Rabies- schoenwald Flashcards
T/F: rabies is a fatal infection
T
Rabies infection can be prevented by: (list 3 ways)
-Immunization of animals
- Pre exposure immunizations for people
- ->Routine for veterinarians and others at high risk of exposure
-Post exposure rabies prophylaxis
Rabies is spread by _____
**bites of infected animals
-classified as a rhabdovirus**
Common animals infected w/ Rabies (list 4)
skunks, coyote, BATS, raccoons
Incubation period for rabies=
weeks to months
Rabies Sx:
- _______ prodrome?
- other Sx?
-**Flu like prodrome
Confusion
Fever
Hydrophobia
If rabies Sx develop, nearly ____% fatal
100%
–Recent treatments with antriretroviral meds successfully treated a few but have not been replicated successfully
Preexposure immunizations:
- ___ shot series (trade names ?)
- given on Days ___, ___, ___, or ____
- 3 shot series (trade name Imovax or Rabavert)
- Day 0,7, 21, 28
If exposure to rabies occurs, need ___ immunizations post exposure given on day ___ & ___
- 2
- day 0 and 3
Post exposure prophylaxis is given _____.
What is the name of the post exposure prophylaxis med?
ASAP!! after possible exposure
**Consist of Human Rabies Immune Globulin (HRIg) and series of rabies vaccines
Human Rabies Immune globulin:
= ______ immunization
-Dose= ____ units per kg
**Passive immunization
=20 units per Kg
–>Comes in 150 units per ml or 300 units per ml
Rabies dosing for a 180 lb person
180lbs/2.2 kg /lb=81.8 kg ok to round to 82
82 kg x 20 units/kg=1640 units/150 units/ml=10.9 mls okay to round to 11 mls
Studies show HRIG is more effective IF ______
- *infiltrated at the bite site
- ->Otherwise given IM
- *1Given on day 0
Rabies vaccine-Post Exposure:
- how is it tolerated by most ppl?
- Given on Days ____,____, ____, & ____
-Well tolerated
Given on Day 0,3,7, and 14
