Oral Thrush

Oral Thrush By: Miguel V. Lopez BsNIV-3

Definition Oral thrush

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• is a condition in which a fungus • Candida Albicans , accumulates on • Candida Dubliniensis the lining of • C. Tropicalis your mouth. • C. Parapsilosis • C.Guillermondii • C. Glabrata • C. Krusei D

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Family Picture

Assessment • Objective: • Discrete and confluent adherent white plaques on the oral and pharyngeal mucosa w?/img

4 major types • Pseudo-membranous

tongue, palate, gum, floor of the mouth, and lips.

• Hyperplastic

• Erythematous

• Angular Cheilosis

Assessment • Subjective • • Painless lesions but with painful fissuring at the corners of the mouth and may bleed slightly •

• •

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Pedia 1fw Unusually red or sensitive nipples Shiny or flaky skin on the areola Unusual pain during nursing or painful nipples between feedings Stabbing pains deep within the breast

Diagnostics • Throat Swab/Culture • KOH

Endoscopic Exam

Barium Swallow

Medical Management

• A. Prophylaxis

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Fluconazole 400mg/day or 3-6mg/kg/day Itraconazole 5mg/kg/day

Medical Management • B. Treatment

Nursing Management • A. care • Health education • –Know the patient – Avoid judgmental and moralistic messages – Be consistent and concise – Use positive statement – Give practical advice

• Practice universal/standard precaution – There e.g., cap, mask, gloves, face shield/goggles are very necessary. – is a need for a thorough medical handwashing after every contact with patient and after removing the gown and gloves, and before leaving the room of an AIDS suspect or known AIDS patient.

• Oral hygeine • Naso gastric Feeding

sources • http://www.mayoclinic.com/health/oralthrush/DS00408 • http://www.pdfcoke.com/doc/6912367/CAN DIDIASIS • http://en.wikipedia.org/wiki/File:Candida_al bicans_PHIL_3192_lores.jpg