109 Peds Ch. 36/38 Word Scramble
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Question | Answer |
what are parts of epidemiologic triangle | agent: bacteria/virus host: people env: contaminated water, daycare |
What are 3 levels of prevention for children | Primary: Immunizations, protect from disease/injury Secondary: promote early detection/tx, TB screenings prevent spread, hand wash, isolate 3rd: interventions for ill, asthma prog, rehabilitation, edu Tertiary |
what are two main agencies to decide immunizations | CDC(Ctr for Disease Control/Prevention AAP(Am Acad of Pediatrics) |
how early should immun start | Within 2 wks of birth: Hep B 2mos: HepB,DTaP,PCV,Hib,IPV,RV 4mos:DTaP,PCV,Hib,IPV,RV 6mos:HepB,DTaP,PCV,Hib,IPV,RV 12mos:MMR,PCV,Hib,Varicella,HepA 15mos:DTap |
what are reasons for no immun | No compliance, fear of autism, reactions, cost, place |
What are Vaccine Info Statement(VIS) | information sheets for parents of vaccine Must be incl in chart w/ date |
what is Vaccine Adverse Event Reporting System | report any adverse reactions after adm Track lot # |
where should most imm be given uner 12 mos. Size needle: | Vastus lateralis:PCV,HepB,DTaP,Hib Deltoid: IPV oral: RV |
Where should shots be given older than 12mos | leg: DTaP,HepA,PCV,Hib,HepB,influenza arm:IPV,MMR,Varicella |
what are key assessments for id of infections | hx of exposure, know prodromal s/s(onset), imm hx, hx of having disease |
which diseases cause major caution with compromised immune | chickenpox: airborne, contagious 24h b4 s/s |
Tell agent, transmission, odd info on ea. disease: Chickenpox | agent: varicella zoster virus Trans: direct/airborne/isolation s/s: papule,vesicle,crust Tx: VZIG/VZG |
diptheria | lesions/resp trans: direct/isolation Tx: DTaP |
Roseola | high fever,rash(trunk,face) agent: Herpes virus type 6 |
(Rubeola)Measles | Vit A helps Koplik spots(white on buccal) 2 days b4, rash trans: droplet tx: MMR Rub(12-15mos), Mea: x2 |
Mumps | trans:direct/droplet May cause orchitis, meningoencephalitis, "dropping": sterility Tx: MMR (12-15mos) |
Pertusis(Whooping Cough) | trans:droplet/direct complications: pneumonia Tx: DTaP(2,4,6) |
Polio | agent: enteroviruses- 3 types Source: fecal/oral secretions trans: direct tx: IPV x4(2,4,6-18,4-6y) |
Rubella(German Measles) | trans: direct/indirect w/ article Complications: teratogenic on fetus tx: MMR |
Tetanus | from soil can't swallow/cough tx: 1st 48 hrs clean wound aggresively. muscle relaxers/reduce anxiety Tdap: 11-12y |
what are 4 req for dev tetanus | 1.presence of tetanus spores, port of entry 2.injury to tiss 3.wound condition favorable 4.susceptible host |
TB | trans: airborne screen, not immunize using Mantous test for PPD Less reaction = positive[<15 norm] |
therapy for TB | INH, Rifampin, PZA[triple drug], 6mos regimine |
erythema infectiosum (Fifth Disease) | red cheeks agent: human parvovirus trans: airborne/droplet |
Scarlet Fever | starts w/ strep throat 1st day: white strawberry tongue 3rd day: red strawberry tongue trans: droplet/direct complications: carditis, peritonsillar abscess, glomerulonephritis |
conjunctivits | Newborns: caused by chlamydia/gonorrhea, herpes simplex Infants: tear duct obstruct Children: bacterial trans: direct/isolate |
Intestinal Parasitic Disease 2 most common | 2 most common: enterobiasis(pinworm), Giardiasis others: hookworm,strongyloidiasis(threadworm) |
common roundworm | ascariasis |
Which vaccine is live agent | Varicella, MMR |
what is additional virus recommended recently | Rotavirus to infants 6-12wks w/ 2 more doses before 32wks |
Where should vaccin be stored if need to be refrigerated | center, not door |
what is needle length for newborn to 2mos | 5/8" vastus lateralis (Deltoid used above 18mos) |
infants | 1" vastus lateralis |
toddler | deltoid: 5/8-1" VL: 1-1.5" |
adol | 1-2" |
what is essential component of adm vaccines | long needle length to get deep in muslce, decr edema/tenderness |
what should be documented on vaccines | day,month,yr, lot #, exp date, name/address/title person giving it, site, route, evidence of consent, adverse reactions |
Created by:
palmerag
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