CHOLERA ( El Tor)

Method of prevention and control

 Report case at once to health officer

 Bring the patient to hospital for proper isolation and prompt
and competent medical care.
 Other general preventive measures are the same as those
of Typhoid and Dysentery
 All contacts of the cases should submit themselves for stool
examination and be treated accordingly if found or
discovered positive
 Immediate Treatment

 Replace lost body fluid by giving Oral Rehydration Solution (ORESOL) or a

homemade solution composed of :
1 teaspoon of salt
4 teaspoons of sugar
mix to 1liter clean of water

 If diarrhea persists, consult your health workers or bring the patient to the
nearest hospital.
 Prevention and Control
 Drinkonly safe and clean water. If unsure, boil drinking water
(Upon reaching boiling point, extend boiling for two or more
minutes), or
 Do water chlorination.
 Keep food away from insects and rats by covering it.
 Wash and cook food properly.
 Sanitary disposal of human waste.
 Use toilet properly and clean toilet everyday.
 Wash hands with soap after using toilet and before eating.
 Keep surroundings clean to prevent flies and other insects and
rodents from breeding.
Public Health Nursing Responsibilities
 Assist the family and patient to make arrangement for
immediate hospitalization.
 Give the necessary measure to control spread of the
diseases
 Share with patient and family the nature of the treatment
Rehydration / replacement of lost fluids and electrolytes
( Sodium chloride, bicarbonate and potassium )
• NURSING CARE:
• Continue and increase frequency of breastfeeding
• Give additional fluids, “am”, soup, cereals ,mashed vegetables
• Coconut water is said to be rich in potassium, one of the electrolytes found
in choleric stools.
• Give ORESOL according to required amount based on age
• Monitor intake and output. Note number, character, and amount of stools;
estimate insensible fluid losses like diaphoresis; measure urine specific
gravity and observe for oliguria.
• Weigh daily....
• Maintain hydration. ...
• Administer medications as indicated.
THANK YOU