Baton Rouge General School of Nursing
Nursing Care Plan for Herpes Zoster Patient
Patient is a 33 year old African American female with infected herpes zoster, sepsis, and gastroenteritis. The patient was admitted to the Mid-City Baton General Hospital on Sunday, June 15, 2014 for infected herpes zoster, where a chest x-ray, blood culture, specimen arm wound culture, and urinalysis was performed. The results showed lungs clear, heart size with in normal limits, and no abnormal bowel dilation. Urinalysis result appearance cloudy, dark yellow color, white blood cells 10-20, red blood cells 2-5, and moderate bacteria. The blood culture result was normal. The specimen arm wound culture result showed heavy coagulase and staphylococcus. The patients’ associated medical problems are Human Immunodeficiency Virus, Systemic Inflammatory Response Syndrome, Hepatitis B, Hepatitis C, and Acute Urinary Tract Infection. The patient weighs 105 pounds, no allergies, and 5 feet, 1 inch in height. According to Lewis (2014), “Herpes Zoster (Shingles) is activation of the varicella-zoster virus. Incidence increase with age. Potentially contagious to anyone who has not had varicella or who is immunosuppressed. >1 million cases annually in the United States” (p. 437). The patient is immunocompromised due to her associated medical problems and therefore was at a higher risk of the reactivation of the virus.
Mosby’s Nursing Consult states, “Herpes zoster occurs as a result of reactivation of the varicella virus that entered the cutaneous nerves during an earlier episode of acute infection with the virus. The virus remains dormant in the sensory root ganglia for the lifetime of the patient and can be reactivated at any time. Reactivation can be triggered by local trauma, acute illness, a compromised immunologic state, fatigue, emotional upsets, or chronic debilitation. Once reactivated, the virus travels down the sensory nerve and infects the skin of the affected