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Barkley Review: RA
Risk Assessment
| Question | Answer |
|---|---|
| Complete Physical Exam | Height/weight, skin check, oral cavity, hearing, abuse/neglect, blood pressure |
| When does the complete risk assessment for adolescents | Three visits 1st-11-14yrs, 2nd- 15-17yrs, 3nd- 18-21yrs for adolescents |
| When can Tetanus-diptheria (TD) or Tdap be given | Early as 7years, every 10 years |
| Meningococcal vaccine | All adolescents age 11-18, revaccination x1 only for high risk |
| Pap Smear | Age 21, every 3 years cytology , after age 30 HPV Co-test every 5 years |
| HPV vaccine | 1. Gardasil- (11-26yrs), 2. Garasil 9 (9-26 yrs), 3. Cervarix (10-25 yrs) Series of 3 vaccinations for over 6 months |
| Total Cholesterol and HDL | Age 20, every 5 years unless >200 |
| Mammography | Anually for ages 45-54, every 2 years after age 55, continue after 75 as long as the woman is in good health |
| Digital Prostate Exam | Beginning age 40, PSA at 40 for family hx, Age 50 all must have PSA and exam |
| ECG baseline | Age 40 |
| Colorectal Cancer Screening | Age 50 , FOBT, Flex Sig every 5 years, colonoscopy every 10 years |
| Glaucoma Screening | Age 40, scan with Tonometry |
| Herpes Zoster | Age 50-60 years and older, x1 vaccine |
| PCV13 | Age 65 or older high dose pneumonia |
| Sensitivity | True Positive, degree to which those whose have a disease screen that test positive |
| Specificity | True negatives, the degree to which those who do not have a disease screen/test that is negative |
| Incidence | The frequency with which a disease or disorder appears in a particular population or area at a given time; the rate in which new cases occur during a specific time period |
| Prevalence | The proportion of a population that is affected by a disease or disorder at a particular time |
| Top 4 killers of adults in the United States | 1. Heart Disease 2. Colonrectal Cancer 3. Lower Respiratory Compromise 4. CVA |
| Highest Mortality cancer in women and men | Lung CA |
| Leading GYN cancer | Ovarian Cancer |
| Highest incidence other than skin cancer | Breast Cancer |
| Primary Prevention | Includes measures, to promote health prior to the onset of any recognizable problems : diet, exercise, seat belts, avoid drugs and smoking, immunizations, safety initiatives |
| Secondary Prevention | Focuses on early identification and treatment of an existing problem . EX: pap smear, screening, prostate, lab work |
| Tertiary Prevention | Includes rehabilitation and restoration of health : EX rehab, physical therapy, changes to medications |
| Dietary Carbohydrates | 55-60% |
| Dietary Fats | <30% total calories, <10 percent being saturated fats |
| Dietary Protein | 0.8-1.0 g/kg/day |
| Antigens | Substances capable of inducing a specific immune response |
| Antibodies | Molecules synthesized in reaction to an antigen |
| Active immunity | Conferred by antibody formation stimulated with specific antigen such as typhoid fever immunization and toxoids |
| Passive Immunity | Conferred by the introduction of antibody proteins such as gamma globulin injections or maternal immunity transferred to the fetus |
| Hepatitis A vaccine | 2 vaccination series, non live vaccination, military personal, travelers, sexual activity men with men, open to many who desire vaccine |
| Hepatitis B vaccine | Should be given to all health care workers, high risk patients include sexually active adults |
| Mumps vaccine | Born before 1957 : x1 dose After 1957: x2 doses |
| Meningococcal vaccine | Ages 2-55, routinely for ages 11-12 yrs, "catch up " dose for high risk |
| Ginger | Use: Nausea, Dyspepsia, Constipation, Colic Warning: Increase risk for bleeding, do not take ASA or warfarin |
| Ginseng | Lower cholesterol, reduce fatigue, enhance libido Warning: increase risk for bleeding, change in BP, |
| St. John Wort | Depression, Anxiety, Sleep, Improve BPH Warning: MAny drug interaction- SSRI, oral contraceptives, narcotics, reaction to light-cause cataract |
| Echinacea | Reduce symptoms of the common cold Warning: Anaphylaxis, Hepatotoxicity, Nephrotoxicity, cause increased sedation |
| Gingko Biloba | Memory and concerntration enhancer, improving Alzheimers Warning: increase bleeding risk, increase in BP |
| Black Cohosh | Improving premenstrual and menopausal discomfort Warning: large amounts-may cause seizures, visual disturbances, bradycardia, mimic estrogen effects , increase risk for bleeding |
| Evening Primrose | Improving Premenstrual and menopausal discomfort Warning: elevate BP, increase risk for epilepsy when taking antipsychotics, increase risk for seizure |
| Kava Kava | Improve Relaxation without disturbing mental clarity WArning: High doses- HTN, liver damage, visual impairment, worsen PArkinsons, Alochol increases toxic effects |
| Garlic | Improves indigestion, respiratory complaints, increase energy levels Warning: Increase risk for bleeding |
Created by:
ktebbin
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