Other Flashcards
Don’t forget to look over viral diseases again.
Otherwise you’ll look like a fucking dumbass
How should pediatric patients be weighed?
naked.
Biggest problem in medical incidents?
Follow-Up – Reassessment
Treatment for MRSA?
Bactrim DS twice a day Bleach Baths (3-5mL bleech/gallon H2O) twice daily
Risk factors for MRSA? (4)
Cystic Fibrosis
Trach. tube
Healthcare facility exposure (Long-term care, surgery, work)
Antibiotic Exposures
Risk factors for CA MRSA?
Illegal Drugs High Contact Activity (Sports, Sex, Lap Dancing) Tattooing Surgery Breast milk
If Bacitracin is more effective against MRSA, why would you prescribe Clindamycin instead?
Clindamycin is better if people tend to miss doses
What physical activity will drastically improve MRSA recovery?
Drainage of Abscess
What should you do whenever you come up against MRSA?
Send specimen for culture, ask for susceptibility testing
What scan would you use to detect MRSA infections in a joint?
MRI
Why do you give pertussis patients Antibiotics even through it is a toxin mediated disease?
It may decrease the infectivity
It also makes patients feel better
If you diagnose a patient with pertussis, who do you immediately need to contact and test?
Everyone in your waiting room.
What might diminish the efficacy of Pertussis PCR testing?
if Pertussis vaccination is given in office
Why are pregnant women given pertussis vaccines?
So they can pass on immunity to infants for the time before they get their first vaccination
What is commonly seen in the skin of N. meningitis patients?
Looks like blood is coming through skin on chest
Heightened WBC, Neutrophils, and Band are consistent with…
Bacterial Infection
Who is someone you should never give a meningococcal vaccine to?
Someone who has had Guillian-Barre syndrome
If a person is symptom free, but has been exposed to meningococcus, what should you do?
Rifampin
Ceftriaxone (Usually just this)
Ciprofloxacin
Why might people prever to avoid the Menveo vaccine?
It comes with 2 vials to mix and inject –> increased likelihood of human error
What should you never give a rotavirus patient?
Phenergan – Can cause cardiac arrythmia
Does the Rotarix vaccine prevent illness?
No, is decreases severity and hospitalization
1 cause of diarrhea in America
Norovirus
You should avoid treatment for RSV until the patient is….
sick enough to be hospitalized
How do you treat Group B Strep?
Ampicilin and Gentamycin
Currently recommended pneumococcal vaccine?
Prevnar 13
GaZing-GaZing-GaZing
Problem with bronchoscopy cultures?
They can accidently get oral colonies on them
What type of cultures are you most prone to use? Exception to this rule?
Blood Cultures
Sputum may be useful in especially bad cases or in cases with compicating factors (AIDS, breathing machine, etc.)
Fungus that is especially common in Indiana.
How is it diagnosed?
Histoplasmosis
Serology
Who is most prone to have a Histoplasmosis problem?
IC patients
Short term concern about inappropriate antibiotic use?
May open the door for C. difficile
Can cause colon loss or death
Should you treat asymptomatic bactouria? Exception to this rule.
No, it may just be normal and fine
Treat is and you may give someone CDiff for no reason
Exception – IC Patients
When looking for S. Aureus in the blood you should….
Check two different sites
Testing from the line may give contaminates
If its in both cultures, its probably not a contaminant
“Biofilms can be a real….
bitch.”
What should you do first in a spinal infection without compression?
Take a sample to determine what you’re treating before you blast the patient with antibiotics
Who grows neurosyphilis like its their job?
HIV patients
