RSV Flashcards

1
Q

RSV infection produces mild ________ like symptoms and they recover in a week or two some cases of RSV can be serious especially in infants and older adults and those specifics showed also sometimes required hospitalization

A

cold

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2
Q

Symptoms of RSV Typically show after 4 to 6 days after getting infected

A
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3
Q

Symptoms appear in stages and not all at once in very young infants with RSV of note the only symptoms that will be seen by caregivers may be irritability, decreased __________ and _________difficulties

A

decreased activity

breathing difficulties

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4
Q

Almost all children will have RSV infection by their second birthday so its important when we see those cold like symptoms no matter who the pt is we manage those as best we can at home so managing fever and pain with over the counter medications making sure that we are reminding our patients to drink enough fluids or to give enough fluids to prevent dehydration.

In healthy adults and infants effected with RSV do not usually need to be hospitalized but some people especially older adults and infants younger than _____ months of age maybe…especially if they are having trouble breathing or are dehydrated and in the most severe cases a person might require additional oxygen or IV fluids that’s if they can’t eat or drink enough or incubation meaning they will have a breathing tube inserted through the mouth and down to the airway with mechanical ventilation and machine to help them breathe…in most of these cases hospitalization is only a few days long

A

younger 6 months

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5
Q

People who are infected with RSV are usually contagious for _____ to ______ days and may become contagious a day or two before they start showing signs of illness however some infants and some people with weakened immune systems can continue to spread the virus even after they stop showing the symptoms and for as long as 4 weeks so its important that especially during the fall and winter seasons when we know that there is more likelihood for flu transmission or covid transmission or rsv transmission…

that whenever we are around people we cover our coughs and sneezes because those virus droplets that are in cough and sneezes are what transmit the virus into someone else’s ________and into their nose or ________

A

3 to 8 days

eyes

mouth

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6
Q

We don’t always know who has RSV so its important to limit direct contact especially during those times of the year

A
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7
Q

Children are often times exposed to and then infected with RSV outside of the homes such as in school or _________ centers and its then that they come home and transmit the virus to other members of the family

A

childcare

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8
Q

RSV can survive for many hours on tables or grip rails and it typically lives on soft surfaces such as tissues or hands for shorter amounts of time so keeping our hands washed, doing it regularly and washing for at least ________ seconds at a time especially if we are touching any surfaces that potentially could have the virus on it like a doorknob and then we touch our faces before washing so washing our hands before we are touching ourselves so as we said prevention is always key and as pharmacist this is a big deal for us

A

wash hands for 20 seconds

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9
Q

Currently CDC recommends a single dose of any FDA licensed RSV vaccine for all adults ages 75 and older and adults ages 60-74 who are at increased risk of RSV and those people might be people who fall in categories such as people with certain chronic medical conditions those who are _____ or frail and those living in ________homes

A

elderly

nursing homes

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10
Q

You can tell pts that they can get RSV vaccination at anytime of the year but we are in the window right now where its peak flu, peak COVID, peak RSV season so the best time to vaccinate is right now so late summer to early fall before RSV usually starts to spread in the community…right now its NOT a _______vaccination

A

not a yearly vaccination

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11
Q

RSV is NOT a yearly vaccination so you can tell your patients when they come in that they will get 1 and then they are done…further RSV vaccination is also recommended in pregnancy and it takes place during weeks 32 through 36 and its administered September through January in most parts of the United States

A
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12
Q

________ vaccine is only RSV vaccine recommended during pregnancy

A

Abrysvo

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13
Q

Monoclonal antibody products…provides an _______ layer of defense that helps fight RSV…protection antibodies provide though wanes over time and these products are NOT treatments for a child that already has RSV infection

A

extra

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14
Q

Nirsevimab is preferred by the American academy of pediatrics (AAP) over palivizumab because of its ________,___________, and convenience so there are recommendations for Beyfortus that are given for certain infants and for certain times of the year specifically during or entering RSV season and it is preferred over Palivizumab

A

efficacy, duration

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15
Q

Adults 50 and older are recommended to have any of the RSV vaccines

A
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16
Q

Pharmacists are not providing monoclonal antibodies to that patient population (infants) because of their age

A
17
Q

Focus on pfizer’s abryvso…used in those pregnancy women and its also a good option for older pts that are within the realm that’s its okay for them to get the vaccine, has to be reconstituted and after that its 0.5ml that is given IM to pt. In clinical trials with older adults the most common adverse reaction was fatigue, headache,pain at the injection site and muscle pain,chills

A
18
Q

__________ vaccine it is also one that needs to be reconstituted and its adjuvanted,….shingrix it has an added element the adjuvant in it which enhances the bodies immune response to the vaccine it also makes it that one of the biggest side effects of arexvy is injection site pain same as what we see with shingles…patients also report fatigue, muscle aches, headache, and joint pain as with everyone one of our vaccines side effects are generally temporary and do not last long

A

arexvy

19
Q

Moderna mResvia vaccine and it’s the only one currently that is on the market that can give protection against RSV that is in a _____________ syringe so it does not require reconstitution it’s a single dose .5ml intramuscular prefilled syringe. In clinical trial the most common adverse reactions was injection site pain, fatigue,headache, minor myalgia, arthralgia, axillary swelling or tenderness

A

prefilled

20
Q

All 3 FDA licensed (abrysvo, arexvy, and mresvia) to protect pts against RSV infection. Therefore no matter what you have in stock if you have an individual who is eligible to receive the vaccine you can be safe to give them any one of these one time and our pts will be protected

A