ID (sepsis + Hepatitis) Flashcards

1
Q

How is hep A transmitted?

A

eating contaminated food or drinking contaminated water(fecal-oral route)

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2
Q

Hep A prevention and treatment?

A

hand hygiene and vaccine
no treatment

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3
Q

How is hep B transmitted?

A

through contact with blood or bodily fluids

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4
Q

How can hep B be prevented and treated?

A

good hygiene, vaccine,
tx: no treatment, antivirals

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5
Q

How is hep C transmitted?

A

blood to blood contact

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6
Q

how can hep C be prevented and treated?

A

hand hygiene, avoiding sharing needles, etc
tx: direct- acting antiviral drugs

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7
Q

How can hep D be spread?

A

contact with infected blood + sexual contact only if hep B is present

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8
Q

How can hep D be prevented and treated?

A

hep B vaccine, avoid sharing
interferon

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9
Q

how is hep E spread?

A

eating contaminated food or dring contaminated water (fecal-oral route)

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10
Q

How can hep E be prevented and treated?

A

good hygiene, avoid drinking or eating
no treatment

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11
Q

What is the sirs critera?

A

Temp: 100.4 F
Resp: > 20
HR: > 90
WBC: > 12,000
<4,000
> 10% bands
PCO2 < 32

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12
Q

SEPSIS CRITERA

A

2 SIRS + confirmed or suspected infection

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13
Q

severe sepsis criteria

A

sepsis + signs of end organ damage + hypotension

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14
Q

septic shock critera

A

severe sepsis + lactate > 4

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15
Q

When is DTaP give?

A

2,4,6 months
15-18 months
4-6 y/o

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16
Q

When is Tdap given?

A

11-12
any adult

17
Q

Explain Cardiogenic shock? Tx?

A

-pump problem
- decompensated CHF, MI, arrythmia
- - decreased cardiac output
- - TX: underlying cause, O2, Fluids, dobutamine(over SBP 90), dopamine, milrinone

18
Q

Explain distributive shock? Tx?

A
  • pumping problem
    - sepsis, anaphylaxis, neurogenic
    - decreased systemic vascular resistance
19
Q

Explain hypovolemic shock? Tx?

A
  • volume problem
  • blood loss, dehydration, burns
    • decreased preload
20
Q

Explain obstructive shock? Tx?

A
  • plumbing or pump problem
    • cardiac tamponade, PE, tension pneumothorax
  • decreased cardiac output