PERTUSSIS

Whooping cough, one hundred day cough, Tuspirina
contagious disease characterized by peculiar paroxysmal cough ending in a whoop
prolong cough 5 – 10 mins. 20 to 40 times a day

Causative Agent:
Bordetella pertussis – aerobic

Mode of Transmission:
Nasopharyngeal secretion

Signs and Symptoms:

1. Catarrhal stage – most communicable stage
Fever, watery eyes, frequent sneezing
Watery nasal discharges dry cough at night

2. Paroxysmal stage
Coughs worsens – becomes rapid, successive, paroxysmal 3 to 10x during expiration with prolonged inspiratory phase.
Force of coughing may cause involuntary micturation/defacation
The whoop follows the end of a series of short explosive cough with no time to catch a bread between cough.
Protrusion of eyeballs, protruded tongue.
Swollen head & neck veins.
Abdominal hernia
Vomiting signals end attack.

3. Convalescence stage – Symptoms subsides, frequency of paroxysmal attacks are reduced.

Diagnostic Exam:
Cough plate – Bordet Genghou agar plate

Treatment:
Erythromycin
Ampicillin
Antitusive (Pertix) Sinecod (new generation)

Nursing Care:
CBR
Provide quiet & non-stimulating room
Proper positioning during attacks
Abdominal binders- Used in Infants to prevent abdominal hernia.
Keep pt warm & out of drafts or wind
Mouth & nose must be kept clean
Light but nutritious diet with plenty of fruit juices but no seasoned foods.
O2 inhalation
Avoid factors that precipitate on neck (huwag sundutin)
Avoid emotional physical stress
Avoid irritating fumes & gases
Diet no spices

Prevention:
Avoid MOT
Immunization – DPT

Complication:
Bronchopneumonia
Hemorrhages
Convulsion
Hernia
Severe malnutrition