Ask A Nurse: Shingles

Introduction

• Presenter: Cathy with Level Up RN
• Episode: Ask A Nurse
• Topics Discussed: Causes, symptoms, diagnosis, treatment, and prevention of shingles

What is Shingles?

• Shingles is a viral infection causing a painful rash
• Caused by the varicella-zoster virus, which also causes chickenpox
• Virus remains dormant in the nervous system post-chickenpox infection
• Reactivated by triggers, leading to shingles

Who is at Risk?

• Anyone who has had chickenpox
• More common in older adults and individuals with weakened immune systems
• Cancer treatments and certain medications can lead to immunosuppression
• Other risk factors: infection, fatigue, stress

Symptoms

• Abnormal skin sensations before rash (burning, numbness, sensitivity)
• Fever and fatigue
• Painful rash with fluid-filled blisters on one side of the body
  • E.g., one side of the torso or face
• Blisters dry up and crust over within a week
• Symptoms range from mild itching to severe pain

Personal Experience

• Example: Presenter experienced burning sensation like a bad sunburn, followed by a rash

Diagnosis and Treatment

• Diagnosis: Visual examination by a provider
• Treatment: No Cure
  • Antiviral medications to reduce severity, speed healing, decrease pain
  • Important to start antiviral treatment as soon as rash appears

Preventive Care and Management

• Loose-fitting, natural fiber clothing for comfort
• Keep affected area clean, avoid scratching
• OTC medications (Tylenol, ibuprofen) for pain
• Calamine lotion, oatmeal baths, cool compresses for itching
• Rest, hydration, nutritious foods, stress avoidance, distraction

Contagion

• Avoid contact with individuals not vaccinated or haven't had chickenpox
• Shingles cannot be transmitted directly, but can cause chickenpox in susceptible individuals

Vaccination

• Vaccine: Shingrix
• Over 90% effective
• Recommended for individuals 50 and older
• Given in two doses (2 to 6 months apart)
• Eligible: Those who had chickenpox/vaccine or previously had shingles
• Importance of vaccination to avoid pain and discomfort

Conclusion

• Presenter expresses gratitude for understanding patients' experiences with shingles
• Encourages viewers to like the video and suggest future topics for discussion
• Sign-off: Stay informed and stay well