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39 Cards in this Set
- Front
- Back
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common season for pneumococcal disease
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winter and early spring
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pneumococcal transmission
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droplet person to person
autoinoculation |
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clinical syndromes of pneumococcal dz
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pneumonia
bacteremia meningitis |
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pneumococcal dz complications
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empyema
pericarditis endobronchial obstruction |
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dx of pneumococca dz
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isolation of streptococcus pneumoniae
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two pneumococcal vaccines
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PPV23 (pneumococcal capsular polysaccharide)
PCV7 (conjugate polysaccharide of 7 serotypes) |
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administration of pneumococcal vaccine
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PPV23 - IM or SC
PCV7 - IM for infants/toddlers only |
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PPV indications
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age >65
those with chronic dz and a normal immune system immunocompromised |
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indication for PPV revaccination
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>65 if recieved vaccine >5 years ago before they turned 65
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pneumococcal vaccine ADR
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local inj. site rxns
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pneumococcal CI
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previous allergic rxn
mod/severe illness pregnancy |
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pneumococcal vaccine storage
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refrigerated (not frozen)
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high risk populations for Hep A
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Native Am.
Alaskan Pacific Islander Hispanic |
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cause of Hep A
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Hep A virus
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transmission of Hep A
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person to person
oral/fecal IV drug users homosexual men |
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Hep A sxs
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abrupt fever
malaise anorexia N/V jaundice abd. pain dark urine light feces |
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T/F Hep A is self limiting disease
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T
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Hep A vaccines
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both inactivated
Havrix VAQTA |
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product with both Hep A and Hep B vaccines
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Twinrix
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Hep A vaccine administration
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IM in deltoid
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Hep A vaccine regimen
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all children 12 - 23 months in two doses 6 months apart
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most common ADR of Hep A vaccine
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local inj. site rxn
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Hep A vaccine CI
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hx of allergic rxn
mod/severe illness pregnancy |
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Hep A vaccine storage
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refrigerated (not frozen)
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Hep B transmission
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exposure to Hep B antibody positive body fluid (sex)
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3 phases of Hep B
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prodromal/pre-icteric - n/v, malaise, abd. pain, dark urine
icteric - jaundice, light feces, hepatic tenderness convalescense - malaise, fatigue |
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Hep B vaccine
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recombinant
Recombivax HB Engerix-B |
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combination of Hep B and H flu
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Comvax
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DTaP, Hep B, and polio for children
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Pediarix
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Hep B vaccine administration
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IM in deltoid or anterolateral thigh
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Hep B vaccine regimen
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vaccinate children asap after birth in 3 doses; 2nd dose 4 wks post 1st dose and 3rd dose 4-6 mo post 2nd dose
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high risk populations for Hep B
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homosexual males
IV drug users male prison mates hemodialysis patients |
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Hep B vaccine ADR
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local inj. site rxn
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Hep B vaccine CI
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prior allergic rxn
mod/severe illness |
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Hep B vaccine storage
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refrigerated (not frozen)
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Hep B Ig
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gives passive immunity for Hep B
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Hep B Ig indications
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accidental exposures (needlesticks)
perinatal exposure sexual exposure household infant exposure |
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Twinrix indication and administration
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>18 yo
IM in deltoid |
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does Twinrix have the option of an accelerated regimen T/F
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T
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