Can a pregnant nurse care for a patient with meningitis? The answer is yes, but there are certain precautions that need to be taken. Meningitis is a serious infection of the brain and spinal cord and can be deadly. Pregnant women are at an increased risk for developing meningitis, so it is important that they take all the necessary precautions.
It is recommended that pregnant women receive ampicillin and gentamicin as an initial treatment for bacterial meningitis if the organism causes it and its antibiotic sensitivity pattern is determined.
Although meningitis can affect people of any age, babies under the age of two are at the greatest risk of contracting the disease. Meningitis can occur when bacteria, viruses, or a fungus infecting another part of the body travels from the bloodstream to the brain and spinal cord in a baby.
It is possible that pregnant nurses will refuse to take care of patients who have shingles or shingles zoster infections, as well as those who are on air travel. The influenza vaccine is safe to give to pregnant nurses at any stage of their pregnancy; all pregnant women should receive it.
Can A Pregnant Woman Be Around Someone With Meningitis?Credit: USDA
If you come into contact with someone who has viral meningitis, you may be exposed to the virus, but you are unlikely to develop meningitis as a result. After a period of bed rest and fluids, you should be able to recover on your own. If you do develop meningitis from a viral infection, you will most likely need to spend a period of time in the hospital.
Viral meningitis can be caused by a virus that has attacked the central nervous system. Ms X, a 34 year old para 1 woman, presented to the Emergency Department at 26 to 50 weeks of gestation after developing sudden onset headaches, photophobia, fevers, and generalized aches. Her history contributed to her flu-like pregnancy. Because of the risk of deterioration, she was transferred to a tertiary maternity unit. She gave birth to a healthy baby girl 41 weeks into her pregnancy, without incident. It is critical to obtain a high level of suspicion for meningitis and obtain immediate laboratory processing. An investigation is carried out in addition to serum inflammatory markers, blood culture, and serum glucose measurements. Culture and PCR have to be present when the patient’s back is pierced. EncepHONAL TUESDAY COMplicationS
What Patients Should A Pregnant Nurse Avoid?Credit: wiseGEEK
According to Daily Nurse, pregnant nurses may avoid providing care to patients with active shingles or varicella zoster infections as well as those on airplane transportation. The ED nurse may also try to limit pathogens exposure by limiting how much time she spends in triage, if possible.
As a ER nurse who delivered her second baby in early 2018, I did a lot of research on pregnant nurse precautions. Because I’d been working safely until a few weeks before giving birth, I could stay at work right up until the day of the birth. There are a lot of occupational hazards for pregnant nurses in hospitals. Women who are pregnant may experience immune and metabolic changes that make them more susceptible to viral respiratory infections. As of now, the CDC does not know whether pregnant women are at risk when working with COVID-19 patients. As a result of the risk of contracting the disease, pregnant women should consider working in areas where the risk is lower. Certain medications, such as chemotherapy drugs, can cause fetal loss, miscarriages, infertility, and preterm births when administered while pregnant.
During pregnancy, nurses should be especially cautious about wearing protective equipment and maintaining good hand hygiene. In addition to tetanus, diphtheria, and polio vaccinations, pregnant women can be protected against a variety of other diseases. Due to their increased girth, women’s clothing is more difficult to fit into tight spaces. Progestin and relaxin are two of the most effective ways to relax muscles, ligaments, and connective tissues. Nurses who are pregnant are also more likely to develop varicose veins. When worn in compression socks or stockings, it reduces the risk of blood clots. My pregnancy made it possible for me to not be sedentary on days when I felt fatigued, which improved my health. As you are pregnant, your child’s brain development can be accelerated, making him or her smarter.
Working through your entire pregnancy is beneficial and harmful in some ways. Nurses take more time off during this time, whereas others spend more time in their beds and unwind. It is up to you and your doctor to decide.
Nurses should avoid working in high-risk areas during their first 84 days of pregnancy because they may be exposed to bacteria. After 84 days of pregnancy, nursing staff can return to these areas if they use standard PPE precautions. Lactating mothers should avoid working in chemotherapy settings in high-risk areas.
Can A Pregnant Nurse Take Care Of A Radiation Patient?Credit: www.jucm.com
Because the caveats are taken into account, pregnant staff may occasionally administer these patients at doses that are not excessive. If routine care for radioactive patients is required, the Radiation Safety Office should be contacted to determine the potential dose.
A pregnant nurse is employed at Lenox Hill Hospital in New York City. An angioplasty assistant must be stationed at the table during the procedure. As a general rule, fetal exposure to caffeine during pregnancy should be limited to 500 milligrams per day. After declaring pregnancy, the prospective mother received a second radiation badge to use as a fetal dose monitor. This device is a model 06-105 device manufactured by Nuclear Associates (118 Andrews Road, Hicksville, NY 11801). A wrap-around garment with a thickness of 0.1 mm Pb is used for personal protection, and the unit provides a cumulative readout of 0.1 mR. This is not a significant risk at less than 10 milligrams per month. The instrument was positioned under the lead at waist level as shown in Figure 2.
This position is usually closer to the beam than the middleline. The device recorded a reading of 0.1 millirem at the end of its first day. To demonstrate that this was a natural background, a simple calculation showed that it was approximately the same length as a day.
Which Drug Should Not Be Handled By A Pregnant Nurse?Credit: rattibha.com
There are many drugs that should not be handled by a pregnant nurse. Some of these include:
-prescription drugs that have not been prescribed by a physician
-over-the-counter drugs that have not been recommended by a physician
-any illegal drugs
-any drugs that are known to be harmful to a developing fetus
-any drugs that have not been tested for safety in pregnant women
If a pregnant nurse is unsure about whether or not a particular drug is safe to use, she should always check with her physician before handling it.
Meningitis Precautions Pregnancy
Make sure children are vaccinated against meningitis-causing viruses such as the measles, mumps, and rubella, as well as other diseases that can cause meningitis. Maintain good hygiene to avoid transmitting diseases. When traveling to areas where mosquitos and ticks are common, cover up or use insect repellant. Standing water should not be encountered.
Patients That Pregnant Nurses Should Avoid
There are a few patients that pregnant nurses should avoid. These include: patients with a communicable disease, patients that are in a high-risk category for complications, patients that are in a lot of pain, and patients that are very agitated.
Pregnancy and pregnant health care workers are at risk when treating exanthematous diseases. During pregnancy, an immune shift from cell-mediated to humoral immunity can have an impact on the mother’s susceptibility to infection. The only guidelines on safe practices for pregnant HCWs who have encountered dermatologic diseases are those that do not address infectious dermatologic diseases. Several infectious exanthems have been identified and their transmission to pregnant women has been reviewed in this study. Parvovirus B19 (PVB19), hand, foot and mouth disease (HFMD), mycoplasma-induced rash and mucositis (MIRM), Measles, simplex virus (HSV), varicella-zoster virus (ZV), and pityr Furthermore, we provide guidelines for each disease, which pregnant women and their reproductive potential HCWs can use to reduce their risk of developing it. A PVB19 infection increases the risk of miscarriage by 9% within the first 20 weeks of pregnancy, and by 2.9% between weeks 9 and 20. When caring for patients with PVB19, droplet precautions must be strictly followed.
Pregnant women should not be given an intravenous immunoglobulin (IVIG) administration. HFMD is one of the most common pediatric exanthems and poses a risk to occupational exposure. It is more likely in adults with CVA6 HFMD that they will develop vesicular eruptions involving their dorsal hands and feet as well as their face. The lesions may also appear more purpuric, as well as mimic secondary syphilis, in addition to being purpuric. If you are infected with non-polio enterovirus during pregnancy, you are unlikely to develop miscarriages, stillbirths, or congenital defects (CDC, 2019b, Centers for Disease Control and Prevention, 2012). There is insufficient research on the HFMD outcomes of pregnant women. For pregnant women who are caring for someone with suspected HFMD, we recommend proper hand hygiene and droplet and contact precautions.
A fever, malaise, cough, conjunctivitis, and coryza are the most common symptoms of measles. The symptoms of a erythematous, morbilliform exanthem usually appear between 3 and 5 days after the onset of the symptoms. It has been discovered that pregnant women who are infected with tetanus are more likely to experience negative outcomes for their babies, including preterm birth, maternal death, and neonatal death. Because live vaccines can cause a fetus to become ill, the MMR vaccine cannot be given during pregnancy. According to data from the United States, approximately 2% of women who are susceptible to the disease are pregnant. A pregnant HCW who has not yet been exposed to detectable or suspected measles should not enter the room of a patient with known or suspected measles. During pregnancy, women should take precautions to avoid contracting genital herpes, particularly during the third trimester.
Although occupational transmission of HSV is uncommon during pregnancy due to low transmission rates, it is likely to occur during the time of sexual intercourse. Because of the low rate of transmission of nongenital herpes, the risk to a fetus is minimal. When you come across a painful and unilateral maculopapular rash caused by a dermatomal distribution and subsequent formation of vesicles that become crusts, it is most common to have Herpes Zoster. Primary infections are more likely to cause morbidity and mortality in adulthood. During pregnancy, varicella pneumonia is the most serious complication of the disease. It is recommended that pregnant women take a prenatal test for VZV immunity. During pregnancy, there is a theoretical risk of live vaccines to the fetus, making vaccines inappropriate.
If you are pregnant and have no evidence of immunity, you should avoid contact with anyone who has confirmed or suspected shingles. In some cases, it is advised for pregnant women with uncomplicated varicella to take oral acyclovir. Pityriasis rosea PR is a temporary, self-limiting condition of papulosquamous disorder characterized by acute and chronic symptoms. PR has a relationship with two human herpesviruses: HHV-6/7 and PR. PR generally occurs between the ages of 10 and 35. A high level of HHV-6 and an increased presence of enanthem were identified as major risk factors for poor outcomes prior to the 15th week of pregnancy. Constitutional symptoms and involvement of up to 50% of the body surface area were considered minor risk factors.
Syphilis testing is strongly recommended for all pregnant women who have a suspicion of PR. There are conflicting recommendations in the literature regarding atypical PR in pregnant women. Acyclovir is shown to improve pruritus by speeding up the resolution of PR lesions. It is best to take 400 mg three times daily for seven days in the event of such intervention. Pregnant women should follow infection control recommendations made by public health officials as well as occupational health and safety guidelines. If you are pregnant, you should self-isolated after testing for SARS-CoV-2 until the results are available. Certain institutions have imposed restrictions on pregnant HCWs from caring for patients with COVID-19.
SARS-CoV-2 has not yet been detected in breastmilk, raising concerns about the importance of proper hand hygiene and social distancing measures. It is critical that pregnant women receive vaccination prior to the start of pregnancy to prevent diseases such as the MMR vaccine and the varicella vaccine. It has been demonstrated that mandatory vaccinations have a high rate of success.
Maintaining up to date on recommended vaccines is the best way to ensure optimal protection. It is also critical to practice healthy habits, such as taking a lot of rest and avoiding close contact with people who are sick.
Meningitis causes inflammation and swelling of the brain’s and spinal cord’s membranes. Viruses and bacteria are the two major causes of meningitis. Viruses that cause stomach flu, in most cases, do not cause viral meningitis; however, viruses that cause stomach flu are still responsible for the disease. Bacteria can also enter the nervous system if you have a head injury or surgery. Meningitis affects children more than adults, but it can also affect people of all ages. It is possible to spread meningitis bacteria and viruses by coming into contact with someone who is close to you, not just at work or school. Furthermore, your immune system may be weakened or you may have traveled to a foreign country where you are at high risk of contracting the disease. Viruses can be treated for their symptoms by providing supportive care.
Bacterial meningitis patients should drink plenty of fluids and take a rest. When a patient has a fever, he or she should also be treated with antibiotics. There is no evidence that isolating people from the community or quarantining them improves the outcome of meningitis.