Exam 2: communicable diseases Flashcards
Fecal oral transmission can occur due to
poor handwashing
soiled diapers
put everything in their mouths
Respiratory transmission can occur due to
poor handwashing
sharing of toys
play
Airborne disease
measles
chicken pox
TB
Droplet disease
Flu
pneumonia
rubella
pertussis
meningitis
scarlet fever
flu
Contact diseases
conjunctivitis
MRSA
Gastrointestinal
RSV
Hep A
All respiratory viruses have droplet and contact precautions
______ immunity is the goal of vaccines
herd
Killed virus vaccine
e.g.
microbe has been killed but still capable of causing body to produce antibodies
e.g. polio
Toxoid vaccine
e.g.
treated by heat or chemical to weaken toxic effect
e.g. tetanus toxoid
Live virus vaccine
e.g.
live but attenuated (weaker)
e.g. measles and varicella
recombinant vaccine
e.g.
genetically altered organism
e.g. hep B
Conjugated vaccine
e.g.
an altered organism is combined with another substance to increase immune response
Hib
Active immunity
most common
antibody production stimulated by vaccine antigens without causing clinical disease
Passive immunity
antibodies from another host given when antibodies are needed faster than the body can make them
includes Ig
does not confer lasting immunity; will need vaccinations in the future
disappears at 6 mo
What vaccines should severely immunocompromised children not receive?
MMR
Varicella
Influenza
Can immunizations give a vasovagal response
yes adolescents tend to have a syncope or vasovagal reaction usually 15 minutes after the immunization
Normal dose of tylenol
10 to 15 mg/kg/dose every Q4-6H
don’t exceed 5 doses iin 24 hours –> 4G
Normal dose of ibuprofen
4 to 10 mg/kg/dose Q6 to 8 hours
don’t exceed 40 mg/kg/daily
3 forms of polio
inapparent: asymptomatic
Non paralytic: fever, sore throat, headache, V/abd pain
paralytic
transmission of polio
oral-fecal contact precautions
Incubation of polio
7 to 10 days
Communicability of polio
excreted in feces for 3 to 6 weeks
Measles precautions
droplet precautions and contact