CHN RLE midterm Flashcards

1
Q

The Expanded Program on Immunization (EPI) was established in

A

1976

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2
Q

to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.

A

The Expanded Program on Immunization (EPI)

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3
Q

Six vaccine-preventable diseases were initially included in the EPI:

A

tuberculosis,

poliomyelitis,

diphtheria,

tetanus,

pertussis

measles

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4
Q

Vaccines under the EPI are

A

BCG birth dose,

Hepatitis B birth dose,

Oral Poliovirus Vaccine,

Pentavalent Vaccine,

Measles Containing Vaccines (Anti Measles Vaccine, Measles, Mumps, Rubella)

and Tetanus Toxoid

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5
Q

This 2016, the Expanded Program on Immunization will transition to become the

A

National Immunization Program

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6
Q

EPI Over-all Goal:

A

To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases.

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7
Q

Mandatory Infants and Children Health Immunization Act of 2011

A

Republic Act No. 10152

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8
Q

Republic Act No. 10152 signed by

A

President Benigno Aquino III on July 26, 2010

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9
Q

are used to reach children who have not been vaccinated or have not developed sufficient immunity after previous vaccinations

A

supplementary immunization activities

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10
Q

This is critical for the eradication/elimination efforts, especially in identifying true cases of measles and indigenous wild poliovirus.

A

Strengthening Vaccine-Preventable Diseases Surveillance

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11
Q

earliest dose of measles given in case of outbreak

A

6 months

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12
Q

regular schedule of measles vaccine

A

9 months-11 months:

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13
Q

latest dose of measles given

A

15 months

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14
Q

catch up dose

A

4-5 years old:

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15
Q

Fully Immunized Child (FIC)

A

less than 12 months old child with complete immunizations of DPT, OPV, BCG, Anti Hepatitis, Anti measles.

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16
Q

is not a contraindication for immunizing children rather; it is an indication for immunization

A

Malnutrition

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17
Q

is practiced to assure that all vaccines are utilized before the expiry date.

A

FEFO (“first expiry and first out”)

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18
Q

BCG (Bacillus Calmette Guerin)

A

Freeze dried

Infant - 0.05 mL

Preschool - 0.1 mL

ID

Right deltoid of the arm

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19
Q

DPT (Diphtheria Pertussis Tetanus)

A

Liquid - 0.5 mL

IM

Infants & Young Children: Vastus Lateralis

Older children and adults: Deltoid Muscle

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20
Q

OPV (Oral Polio Vaccine)

A

Liquid 2 drops

Oral

Mouth

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20
Q

Hepatitis B (Hepa B)

A

Liquid - 0.5 mL

IM

Deltoid muscle

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21
Q

Measles

A

Freeze-dried - 0.5 mL

Subcutaneous

Anterolateral aspect of the thigh

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22
Q

TT1

A

As early as possible

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23
Q

TT2

A

4 weeks later

3 years of protection

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24
Q

TT3

A

6 months later

5 years of protection

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25
Q

TT4

A

1 year later/during next pregnancy

10 years of protection

26
Q

TT5

A

1 year later/third pregnancy

Lifetime protection

27
Q

will be introduced in the national immunization program

A

For 2012, Rotavirus and Pneumococcal vaccine

28
Q

(NHTS)

A

National Housing and Targeting System

29
Q

A system used to maintain potency of a vaccine from that of manufacture to the time it is given to child or pregnant woman.

A

COLD CHAIN MANAGEMENT

30
Q

Health centers are equipped with refrigeration units to maintain vaccines at

A

2-8°C.

31
Q

is an integrated approach to child health that focuses on the well-being of the whole child

A

IMCI

32
Q

when was IMCI introduced

A

1995

33
Q

when was IMCI implemented in the philippines

A

1996

34
Q

IMCI aims to

A

reduce death, illness and disability and to promote improved growth and development among children under five years of age.

35
Q

IMCI include

A

curative and preventive elements that are implemented by families and communities and by health facilities.

36
Q

IMCI strategy was developed by

A

World Health Organization and UNICEF

37
Q

IMCI strategy

A

to address the high rates of child mortality in the country due to common, preventable, or treatable illnesses

38
Q

common, preventable, or treatable illnesses such as

A

pneumonia, diarrhea, malaria, measles, and malnutrition.

39
Q

IMCI OBJECTIVES

A

Reduce death

Decrease frequency and severity of illness and disability, and

Contribute to improved growth and development.

40
Q

is the most vulnerable group

A

the under five population

41
Q

was designed to teach integrated management of sick young infants and children to first level HW’s in primary care settings that have NO laboratory support and only a limited number of essential drugs.

A

The IMCI training

42
Q

Action oriented __________, rather than ____________, are used

A

CLASSIFICATIONS

EXACT DIAGNOSIS

43
Q

STEPS IN IMCI MANAGEMENT

A

Assess child’s illness

Classify illness base on signs

Identify treatment

Treat child

Counsel caretaker

Follow-up Care

44
Q

means giving treatment in a clinic, prescribing drugs or other treatments to be given at home, and also teaching the mother how to carry out the treatments.

A

Treat

45
Q

Means taking a history and doing a physical examination

A

Assess child’s illness

46
Q

which corresponds to the severity of the disease.

A

Classification,”

47
Q

are not specific disease diagnoses. Instead, they are color coded categories that are used to determine treatment

A

Classifications

48
Q

The charts recommend appropriate treatment for each color-coded classification

A

Identify treatment

49
Q

assessing how the child is fed and
telling her about the foods and fluids to give the child and when to bring the child back to the clinic.

A

Counsel caretaker

50
Q

Involves reassessing the child’s condition after the initial treatment, checking for improvement

A

Follow-up Care

51
Q

Principles of IMCI Case Management

A

All sick children aged up to 5 years are examined for general danger signs and all sick young infants are examined for very severe disease.

52
Q

use a limited number of essential drugs and encourage active participation of caretakers in the treatment of children.

A

IMCI management procedures

53
Q

DHEPCSI

A

(Department of Health Essential Package of Child Survival Intervention)

54
Q

emphasizes important preventive interventions such as immunization and breastfeeding.

A

IMCI

55
Q

(URGENT REFERRAL)

A

Pink

56
Q

(Treatment at outpatient health facility)

A

Yellow

57
Q

(Home management)

A

Green

58
Q

Pre-referral treatments
Advise parents
Refer child

A

PINK

59
Q

Renders Treatment of local infection(Give oral drugs)
Health advice teaching caretaker
Upcoming Follow-up visit advise

A

YELLOW

60
Q

Home treatment/s
Oral Feeding and fluids
Making return visit immediately
Emphasize follow-up

A

GREEN

61
Q

Any general
danger sign

Chest indrawing

Stridor in calm

A

PINK

62
Q

Fast breathing

A

YELLOW

63
Q

No signs of pneumonia or very severe disease

A

GREEN