MUMPS

MUMPS
(Epidemic
(Epidemic
Parotitis)
Parotitis)
Baby with
mumps
Mumps
an acute contagious
disease, the characteristic
feature of w/c is swelling of
one or both parotid
glands
caused by a mumps virus
w/c is a member of the
family Paramyxomviridae,
genus Paramyxovirus, is
antigenically related to the
parainfuenza viruses.
Pathophysiology:
The primary site of viral
replication is the epithelium
of the upper respiratory
tract, and rarely, the
infection can remain
localized to the respiratory
tract. Usually, the virus
spreads quicly to the local
lymphoid tissue and
viraemia often follows,
enabling the virus to travel
to distant parts of the body.

!nfected mononuclear cells
are also a means of spread
of the virus. Mumps virus
has an a"nity for glandular
epithelium# virus replication
often occurs in the parotid
gland ductal epithelium,
causing interstitial edema,
local infammation, and
painful swelling of the gland.
Mode of
transmission:
$irect contact w/ the
infected person.
%ontact w/ secretions
from the mouth & nose
of an infected person.
%ontact w/ articles in
his/her immediate
environment w/c have
been freshly soiled w/
secretion from the
nasopharyn'.
Incubation Period:
()*)+ days, usually
(, days
Period of
Communicability:
-egins before the glands
are swollen & remains for an
unnown length of time, but
it is presumed to last as long
as any localized glandular
swelling remains.
Signs &
Symptoms:
painful swelling in front of
ear, angle of .aws & down
the nec
fever
malaise
loss of appetite
swelling of one or both
testicles (orchitis in some
boys
!is" #actors:
/ailure to receive mumps
immunizations during
childhood
0'posure to someone
who has mumps
$ge: )*() or (1*(2
-eing born before (23+
and never having mumps,
or not being vaccinated
after 4rst birthday
Season: winter / spring
Travel to high*ris regions
of the world5 6frica,
general !ndian
subcontinent region, and
7outheast 6sia. These
areas have a very low rate
of vaccination.
%iagnosis:
Physical e&amination
con4rms the presence of
swollen glands.
6 blood' urine' or
cerebrospinal (uid
(CS# test can be used
if there are
complications.
)reatment:
There is no speci*c
treatment for mumps.
!ce or heat pacs applied
to the nec area and
acetaminophen
()ylenol may help
relieve pain.
Complications:
+rchitis for male adult 8
if it occurs, the scrotum
should be supported by a
suspensory from the start.
,ncephalitis or
meningitis, the swelling of
the brain and/or spinal cord.
Infection or
in(ammation of the
o-aries or breasts in
females who have
e'perienced puberty.
Pre-ention:
$. $cti-e Immuni/ation
(MM!
MM! immuni/ation 9vaccine:
protects against measles,
mumps, and rubella. !t should be
given to children 01 2 03
months old. The vaccine is given
again between ages 4 2 5, or
between ages 00 2 01, if it
wasn;t given before.
MM! !oute: 7ubcutaneous or
!M
MM! %ose: The 4rst is given at
01 to 03 months of age, and the
second is given .ust before
entering elementary school. The
second dosage of MM< is not a
6booster6 dose. !t is used to
provide immunity for the small
but signi4cant portion of people
who fail to respond to the 4rst
dose.
B. !eporting of Cases to
7ealth $uthorities
c. Isolation of Patient
Common 8ursing
%iagnosis &
Inter-entions:
0. $cute Pain
6ssess the pain using 1*(1
scale.
=rovide quiet environment,
calm activities.
=rovide comfort measures
9e'. %hange of position, use of
hot or cold applications on the
swollen .aws:.
0ncourage verbalization of
feelings.
0ncourage diversional
activities 9e'. T> or radio: .
!nstruct in / encourage use of
rela'ation e'ercises such as
focused breathing.
6dminister analgesics as
prescribed by the physician.
1. 7yperthermia
Monitor vital signs.
=erform T7-.
$iscuss importance of
adequate fuid intae.
Maintain bedrest.
6dminister antipyretics as
ordered.
9. $ltered 8utrition: less
than body
re:uirement
$etermine ability to chew,
swallow & taste.
$iscuss eating habits,
including food preferences and
intolerances.
?ive whatever the patient
tolerates that is suitable for his
age.
7oft, bland diets are generally
prescribed as long as the .aws
are sore.
7our foods or fruit .uices are
dislied because of the burning
or stinging sensation they
elicit.
/requent antiseptic mouth
washes maybe helpful in
addition to regular oral
hygiene and brushing the
teeth.
4. Body Image
%isturbance
6ssess physical
infuence of illness or
condition on the
client@s emotional
state.
6ssess client@s
current level of
adaptation.
0ncourage client &
7A@s to communicate
feelings w/ each
other.
Bisten to the client@s
comments and
responses to the
situation.
6ssume all
individuals are
sensitive to changes
in appearance but
avoid stereotyping.
0valuate level of
client@s nowledge of
an'iety related to
situation. Abserve
emotional changes.
=rovide accurate
information about
the client@s
condition.