S50(5) Rabies

Question 1

Rabies Incubation period: 20 to 90 days
Range 10 days to 7 years
Route of transmission: bites
Specifically: saliva

Answer 1

True

Question 2

Nonspecific Prodrome
3-4 days before specific symptoms
Pain, paresthesia, numbness at bite site
Nonspecific flu-like symptoms

Answer 2

True

Question 3

Acute Neurologic Symptoms
2- 7 days after prodrome
See other slide

Answer 3

True

Question 4

Period of Paralysis/ Coma
7-10 days after neurologic phase
Prolonged apnea
Generalized flaccid paralysis

Answer 4

True

Question 5

Death
2-3 days after paralysis
Cardiorespiratory arrest

Answer 5

True

Question 6

Prevention
Pre-exposure prophylaxis
Vaccine IM x 3 at days 0, 7, and 21 or 28

Answer 6

True

Question 7

Treatment
No previous vaccine:
Immunoglobulin (Ig) x 1 AND
Vaccine IM x 4 at day 1, 3, 7, and 14

Answer 7

True

Post-exposure prophylaxis
Without PEP mortality can occur within 10 days