Module 1 - Vaccines Flashcards
*Pneumococcal Vaccines
65 yo +
or
19-64 yo if increased risk factors
-alcohol
-chronic heart/liver/lung/renal dx
-smoking
-DM
-cancers
-immunodeficiences
*If never received a pneumo vax what to give?
PCV15 or PCV20
*If received first dose of PCV20
complete
*If received first dose of PCV15
follow one dose of PPSV23
- at least 1 year apart
*If received first dose of PPSV23
then follow with a PCV15 or PCV20
- at least 1 year apart
*If recieved first dose of PCV13
follow with PPSV23
- at least 1 year apart
*Zoster vaccine
50 yo +
zoster recumbinant
-shingrix preferred over zostavax
Give 2 doses even if
- had shingles in the past
- have health conditions
- receiving other vax
- are taking low dose immunotherapy
- 2nd dose 2-6mo after first
- deltoid with 1-1.5in needle
- must be refrigerated
- if had zostavax in past okay to give shringrix (give at least 8 weeks apart)
*polypharmacy
the use of multiple medications by a patient
*what causes decreased renal function in elderly with regard to prescription meds?
impaired drug elimination
- what is the get up and go fall assessment entail
evaluating the time a patient takes to rise out of a chair, walk 10 feet, turn around, walk back, and sit down
- a 75yr old man with DM and osteoarthritis with recurrent falls. which of the following is most predictive of future dependence in his ADLs
takes 30 sec to rise turn around sit back down
- which meds should be avoided in older adults due to the risk of cdiff infection and bone loss and fracture
PPI
*tertiary level prevention seeks
to limit and reduce further complications
to promote treatment
to limit dysfunctions
- the aim of secondary prevention is to
reduce and limit health and social harm
- what of the following is risks for falls in elder
visual impairment
postural htn
