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Abnormal Pedia > Respiratory Disorder - Pertussis > Flashcards

Respiratory Disorder - Pertussis Flashcards

1
Q

Pertussis is which of the FF.:
( bacterial, viral, fungal, protozoan)

A

Bacterial

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2
Q

Causative Agent of pertussis

A

Bordetella pertussis

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3
Q

Incubation period of pertussis

A

5- 21 days

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4
Q

Mode of transmission of pertussis

A

Direct and indirect

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5
Q

Communicability of pertussis

A

Catarrhal stage

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6
Q

Immunities of pertussis

A
  1. Natural active immunity / lasting natural.
  2. Artificial active immunity
  3. Passive artificial immunity
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7
Q

How many immunities does pertussis have?

A

3

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8
Q

artificial active immunity of pertussis

A

DPT /DTaP
diphtheria (D), pertussis (P, also known as whooping cough) and tetanus

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9
Q

When to give DPT/DTaP?

A

2,4,6 months
12-15 months (1st birthday of baby)
4-6 years old ( kinder )
11-12 years old ( grade school)
Every 10 years

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10
Q

Vaccines like DPT / DTaP is what kind of immunity?

A

Artificial active immunity

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11
Q

Passive artificial immunity of pertussis

A

Pertussis serum immunoglobulin

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12
Q

Effectivity of the passive artificial immunity of pertussis (perstussis serum immunoglobulin)

A

2 weeks - 2 months
(Short term only)

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13
Q

What are the diagnostic tests for pertussis?

A

Culture
Serology
Polymerase chain reaction (P-CR)
Direct fluorescent antibody test (DFA)

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14
Q

Most sensitive diagnostic test for pertussis

A

Polymerase chain reaction (P-CR)

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15
Q

Culture for pertussis will only give how many percent of positivity?

A

30 - 50% positivity

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16
Q

Is serology a strong diagnostic test for pertussis?

A

No because it’s poorly standardized

17
Q

Meaning of P-CR

A

Polymerase chain reaction

18
Q

Meaning of DFA

A

Direct fluorescent antibody test

19
Q

3 stages of pertussis

A

Stage 1: Catarrhal stage (1-2 weeks)
Stage 2: Paroxysmal stage (2-6 weeks)
Stage 3: Convalescent stage

20
Q

Stage of pertussis that itis most communicable

A

Catarrhal stage

21
Q

Stage 1 name:
Duration:
Signs and symptoms:

A

Catarrhal stage
1-2 weeks
Mild and common cold sx

22
Q

Stage 2 name:
Duration:
Signs and symptoms:

A

Paroxysmal stage
2-6 weeks
Thick, tenacious secretions; 5-10 short then rapid roughs w/ deep inspiration; high pitched, crowing sound; whooping cough → increase pressure diaphragm → vomiting

23
Q

Stage 3 name:
Other word:
Signs and symptoms:

A

Convalescent stage
Recovery stage
Gradual cessation of symptoms

24
Q

Complications of pertussis

A

(PEDAS)
Pneumonia
Emphysema / epistaxis
Dehydration
Atelectasis / alkalosis
Seizure / subarachnoid bleeding

25
Q

Inflammation of lower lung parenchyma

A

Pneumonia

26
Q

the alveoli become abnormally inflated, damaging their walls and making it harder to breathe

A

Emphysema

27
Q

Blood from nose

A

Epistaxis

28
Q

a condition in which you lose so much body fluid that your body can’t function normally

A

Dehydration

29
Q

Lung collapse

A

Atelectasis

30
Q

Vomiting ABG

A

Alkalosis

31
Q

How many months of age is admitted and for at least how many hours to prevent complications of pertussis?

A

<3 months age
48 hrs

32
Q

Nutrition for pertussis

A

SFF - small frequent feeding

33
Q

1 therapy needed in babies with pertussis

A

Oxygen

34
Q

When to give suction?

A

PRN or as needed

35
Q

Drug of choice of pt. with pertussis

A

Azithromycin

36
Q

This is given when patient is allergic to azithromycin

A

Macrolide

37
Q

Managements for pertussis

A

(NO SHAME)
Nutrition: Small frequent feeding
O2 therapy

Suction (prn / as needed)
Hydration
Azithromycin
Macrolide
Eliminate cough triggers

38
Q

When taking azithromycin, what precaution is needed for 5 days?

A

Droplet precaution for 5 days

Abnormal Pedia (18 decks)

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