the professional Flashcards

1
Q

what is immunity?

A

The ability of the human body to protect itself against disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is acquired immunity

A

specific to a certain organism or pathogen

Created an immunological memory, after an initial response to a specific pathogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is innate immunity?

A

Present from Birth

Includes physical barriers, for example the skin, chemical barriers, for example, gastric acid, and phagocytic cells and the complement system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List the two mechanisms for acquiring immunity

A

Active immunity
Passive immunity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is passive immunity?

A

Protection is provided from the transfer of antibodies from immune individuals

Across the placenta

More rarely, transfusion of blood or blood products containing immunoglobulins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is active immunity?

A

Protection provided by the bodies own immune response

usually long lasting

Can be acquired through natural disease or by vaccination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the definition of vaccination?

A

The act of introducing a vaccine into the body to produce an immune response to a specific disease

A product that stimulates a persons immune system to produce immunity to a specific disease, protecting that person from the disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what do vaccines prevent the risk of?

A

Vaccines generally provide immunity that is similar provided by the natural infection. But without the rest from the disease or it’s complications.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how do vaccines produce their protective affect?

A

inducing, active immunity
Providing immunological memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can vaccines be made from?

A

inactivated killed organisms

Attenuated live organisms [MMR]

Secreted products [tetanus]

Recombinant components [hepatitis B]

The constituents of cell walls. [Pneumococcal vaccine.]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tell me about failure in vaccines

A

no vaccine is 100% effective, small proportion of individuals get infected despite vaccination

Primary failure, when an individual fails to make an initial immunological response to the vaccine

Secondary failure, where an individual response initially, but then the protection Wayne’s overtime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tell me about vaccine side effects [vaccine induced adverse events, following immunization.]

A

Pain, swelling, redness, episodes of injection

Local adverse reactions

Systemic adverse reactions, for example, fever

Anaphylaxis, whether onset is almost immediate, and potentially fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

tell me about population immunity

A

The primary am a vaccination is to protect the individual who received the vaccine, but vaccinated. Individuals are also less likely to be a source of infection to others.

Reduces the risk of unvaccinated individuals being exposed to infection so individuals who cannot be vaccinated still benefit from routine vaccination program

This concept is called , heard immunity

When vaccine coverage is high enough to induce, high levels of population immunity, infections may even be eliminated from a country

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the economic benefit of a vaccination?

A

vaccines offer a significant return on investment

Many vaccines will offer a society, a net financial benefit [from the reduction of healthcare expenditure, increases in productivity] more than 10 times higher than the cost of the vaccination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

tell me about vaccination policy in the UK

A

In the UK, there are no mandatory vaccinations

In other countries for example Brazil, there is widespread mandatory vaccination

And some countries, for example America, while they’re in a mandatory vaccinations, 50 states require children to be vaccinated in order for them to access public school

Some other countries require individuals to be vaccinated in order to be eligible for welfare payments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tell me about some vaccines included in UK immunization schedule

A

diphtheria

Hepatitis B

HPV

Influenza

Measles

MMR

Polio

Rotavirus

Shingles

Tetanus

17
Q

What is vaccine hesitancy?

A

The reluctance or refusal to vaccinate despite the availability of vaccines

It is one of the world health organization’s top 10 threats to global health in 2019

It’s encompasses:
Outright refusal to vaccinate
Delay vaccines
Accepting vaccines, but remaining uncertain about that use
Using certain vaccines, but not others

18
Q

what are the causes of vaccine hesitancy?

A

Diseases that we vaccinate against also rare, that people may not understand how serious they are. Some diseases are so common that this generates complacency, some patients asserts that influenza presents no danger.

Success of vaccination: the absence of disease brought about by vaccination, makes vaccination unnecessary and fosters complacency

un Naturalness of vaccination: some anti-vaccinationists claim that it is more natural to develop immunity from the disease itself

19
Q

Tell me about some common objections to vaccination

A

objection on religious grounds

Mandatory vaccination is an infringement of individual liberty

Faxing overload, the idea that’s giving many vaccines that wants me overwhelm an infants immune system

Rights of parents versus the rights of children

20
Q

Tell me about a loss of public confidence in vaccination

A

Measles, mumps, and rubella vaccine linked to autism

dr. Andrew Wakefield a consultant gastroenterologist at the Royal Hospital hospital in London dismissed assurances over the safety and compliance of the combined MMR jab

He confirmed research fraud
12. Children and his study had been manipulated to fit Wakefield pre-specified conclusion. Children have been paid 5 pound each for blood samples.

Wider fraud: Wakefield planned to profit from making diagnostic testing kits, he had also filed a patent for a single measles vaccine

He was dropped off the medical register by the GMC in May 2010

21
Q

is there a link between the MMR vaccine and autism?

A

No

22
Q

what causes errors in pediatrics and neonates

A

Off license prescribing

Individualized dosing on calculations

Different medication formulations

Communication with children and parents

Experience working with children

23
Q

which medicines are most involved in prescribing errors for children and neonates

A

antimicrobials
Paracetamol
Intravenous fluids
Parental nutrition
Opiates
Corticosteroids
Nonsteroidal, anti-inflammatory drugs
Benzodiazepines
Anticonvulsants
Insulin

24
Q

how do we prevent making errors when prescribing for children and neonates

A

right, patient, right indication, right to drug, right dose, right timing, right route

Make sure the professionals and patient/parents are absolutely clear about intentions by screening

If unsure about the calculation, ask for double check

If you’re doing a check, do so independently and away from distractions

Do not be afraid to challenge others

25
Q

What does water distribution in children compared to adults mean?

A

neonates have a significantly higher proportion of extra cellular water than children or adults

this means that a water-soluble drug like gentamicin will be distributed more extensively in this fluid

If the drug is distributed into extra cellular water, but it is not active, not able to have an effect. As such it is inactive.

This means that neonates, in particular I have a higher percentage volume of distribution, but lower Renal clearance, which explains the difference is dosing and frequency of dosing.

26
Q

What is a side effect of ramipril

A

Ramipril dosing should be given at nighttime for the first few days as it can cause, potential hypotension, and this could be why a side effect is feeling dizzy

27
Q

what are some signs and symptoms associated with high T3 and low TSH

A

palpitation
Diarrhea and vomiting
Dryness and coarsening of the skin and hair
goitre
Heat intolerance

Weight loss
Tachycardia

28
Q

What indicates hypothyroidism?

A

low T3/T4 high TSH

29
Q

what indicates hyperthyroidism

A

high T3/T4 and low TSH

30
Q

What is a thyroid storm?

A

A medical emergency
Usually undiagnosed
Overacted, hyperthyroidism

usually presents after infection, trAUmA, child, bath, and surgery

Symptoms of a thyroid storm include:

Tachycardia
High fever above 38°C
Diarrhea and vomiting
Jaundice
Severe agitation and confusion
Loss of consciousness