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FHEA Review 2
prevention anaphylaxis immunization
Question | Answer | Example/Rationale |
---|---|---|
primary prevention | prevent health problem; most cost effective | immunization; counseling about safety, injury and disease prevention |
secondary prevention | detecting disease in early asymptomatic or preclinical state to minimize its impact | screening tests such as bp check, mammography, colonoscopy |
tertiary prevention | minimize negative disease-induced outcomes | adjusting therapy to avoid TOD |
why do we vaccinate? | vaccine related risk < disease related risk | |
what temp should hot water be set to? | 120 F | 5 min=length of time for 3d burn if adult expose to water in this temp |
define herd immunity | resistance of a group to an infectious agent because high proportion of people in the group are immune to the agent | immuned people help susceptible non-immuned people |
define active immunity | resistance is developed to an antigen (infecting agent or vaccine); host produce antibody; onset is 1month of dose if vaccinated; years/lifelong protection | |
define passive immunity | antibody produced in another host; onset is within hours of dose; protection is limited usually 6-9 months | natural-mom to infant artificial-antiserum or IG |
3 immunization principles | remove geographic barriers whenever possible; when in double, re-immunize; IZ deferred=IZ denied | reach out to the population; better to give extra dose; only defer IZ in presence of life-threatening illness |
immunization anaphylaxis prevention | administer in settings where personnel and equipment available in case of severe allergy | |
treatment of anaphylaxis in pt with currently patent airway | epinephrine SC or IM and call 911; diphenhydramine IM, any measures indicated by pt response (aiway, o2, IVF, vaspressor, corticosteroids, repeat epinephrine q5min, diphenhydramine, add H2blocker | |
follow-up care after anaphlaxis treament | allergy testing, epinephrine autoinjector (EpiPen) |