Page 170 - LECTURE NOTES
P. 170
4. Management
There is no such curative treatment but
o Advice the patient to get bed rest until the fever is subside
o Encourage the patient to get force fluid (nutrient)
o Wash the skin with soap and water
o Give anti pain and anti fever medication like paractamol, according to the age
of patients
o Provide skin care daily.
o Keep finger nails short, avoid scratching the lesion as it may cause scarring
o Refer the patient to a hospital, if the patient develops any complication of the
disease like pneumonia.
7.10.2. Herpes zoster
This is an inflammatory viral condition of the skin, caused by varicella zoster virus,
which is common in immuno- compromised patient.
1. Mode of transmission
Contact with mucosal surface of infected person or abraded skin of infected person.
2. Clinical manifestation
¾ Pain usually proceeds the eruption by 48 hrs and may persist and actually increase
in intensity after the lesion disappeared
¾ The lesions consist of grouped vesicles distributed unilaterally along the neural
pathways of trunk.
3. Management
1. Try to reduce pain, by diverting his attention the attention of patient and by giving
analgesics.
2. Keep the skin clean
3. Encourage the patient to take nutrient
4. Reassure the patient
5. Refer the patient to nearest health center if necessary
164
