Lesson 17 Flashcards

1
Q

Characterized by repeated attacks of spasmodic coughing, which consists of a series of explosive expiration

A

Pertussis/whooping cough

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2
Q

It produces a crowing sound, the whoop, and usually followed by vomiting

A

Pertussis

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3
Q

Causative agent of pertussis

A

Bordetella Pertussis

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4
Q

Incubation period of Pertussis

A

7-14 days

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5
Q

Period of Communicability of Pertussis

A

7 days after exposure to three weeks after typical paroxysms

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6
Q

Mode of Transmission of Pertussis

A

Direct contact
Indirect contact
Droplet
Soiled linen and other articles contaminated by respiratory secretions

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7
Q

Source of infection of pertussis

A

Secretions from the nose and throat of the infected persons

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8
Q

Clinical manifestation of pertussis

A

Catarrhal Stage
Paroxysmal Stage
Convalescent Stage

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9
Q

Characterized by non-specific symptomatology where there is mucoid rhinorrhea, sneezing, lacrimation, and dry bronchial cough

A

Catarrhal stage

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10
Q

Cough becomes spasmodic and recurrent with excessive, explosive outbursts in a rapid series

A

Paroxysmal stage

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11
Q

Paroxysmal stage occurs on the ____ to _____ day

A

7th to 14th day

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12
Q

Gradual decrease in the paroxysms of coughing, both in frequency and severity

A

Convalescent stage

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13
Q

The most dangerous complication of pertussis

A

Bronchopneumonia

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14
Q

This is due to persistent vomiting

A

Malnutrition and starvation

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15
Q

Give complications of pertussis

A

Pneumonia
Atelectasis
Convulsion
Umbilical hernia
Otitis media
Bronchopneumonia

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16
Q

Diagnostic test for pertussis

A

Nasopharyngeal swab
Sputum culture
CBC includes leukocytosis

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17
Q

Treatment of pertussis

A

Supportive therapy
Antibiotic
Hyperimmune convalescent serum or gamma globulin

18
Q

What are the supportive therapy

A

F and A replacement
Adequare nutrition
Oxygen therapy

19
Q

Partial/complete lung collapse

A

Atelectasis

20
Q

Middle ear infection

A

Otitis media

21
Q

Prevention of pertussis

A

Isolation of 4 to 6 weeks from the onset of illness
DPT immunization

22
Q

It is fatal in up 60% of unimmunized persons, death occurs with 10 days of onset

A

Tetanus

23
Q

Causative agent of tetanus

A

Clostridium tetani

24
Q

Produces a potent exotoxin with prominent systemic neuromuscular effects

A

Clostridium Tetani

25
Q

Responsible for muscle spasms

A

Tetanospasmin

26
Q

It is responsible for destruction of RBCS

A

Tetanolysin

27
Q

Source of infection for tetanus

A

Animal and human feces
Soil and dust
Rusty materials, unsterile sutures, pins, and scissors

28
Q

Neck and facial muscle rigidity

A

Trismus

29
Q

Grinning expression

A

Risus sardonicus

30
Q

Spasms of the muscles causing backward arching of the head, neck,and spine

A

Opisthotonos

31
Q

What should be given within 72 hours post-exposure of tetanus

A

ATS
TAT
TIG

32
Q

What are the treatment for tetanus

A

ATS TAT TIG
Tetanus toxoid
Pen G Na
Muscle relaxant

33
Q

What are the prevention for Tetanus

A

Active immunization of tetanus toxoid for pregnant woman
Dpt for babies and children

34
Q

Give non specific treatment for tetanus

A

NGT feeding
Tracheostomy
Wound care

35
Q

Given after skin negative test

A

ATS (Tetanus Antitoxin)

36
Q

How many ml given for tetanus toxoid

A

0.5 ml, IM

37
Q

It has clear ampule

A

ATS

38
Q

It has cloudy ampule

A

TT

39
Q

Given after 3 days of exposure / 4 days onwards

A

TIG (tetanus immunoglobulin)

40
Q

What are the vaccines given for first order

A

Ats (tetanus antitoxin)
TT (tetanus toxoid)

41
Q

What is the ml of an ATS

A

1500 u
For adults 1500×3= 4500