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606 - My First Patient > Pertussis > Flashcards

Pertussis Flashcards

1
Q

Pertussis

A

whooping cough

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2
Q

Pertussis is caused by

A

bordetella pertusis

which is very contagious

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3
Q

Pertussis symptoms

A

paroxysmal cough, whooping

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4
Q

clinical course

A

incubation
catarrhal stage
paroxysmal stage
convalescent stage

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5
Q

catarrhal stage

A

1-2 weeks

cold-like symptoms

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6
Q

paroxysmal stage

A

1-6 weeks

intense whooping

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7
Q

convalescent stage

A

2-3 weeks (range weeks to months)

grad recovery

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8
Q

complications in infants and children

A

pneumonia, seizures

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9
Q

complications in teens and adults

A

weight loss, passing out, fractures

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10
Q

Disease is more severe among what age

A

younger children

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11
Q

tetanus vaccines

A

DTaP and Tdap

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12
Q

DTaP and Tdap vaccines protect against

A

tetanus, diphtheria, and pertussis

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13
Q

dose and route of DTaP and Tdap

A

0.5 ml IM

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14
Q

Difference in dose between DTaP and Tdap

A

Tdap has lower diptheria and acellular pertussis to avoid local rxns in adults

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15
Q

recommendations

A 
DTaP for younger than 7 yrs
Tdap:
- boostrix (GSK) for 10 yrs or older
-Adacel (sanofi pasteur) 11 to 64
boostrix for 65 and older,
adacel if boostrix not available
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16
Q

Pregnant women

A
  • should get Tdap - protects child until DTaP
  • every pregnancy
  • 27-36 weeks gestation
  • if no give ASAP post-pardum
  • admin Tdap to caregivers or fam memb o/ infant if indic
17
Q

use DTaP for

A

6 wks to 6 yrs

18
Q

use 1 dose Tdap

A

7 to 10 yrs not fully vacc

19
Q

more than 1 dose Tdap

A

if no record of Tdap give 1 dose followed by 1 dose of Td every 10 yrs

20
Q

Pregnant women (every pregnancy)

A

1 dose Tdap after 20 weeks gestation

21
Q

what is the recommended interval between a dose of Tdap and the last Td booster

A

none can be admin any time since last Td

606 - My First Patient (14 decks)

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