Case Study-Herpes Zoster

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Case Study on Herpes Zoster Case Study on Herpes Zoster History of Present Illness: This is a case of a 27 year old Asian female who came to the clinic complaining of pain on her right hand. She states that it feels like “pins and needles going up to my arm” She denies fever but states that she feels body malaise. She claims to have slight loss of appetite because of the pain. Pain level is about 7-8/10, occurs continuously and is temporarily relieved by Tylenol 500 mg. She noted the appearance of tiny blisters on her hand and upper arm which started about a week ago. The pain according to the patient is described as throbbing and tingling sensation. Patient otherwise has no other complaints. Past Medical History: Patient denies prior…show more content…
Laboratory tests are available to diagnose herpes zoster. The most popular test detects VZV-specific IgM antibody in blood; this appears only during chickenpox or herpes zoster and not while the virus is dormant. In larger laboratories, lymph collected from a blister is tested by polymerase chain reaction for VZV DNA, or examined with an electron microscope for virus particles. Therapeutic treatment Plan: The aims of treatment are to limit the severity and duration of pain, shorten the duration of a shingles episode, and reduce complications. For pain, this patient will be prescribed an over the counter analgesic such as Tylenol 500 mg 1 tablet PO every 4 hrs PRN for pain. Topical lotions containing calamine can be used on the rash or blisters and may be soothing. Once the lesions have crusted over, capsaicin cream (Zostrix) can be used. Bathe with cool water and wash the blisters twice a day with regular soap and water but do not bandage them .Apply cool compresses to the blisters to relieve the pain and itch. Health Promotion and Education: and Prevention: All patients with herpes zoster should be educated on the disease process and natural course of the disease. The nursing /medical goal is to prevent infection and complications of the disease and to reduce the pain of shingles. Patients should be instructed on medications including dose,
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