Immune/Infectious Diseases Flashcards

1
Q

What is an expected outcome in tonsillitis?

A

ear pain when swallowing
Halitosis

provide analgesics

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2
Q

What is contraindicated in tonsilitis?

A

Drinking through a straw

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3
Q

Procedure for anaphylactic shock

A
Insert IM ephi
Repeat dose 5-15
Recumbent and elevate legs
Maintain IV 
Bronchodilator 
Antihistamine
Corticosteriods
Cricothyrotomy
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4
Q

What is Sjogren Syndrome?

A

Autoimmune
Dry eyes and mouth leading to dental caries and thrush

Pts encouraged to wear goggles to protect from drying in the wind.

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5
Q

What injection is contraindicated for a pt who has a hx of seizures?

A

MMR

Varicella

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6
Q

What is a complication that occur with macrolide antibiotics (thro)

A

Prolonged QT interval - torsades de pointes

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7
Q

What is red man syndrome?

A

Occurs with rapid IV vanco.

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8
Q

How can you reduce redman?

A

infusing vanco for min 60 min.

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9
Q

What vaccine is ok for HIV positive children and contraindicated for them

A

Good - Routine vaccine

Contraindicated Live vacine - MMR, varcella

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10
Q

What is varicella zoster?

A

chicken pox

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11
Q

How to treat varicella ?

A

Cool oatmeal bath
antihistamine
acetaminophen

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12
Q

Who are at risk for thrush?

A

immmunosupressed - corticosteriods

Dentures

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13
Q

How can HIV pts prevent complications?

A

up-to-date vaccinations
avoid undercooked meat
drink water in bottles or purified when in other countries

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14
Q

What is scarlet fever?

A

Group A infection

With a distinctive red rash

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15
Q

S+s for scarlet fever?

A

strep pharyngitis, rash on neck and chest

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16
Q

If a pt is taking ethambutol for anti TB what should they routinely check?

A

Eye exams

17
Q

What is cholecystectomy?

A

Removal of gall bladder?

18
Q

What are the post-op infection for cholecystectomy?

A

Pneumonia
Surgical site purulent drainage
UTI
Peritonitis

19
Q

What is Reye syndrome?

A

A viral infection varicelle or influenza

20
Q

S/s of of reye syndrome

A
Fever
Lethargy
acute encephalopathy
altered hepatic function 
elevated serum ammonia 
---
Risk increases with aspirin.
21
Q

What is sulfasalazine?

A

to treat mild rheumatoid arthritis and IBS

22
Q

What are side effects for sulfa meds?

A
Crystaluria - client should drink more 
photosensitivity
Folic acid - client should eat more folic rich foods
Agranulocytosis
SJS - stop if rash develops
23
Q

Why is duloxetine given for with fibromyalgia?

A

To relieve chronic pain that may interfere with sleep

24
Q

Care for sunburns

A
Play in early morning late evening
Extra fluids
Acetaminophen 
Wet washcloths 
NO CORTICOSTERIODS.
25
Q

What is azathioprine?

A

Immunosuppressant can cause bone marrow depression.

26
Q

What prevents ataxia and paresthesia for pts taking isoniazid med?

A

Vit B6