H1N1 (Swine Flu) : Is An Infection of The Nose, Throat, and Lung. Effect Many People Around The World at Year 2009

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H1N1

H1N1(Swine flu)

Is an infection of the nose, throat, and lun


Effect many people around the world a
year 2009.
Infectious agent

• There are various type of influenza .


• 3 types: Influenza A,B &C.
• H1N1 caused by Influenza A.
• Type A influenza is the most dangerous, known to
cause outbreaks and increase your risk of disease.
Modes of transmission
 Is a human virus spread by people to people, not by swine.
(Because the virus that cause the disease originally is transmitted
to human from swine)

1.Droplet Transmission
• Unprotected cough and sneeze

2.Indirect contact (by touching an object contaminated by


infected person)
• Eg: doorknob

*You will not get H1N1 from eating uncooked swine product.
Incubation period
• Is short. Usually 24 hours-3 days.
• Means that you will start to experience flu
symptoms anywhere between 24 hours and 3
days after the exposure.
• highly contagious and can be spread before
you even have symptoms.
Sign & Symptoms
Almost same as regular flu. However, unlike a common
cold, the flu occurs with a sudden onset of symptoms.
• Fever
• Headache
• Muscle ache
• Cough and sore throat
• Runny nose
• Fatigue
• Diarrhoea
• vomiting
Pathophysiology
The influenza virus enters your respiratory tract by
inhale contaminated droplets or from a
contaminated surface.

It attaches to and replicate in epithelial cell of


both upper and lower respiratory tract.

Viral replication combined with the immune


response to infection lead to destruction and loss
of cells lining in the respiratory tract.

Cause local and systemic body reaction.


Diagnostic & Test
• Respiratory specimen
need to be collected between the first 4-5
days of illness.
For example: Direct antigen detection tests,
virus isolation in cell culture, or detection of
influenza-specific RNA .
Treatment
• In some cases, influenza A symptoms can clear on their own
with adequate rest and fluid intake.
• Medication-Important start Antiviral drug when appear of
symptoms.
 Antiviral drug (Oseltamivir (Tamiflu) & Zanamivir
(Relenza))
Effective when taken within 48 hours of the start of flu
symptom.

 Antiviral drug ( Peramivir(Rapivab) ) .In IV form and only


for hospitalized patient with severe flu.
 Antipyretic and analgesic
Nursing Management
1.Health education (mode of transmission& prevention)
• Cover mouth and nose with a tissue or wear a mask when cough
and sneeze.
• Throw the tissue in the trash and wash hands. It will help flu
from spreading.
• Encourage patient to rest.
2.Balanced nutrition and hydration.
• Increase fluid consumption.Be sure to stay hydrated to loosen
mucus in your chest and strengthen your immune system.
• Severe cases may require IV.
3.Fever management
• Such as perform tepid sponging if patient temperature >38
degree Celsius and administer antipyretic as ordered by doctor.
4.Infection control
• Isolate patient to prevent transmission in ward.
Prevention
Observe personal hygiene
1.Keep hands clean and wash hand properly.
2.Wash hand promptly if they are contaminated by respiratory tract
secretions. Eg: after sneezing
3.No spitting. Always wrap nasal and mouth discharge with tissue paper,
and dispose the tissue paper in rubbish bin.
4.Wear mask when symptoms of respiratory tract infection or fever
develop. Seek medical advice promptly.
5.Refrain from school or work if develop symptoms of flu.
6.Build up body resistant to prevent influenza infection. (Eg:Maintain a
balanced diet, exercise regularly and have plenty of rest)

Observe environmental hygiene


1.Maintain good ventilation of indoor areas.
2.When influenza is prevalent, avoid attending crowded and poor
ventilated public places, such as restaurant and shopping centres.

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