Immune/Infectious Diseases Flashcards
What is an expected outcome in tonsillitis?
ear pain when swallowing
Halitosis
provide analgesics
What is contraindicated in tonsilitis?
Drinking through a straw
Procedure for anaphylactic shock
Insert IM ephi Repeat dose 5-15 Recumbent and elevate legs Maintain IV Bronchodilator Antihistamine Corticosteriods Cricothyrotomy
What is Sjogren Syndrome?
Autoimmune
Dry eyes and mouth leading to dental caries and thrush
Pts encouraged to wear goggles to protect from drying in the wind.
What injection is contraindicated for a pt who has a hx of seizures?
MMR
Varicella
What is a complication that occur with macrolide antibiotics (thro)
Prolonged QT interval - torsades de pointes
What is red man syndrome?
Occurs with rapid IV vanco.
How can you reduce redman?
infusing vanco for min 60 min.
What vaccine is ok for HIV positive children and contraindicated for them
Good - Routine vaccine
Contraindicated Live vacine - MMR, varcella
What is varicella zoster?
chicken pox
How to treat varicella ?
Cool oatmeal bath
antihistamine
acetaminophen
Who are at risk for thrush?
immmunosupressed - corticosteriods
Dentures
How can HIV pts prevent complications?
up-to-date vaccinations
avoid undercooked meat
drink water in bottles or purified when in other countries
What is scarlet fever?
Group A infection
With a distinctive red rash
S+s for scarlet fever?
strep pharyngitis, rash on neck and chest
If a pt is taking ethambutol for anti TB what should they routinely check?
Eye exams
What is cholecystectomy?
Removal of gall bladder?
What are the post-op infection for cholecystectomy?
Pneumonia
Surgical site purulent drainage
UTI
Peritonitis
What is Reye syndrome?
A viral infection varicelle or influenza
S/s of of reye syndrome
Fever Lethargy acute encephalopathy altered hepatic function elevated serum ammonia --- Risk increases with aspirin.
What is sulfasalazine?
to treat mild rheumatoid arthritis and IBS
What are side effects for sulfa meds?
Crystaluria - client should drink more photosensitivity Folic acid - client should eat more folic rich foods Agranulocytosis SJS - stop if rash develops
Why is duloxetine given for with fibromyalgia?
To relieve chronic pain that may interfere with sleep
Care for sunburns
Play in early morning late evening Extra fluids Acetaminophen Wet washcloths NO CORTICOSTERIODS.
What is azathioprine?
Immunosuppressant can cause bone marrow depression.
What prevents ataxia and paresthesia for pts taking isoniazid med?
Vit B6
