Rabies

Question 1

T/F? Rabies is a fatal infection 100% of the time.

Answer 1

False - 99.999%

Question 2

Who are pre exposure rabies vaccinations recommended for?

Answer 2

Veterinarians and others at high risk of exposure (wildlife officials, animal control, animal rehab, travel to high risk areas)

Question 3

How many rabies death occur in the US anually?

Answer 3

1-2

Question 4

Rabies is classified as what type of virus?

Answer 4

Rhabdovirus

Question 5

Common animals infected with rabies?

Answer 5

Foxes, bats, skunks, racoons, foxes, cats, dogs

Question 6

Incubation period for rabies?

Answer 6

weeks to months

Question 7

Symptoms of rabies in humans?

Answer 7

Flu like prodrome
Confusion
Fever
Hydrophobia

Question 8

What are the two brands of rabies vaccinations?

Answer 8

Imovax or Rabavert

Question 9

Rabies vaccinations are given on what schedule?

Answer 9

Day 0, 7, and 21 or 28

Question 10

If a person without a rabies vaccine is exposed, what is their vaccine schedule?

Answer 10

Day 0, 3, 7, and 14

Question 11

If a person who has had rabies vaccines is exposed to rabies, do they still need post exposure prophylaxis?

Answer 11

Yes, vaccines on day 0 and 3

Question 12

What other medications should be given for post exposure prophylaxis in an unvaccinated patient?

Answer 12

Human Rabies Immune globulin (HRIg)

Question 13

What is the dose for HRIg?

Answer 13

20 units per Kg

Question 14

Where should HRIg be given?

Answer 14

Most effective at bite site, but depends on bite site. (Can’t give 5mLs in the finger)

Question 15

What IM site should HRIg not be given?

Answer 15

Glut - too much fat