Flu/COVID

Question 1

Rx for Flu

Answer 1

Tamiflu (Oseltamivir)
Relenza (Zanamivir)

Question 2

Varicella =

Answer 2

Chicken Pox

Question 3

Tamiflu has run out. Caution when Rx Relenza to _____

Answer 3

children, asthma, COPD

COPD bronchospasms
mood changes in kids
hard on ppl with asthma

Question 4

Fact or Cap?

Child has been acting a little weird since he started taking Relenza for Flu.

Answer 4

Fact, Relenza can cause unusual sudden behavioral/mood changes, especially in kids!

Question 5

Can my kid take OTC aspirin with the flu?

Answer 5

HELL NO. Kid gonna get Reye Syndrome
- encephalopathy & liver takes a shit

fatal; brain damage

Question 6

Should preggers ppl get flu vaccine nasally or injection?

Answer 6

injection! Pregnant ppl CANNOT get nasal!!

Question 7

Who should not get the flu vaccine?

Answer 7

• egg allergy
• Hx Guillain-barr syndrome (might trigger another autoimmmune attack on bodys own nerves)
• <18 yo on aspirin therapy (reye syndrome)
• pregnancy (1st trimester)

Question 8

Mother wants her child to get the nasal flu vacc so he wont cry. Wdyd?

Answer 8

explain that it is the live virus and he will get a mild case of the flu. The shot will be temporary discomfort but will not give him a cold bc it is an inactive form of the virus.

Question 9

COVID Rx

Answer 9

• Remdesivir (anti-viral)
• Low-molecular heparin
• Baricitinib (Janus-kinase inhib)
• Dexamethasone (glucocorticoid)

dexamethasone - prevents release of the shit that makes you inflammed

Question 10

Covid loss of taste/smell = ___ variant

Answer 10

delta

nothing tastes the same when you fly delta

Question 11

covid night sweats = ___ variant

Answer 11

omicron

cookie monster nightmares “omm omm”

Question 12

Who CANNOT get the COVID vacc

Answer 12

• myocarditis (heart muscle inflammed)
• Pericarditis (swelling, irritation of pericardium sac)

Question 13

Adult Tamiflu dosage for trmnt and prevention?

Answer 13

Trmnt = 75mg BID x 5 DAYS
Prevent = 75mg 1 PO qday x 10 DAYS

Question 14

Flu meds must be taken within ____hrs of symptoms onset

Answer 14

48

Question 15

Relenza can be used to treat flu in kids as young as ___ and prevent flu in kids as young as ____

Answer 15

Treat > 7 yo
Prevent > 5 yo

Question 16

Pt just had the flu and is now vomiting uncontrollably. Hepatomegaly present. 2 days later, pt is lethargic, confused, limbs are flexed and rotated weirdly, and pt seizes and goes into coma. What happened?

Answer 16

Reye Syndrome = Aspirin + febrile virus (influenza or varicella (chicken pox)).