Flue Medical Directive Quiz

Question 1

What are the common symptoms of influenza

Answer 1

sudden onset of headache, chills, cough, high fever, loss of appetite, muscle aches and fatigue, runny nose, sneezing, watery eyes, and throat irritation. Nausea and vomiting are common in children.

Question 2

What percentage of the population becomes infected with influenza each year?

Answer 2

10-20%

Question 3

On average how many hospitalizations and deaths are attributable to influenza each year

Answer 3

20k hospitalization

4k deaths

Question 4

Why is it difficult to determine the true burden of illness from influenza?

Answer 4

testing is not done or done too late to confirm diagnosis

Question 5

What are the trivalent influenza vaccine products that are publicly funded in ON for 2013-14

Answer 5

Agriflue, Fluviral Vaxigrip and Fluad

Question 6

Prior to administering a vaccine a nurse must

a) they are preparing the correct vaccine
b) they have the correct lot#
c) the vaccine is not expired
d) theya re preparing the correct route for administration
e) the vaccine appears to be slightly opaque
g) ensure there is vaccine in the syringe
f) all of the above

Answer 6

f. all of the above

Question 7

true/false - Tialent influenza vaccines have natural latex rubber in the stopper

Answer 7

false

Question 8

a gentleman presents who is allergic to penicillin. Can he receive seasonal flu vaccine?

Answer 8

yes he can

Question 9

Which vaccines contain thimerosal?

Answer 9

both vaxigrip and fluviral contain thimerosal

Question 10

the strains contained in 2014-15 trivalent seasonal flu vaccine include

Answer 10

1) A/California/7/2009 (h1N1) pdm09-like virus
2) A/Victoria/361/2011
3) B/Massachusetts/2/2012-like virus

Question 11

What is the rationale for immunizing pregnant women with seasonal during influenza vaccine?

Answer 11

evidence that infants born during influenza season to vaccinated women are less likely to be premature, small for gestational age and low birth weight.

Question 12

45 year old male presents with following symptoms after receiving vaccine last year: red eye, cough, sore throat, hoarseness, facial swelling. no wheezing, chest tightness or difficulty breathing. Should they receive the vaccine this year?

Answer 12

yes - a person who experiences ORS symptoms, including severe ORS consisting of non-lower respiratory symptoms(bilateral red eyes, cough, sore throat, hoarseness, facial swelling) may be safely re-immunized

Question 13

20 year old female presents stating she is allergic to eggs; sometimes gets hives from eating eggs but does eat baked goods made with eggs. Can they receive the vaccine?

Answer 13

Yes. NACI has concluded that egg allergic people may be vaccinated without skin test. With a full dose irrespective of past sever reaction to eggs with the following conditions: mild hives or ability to tolerate eggs in foods

Question 14

Once punctured, how long can a fluviral be considered stable

Answer 14

28 days

Question 15

typical reactions to the vaccine

Answer 15

redness, soreness or swelling at the injection site. take acetaminophen or ibuprofen to reduce discomfort

Question 16

GBS (Guillain-Barre Syndrome

Answer 16

a person’s own immune system damages nerve cells, causing muscle weakness and sometimes paralysis. Rarely a person may develop GBS after an influenza vaccine. 1 in a million. Getting the vaccine can actually protect you from GBS as the risk in getting it from the flu itself is 10x that.

Question 17

When to seek medical attention:

Answer 17

high fever (over 40)
hives
trouble swallowing
trouble breathing
crying for several hours
very pale colour and serious drowsiness
convulsions or seizures
any other unexpected results