Tx of LRTI II Flashcards

1
Q

What are the properties of Baricitinib?

A

Janus kinase inhibitor that has anti-inflammatory
properties.

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2
Q

What are the indications of Baricitinib?

A

Registered for the treatment of several dermatological conditions and
rheumatoid arthritis.

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3
Q

How does Baricitinib treat COVID-19?

A

It reduces levels
of multiple cytokines associated with the pathophysiology of COVID-19
disease, as well as having anti-viral activity.

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4
Q

How do viral vector vaccines work?

A

Use replication-deficient viruses engineered to express the genetic
sequence of the antigen of interest in host cells.
* Recombinant, replication-incompetent human adenovirus serotype
26 vector encoding a full-length, stabilized SARS-CoV-2 S protein
(Ad26.CoV2.S; Johnson & Johnson)
* Single dose (+ booster after at least 2 months)

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5
Q

How do mRNA vaccines work?

A

Lipid nanoparticles are used to protect the prefusion-stabilized S protein–encoding mRNA en route to the intracellular space.
* The host uses nucleoside-modified mRNA to make the target spike glycoprotein (full length S-protein with proline substitutions), which
induces a coordinated immune response. (Pfizer-BioNTech)

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6
Q

How many doses are needed for the covid-19 mRNA vaccines?

A

2 doses at least 3 weeks apart (+ booster after at least 6 months)

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7
Q

How many doses are needed for the Inactivated antigen vaccines

A

2 doses at least 2-4 weeks apart

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8
Q

What are the common side effects of covid vaccines?

A

Rarely anaphylaxis (within minutes to hours)
* Myocarditis & pericarditis after mRNA vaccination
* Rare form of blood clots (between 4 days and 3 weeks)

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9
Q

Vaccine cautions (3)

A

Thrombocytopenia
* Bleeding disorders
* On coagulation therapy

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