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79 Cards in this Set

  • Front
  • Back
TB Test >10
INH tharepy unless prison population
TB risk factors
jujunoillial bypass, silicosis, gastroectomy, more than 10% underweight, corticosteroid therapy, immunosurpressed
INH Doses
300 mg and 10 mg/kg for children (no risk factors 6 mo with risk factor 12 mo)
contraindications to INH tharepy
Liver injury, acute or active liver etiology, severe reaction to INH
What do you do if INH is indicated but medical officer or PA says no?
advise the patient to get a second professional opinion
MD
Medicaly declined
MT
Medical Tempoary (pregnegant) only 365 days
MR
Med Reactive allergic ect
MP
Medical permenant Permant exempt immunocomprimised hiv ect
MS
Med Supply lacking suply only 90 days
MI
Medically immune
MA
medically assumed, lacking documentation but known to be given immunization. used to prevent double doseing e.g. got it a boot camp
DOD immunazations follows what agency
CDC and advisory committee for immunization practices ACIP
primary method of immunization documentation
electronic ITS
who gets the HiB vaccine
People with no spleen (aslpenic)
what spreads flu A&B
close quarters
Prevelent in spec ops and expidition units mosquito bourne
JEV vaccine Japenese enciphilitis
JEV grounds air crew for how long
!st dose 3 days ; 2nd dose 5 days ; 3rd dose 3 days
There is no vaccine for which menginicoccal group?
B
Causitive agent of "the plague"
Yersinia pestis
Who do you administer pneumococcal vaccines to?
Hi risk people such as people with out spleens and training groups at risk (no spleens get another dose 5 years later)
poliomyelitis
Dirty country traveler gets a booster and if no booster given in childhood
How often do you boost rabies vaccine
2 years
Infectious fluids like blood and secretations may be decanted in
Clinical sinks not hand washing sinks
How to transport pathological waste
Doubled plastic bag and double walled courrgated box
Limit infectious waste storage on site for how long
7 Days without refrigeration
Infectious waste bags for transport shall be
Red with biohazard symbol and of sufficent strength and puncture resistance
Bleach dilution
10:1
infectious treatment microbiological
steam, chemical, inceneration: then to a sanitary landfill
infectious treatment pathological
Inceneration, creamation sanitary land fill
infectious treatment bulk body fluids and potentially infectious
Gellantaize and sanitary landfill
infectious treatment of Sharps
Inceneration sanitary landfill
HASP deployability manning priority
Marines, casulty recieving, fwd prev med, expiditionary, SeaBees, hosp ship, oconus mtf, blood ops.
HASP fills how much for Marine units in peace/war
80 peacetime : 95 wartime:
what can the feamales be assigned to.
MAW, MLG, MARFOR, MEF, (unless spicifically requested they are not to serve MARDIV
CRTS med augment has what level hss
II
SeaBees require HSS of and What NEC
Level I and FMTB training (8404)
expiditionary require what for HSS
Level III
OCONUS Requires what HSS
Level IV
Hospital ships are owned by who and operated by who
Navy and military sealift command, commanded by nominated officials
Routine deployable (teir I)
4-10 days ready
Surge ready (teir II)
30-60 days ready
Emergency Surge (teir III)
60-120 days ready
acute bacterial skin infection with possible complication of orophayrnx and oedema
Bacterial anthrax
Anthrax untreated fatality rate
5% and 20%
causitive agent of anthrax
bacillus anthracis
Anthrax resivoir
Dead animals exposed by terminal hemmorage
Anthrax mode of transmission
Touching eating or breathing aerosolized infected animals
Anthrax incubation period
1-7 days
anthrax prev med
Do not sell infected animal or necropsy. immunize, educate, ventalate processing plants
anthrax iso percautions
Standard percautions
who has the authority over anthrax attacks
FBI
anthrax antibiotics
floroquinalones, first doxycyclenes second. vaccines(cell free) are administered then 2-4 weeks after first dose
how do you tell herpes I from herpes II
Dna tests, immunologics with antibodies, and anmial testing
how often does HSV II occur in adults in the US
20-30
HSV II modes of transmissions
Human sexual contact. medical professionals (dentists hands) and active salavia
herpes simplex incubation
2-12 days
Communicable time
2-7 weeks after first lesions
Options for prego moms
C-section
Prevents HSV II reoccurance
acyclovir
HSV patients should not contact
Immuno compromised, children with exczma, and newborns
who has complete control over the prescious metal recovery program
Defense Logistics agency (DLA)
Recycles for DLA?
Defense Reultilization and marketing agency
who cooridnates the prescious metal recovery?
naval supply system command
BUMED 4010.3
precious metals recovery program
If your facility has prescious metal excess you:
1:Appoint a cooidnator,2:submit a quarterly report, 3:Make records of PM use, 4:establish semi annual review board
Prescious metals are transported in
polyethlene bags
Who is the PMRP quartly report go to
NAVMEDLOGCOM
What instruction covers the office of the Surgeon General and Chief, Bureau of Medicine ?
BUMEDINST 5450.165
Who must approve all BUMED and Regional Organizational changes ?
Vice Chief, Bumed (M09)
BUMEDINST 5450.165 lists who as the point of contact and coordinating authority for all change request ?
Chief of Staff (M09B)
Surgen gen reports to who
CNO
BUMEDINST 6010.13
Quality Assurance Program
QA applies to who?
Ships and Stations Having Medical Department Personnel
ECOMS??
Executive Committee of the Medical Staff
Quality Assurance committee is responsible for
provides a forum for discussion and oversight of all nonmedical staff QA functions
who
- interprets policies and provides guidance for Navy Wide QA programs Chief, BUMED
Chief, BUMED
who implements effective, flexible, integrated QA program, guided by a written plan
COs, OICs
who evaluates and modifies QA educational programs as neccessary
NSHS Bethesda