
• Pain
Temperature
• Normal values
• 36.5-37.7 C
• 96.0-99.9 F
• Many factors that affect temperature
Pulse
• Rate (60-100)
• Rhythm (regular)
• Amplitude/strength
• Radial/apical
• 15- 60 seconds
Respirations
• Rate (12-20)
• Character
Do not let your patient know that you
are counting the respirations!!!
Blood Pressure
• Systole
• Diastole
• Affected by…
• Normal <120/<80
• Prehypertensive <130/<89
• Hypertensive
>140/90
https://www.youtube.com/watch?v=S648xZDK7b0
https://www.youtube.com/watch?v=_TD--mTgdU8&list=PL4FE29DBDF68B046D&index=14
Scabies and Lice Medications
• Sulfur ointments (Crisco mixture)
• Ivermectin (must repeat the dose in 10 days to kill eggs)
• Trimethoprim-sulfamethoxazole (Bactrim, Septra)
• Wear gloves
• Do not wash off the ointment
• Address hygiene issues
Medication Administration
• Eye drops
• Normal Saline
• Do not contaminate the tip
of the bottle.
Medication Administration
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•
•
•
Oral antibiotics
Usually 3-5 days
Take until GONE!
Give first dose in
clinic!
•
Side effects-N/V/Diarrhea, rash, Allergic
reaction (SOB, hives, swelling of lips or face)
Deworming
• Mebendazole
• Ivermectin
• One tablet treatment (Hide in bread)
• Side effects-abdominal pain, diarrhea, N/V, dizziness, ringing in the ears