Unit 4 Test Flashcards

1
Q

inflammation of the liver, highly contagious and affect livers ability to function is what disease

A

Hep A

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2
Q

how can you catch Hep A

A

contaminated food or water, raw selfish, polluted with sewage, or sexual intercourse with the infected

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3
Q

what are symptoms of Hep A

A

fatigue, nausea, vomiting, abd pain, clay covered BM

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4
Q

most cases are mild and most people who are infected recover completely with little to no liver damage

A

Hep A

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5
Q

who should not get the Hep A vaccine

A

anyone with severe allergy to any component of vaccine

if you have had any kind of ADR to any liver meds in the past

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6
Q

what are 5 teachings about Hep A vaccine

A
  • teach pt that Hep A is a disease that does not cause long term liver damage and it does not become chronic
  • if untreated, disease complications can be liver failure, arthralgia, kidney, pancreatic and blood disorders
  • teach that since Hep A is a infectious blood disorder they have to inform previous partners and we have to report to CDC
  • if pt thinks they have it they need blood cultures but no specific treatment so far (Body clears virus on its own)
  • be sure to stay away form anything that could irritate the liver, such as alcohol, drugs
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7
Q

the 2 formulas for Hep A (Havrix and Vaqta) can be administered at

A

12-23 mos and 19 years and older

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8
Q

if Hep A is being given to the adult what should the given doses be

A

2 doses of 1.0 mL

after first one wait 6-12 months for the next

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9
Q

If Hep A is being given to child what should the given doses be

A

2 doses of 0.5 mL

after first one wait 6-12 months for the next one

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10
Q

for Hep A vaccine if you had it as a child do you need to get it again?

A

no

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11
Q

inflammation of the liver, can become chronic, increased risk of developing liver failure, liver cancer, or cirrhosis that could have been caught by sexual contact, sharing of needles/needlesticks, and mother to child

A

Hep B

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12
Q

what are symptoms of Hep B

A

flue like illness with loss of appetite, fever, tiredness, weakness, jaundice, and joint pain

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13
Q

what happens if you have had Hep B before

A

can not get it again but carry the virus

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14
Q

what are teachings of the Hep B vaccine

A
  • need to report to CDC since its a contagious blood disease
  • tests should include blood cultures and liver biopsy
  • treatments are antiviral meds or worse a liver transplant
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15
Q

When should you get the Hep B vaccine

A

1st dose at birth
2nd dose at 1-2 months
3rd dose 6-18 months

and if you are going into the healthcare field

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16
Q

what are differences between Hep A and Hep B vaccines

A
  • Hep A is recommended while Hep B is required
  • Hep B is more severe and cause damage
  • Hep A is not chronic but Hep B can become chronic
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17
Q

the most common sexually transmitted virus in the U.S.

A

human papillomavirus

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18
Q

most infections are asymptomatic and go away naturally

A

human papillomavirus

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19
Q

what can HPV cause in women

A

cervical cancer

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20
Q

cervical cancer is the ___ leading cause of cancer deaths among women

A

2nd

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21
Q

is there a cure for HPV

A

no

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22
Q

who should not get the HPV vaccine

A
  • pregnant women
  • anyone with a life threatening allergic reaction to any component of HPV
  • Gardasil (allergies to yeast)
  • Cervarix (allergies to latex)
  • anyone with moderate to severe illness should wait until healthier
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23
Q

why should a person get vaccinated for HPV

A
  • prevents most causes of cervical cancer in females
  • long lasting effects form vaccine
  • regular Pap tests are recommended
  • can prevent genital warts, some vaginal, vulvar and rectal cancers
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24
Q

what are the 2 different vaccines for HPV and what is the difference

A

Gardasil and Cervarix

gardasil is for men and women while cervarix is only for women

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25
Q

what are the ages for Gardasil Vaccine

A

M/F 9-12yrs of age (before sexual contact)

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26
Q

what are the ages for cervarix Vaccine

A

F only 9-12yrs of age (before sexual contact)

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27
Q

what are the doses for HPV vaccines

A

1st dose= now
2nd dose= 1-2 mo after initial
3rd dose= 6 mo after initial dose

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28
Q

what are the severe side effects of HPV vaccine

A
  • severe allergic reaction
  • very high fever over 102
  • behavioral changes
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29
Q

serious painful spasms and stiffness of all muscles, including lockjaw, difficulty swallowing or breathing, fever and disease complications can lead to breathing problems, broken bones and death

A

tetanus

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30
Q

prolonged cold symptoms like a cough and runny nose that leads to violent coughing or choking making it hard to breath, eat, drink disease complications are rib fractures, pneumonia or death

A

pertussis

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31
Q

causes a thick covering in the back of the throat. can lead to difficulty breathing, heart failure, paralysis and even death

A

diphtheria

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32
Q

bacterial, enters body from open cuts and wounds

A

tetanus

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33
Q

bacterial and spread person to person

A

pertussis and diphtheria

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34
Q

what disease does TDap vaccine prevent

A

Tetanus, pertussis, diphtheria

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35
Q

who should not get TDap vaccine

A
  • severe allergic reaction after previous dose or to vaccine component
  • NO CHILDREN under 11 years should get it
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36
Q

before this vaccine was available, diphtheria was one of the most common causes of illness and death among children

A

TDap

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37
Q

what is the TDap age schedule

A
  • given at age 11 then every 10 years after
  • women should get while pregnant to protect baby
  • also can be given after serious cut or burn to prevent tetanus prevention
38
Q

what vaccine is for tetanus, diphtheria, and ACELLULAR pertussis

A

Dtap

39
Q

contains purified components of pertussis, such as inactive pertussis toxins either alone in a combination with other pertussis components

A

acellular pertussis

40
Q

who should NOT get Dtap

A
  • severe allergic reactions to component

- Gillian Barrie syndrome within 6 weeks after tetanus taxed containing vaccine

41
Q

what is the schedule for Dtap vaccines

A
1st dose= at 2mo
2nd dose= at 4 mo
3rd dose= at 6mo
4th dose= in-between 15-18 mo
5th dose= between 4-6 years old
42
Q

what is the difference between Tdap and Dtap

A

Tdap is not for children

43
Q

contagious viral infection of the respiratory passages that spread around the U.S. every year

A

Influenza

44
Q

how is the flu spread

A

coughing, sneezing and close encounter

45
Q

what are symptoms of the flu

A

fever, cough, runny nose, body aches, sore throat, fatigue, pneumonia, vomitting

46
Q

what are the two types of influenza vaccine

A
influenza inactivated (recombinant)
influenza live (intranasal)
47
Q

why should you get the flu vaccine

A
  • from getting the flu
  • make flu less severe if caught
  • keep from spreading the flu to your family
48
Q

when do antibodies form for the flu

A

2 weeks after vaccine

49
Q

the seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the

A

upcoming season

50
Q

the recombinant

A

does not have eggs in it or a live virus

51
Q

the inactivated

A

is made with the inactivated virus

52
Q

who should not get inactivated/recombinant vaccine for the flu

A
  • severe allergies to vaccine

- Guillain Barre syndrome

53
Q

the live intranasal flu vaccine contains

A

live WEAKENED virus

54
Q

who should not get the intranasal live flu vaccine

A
  • allergies to eggs or any allergic reactions to influenza vaccine
  • Guillain Barre syndrome
  • long term heart, breathing, kidney or nervous system problems
  • pregnant
  • weakened immune system
55
Q

what is the schedule for influenza vaccine

A

children 6 mo through 8 years require 2 doses
1st dose= immediately
2nd dose= 28 days after initial
after that it should be given yearly

56
Q

infectious disease that lives in the throat and intestinal tract

A

Polio

57
Q

polio is most often spread through

A

person to person contact with infectious stool, and can be spread through oral and nasal excretions as well

58
Q

before the polio vaccine what was common

A

paralysis, permanent disability and even death

59
Q

what are the 2 different polio vaccines

A

IPV (inactivated polio virus) injection

OPV (oral polio virus)weakened version of virus

60
Q

what is the schedule to receive Polio Vaccines

A

4 does of IPV

2,4, and 6-18 mo then a booster between 4-6 years of age

61
Q

who should not get the polio vaccine

A
  • severe allergies
  • if person is sick before getting vaccine
  • OPV can not be given to pregnant women but IPV can
62
Q

what are some teachings of polio vaccine

A
  • fainting after procedure
  • severe shoulder pain from injection
  • signs such as high fever, swelling in face, dizziness, weakness
63
Q

virus that causes diarrhea, mostly in babies and young children

A

rotavirus

64
Q

how is rotavirus spread

A

daycare facilities, transmitted through stool of an infected child

65
Q

who should not get the rotavirus vaccine

A
  • baby with allergic reactions to a dose or severe allergies to any part of rotavirus vaccine
  • babies with severe combined immunodeficiency
  • babies who have had any type of bowel blockage called intussusception
  • babies who are moderate to severely ill should wait to receive
66
Q

pt education for rotavirus vaccine

A
  • teaching to parent
  • oral vaccine is sweet
  • vaccien spread through stool so could have mild diarrhea or vomitting after vaccine
67
Q

what is the schedule for rotavirus vaccine 2 series

A

administered at 2 and 4 months

68
Q

what is the schedule for rotavirus vaccine 3 series

A

administered at 2,4 and 6 months

69
Q

for rotavirus vaccine your child must get the first dose before ___ weeks of age and the last dose by __ months

A

15 weeks; 8 months

70
Q

contagious disease caused by varicella-zoster virus; usually fever, tiredness, loss of appetite, blisters all over body (5-7 days)

A

chicken pox

71
Q

painful rash on the side of the face and body, blisters then scabs; headache fever, chills and upset stomach if severe could last for months or years

A

shingles

72
Q

who should not get the chicken pox and shingles vaccine

A
  • pregnant
  • weakened immune system
  • HIV
  • allergic reactions
  • allergic to gelatin
  • if on steroids
73
Q

what are pt teaching for chicken pox and shingles vaccine

A
  • can prevent these diseases
  • if given vaccine as child can wear off with time
  • spread through person to person
  • if has shingles keep it covered and don’t scratch, wash hands often
  • if has either of the virus stay away from pregnant women
74
Q

what are the schedules for the chicken pox vaccine

A

1st does= 12- 15 months
2nd dose= 4-6 years old

if haven’t gotten one by age 13 you need 2 doses atlas 28 days apart

75
Q

what is the schedule for shingles vaccine

A

isn’t given until age 60 even if the pt has already had shingles

76
Q

infection of the lungs that cause milk to severe illness in people of all ages

A

Pneumonia PCV13

77
Q

is a streptococcus pneumonia bacteria that causes ear infections, sinus infections, meningitis (infection of the covering around the brain and spinal cord) and bacteremia (infection in the blood stream)

A

pneumococcus (PPSV23)

78
Q

who should not get the PCV13 vaccine

A
  • severe allergic reactions to previous vaccine

- if person is not feeling well should probably wait until healthy

79
Q

who should not get the PPSV23 vaccine

A
  • anyone with severe allergic reaction to previous vaccine
  • CHILDREN LESS THAN 2 YEARS OF AGE
  • anyone moderately or severely ill should wait until healthy
  • as a precaution pregnant women should not take it
80
Q

what are teachings for pneumococcal bacteria and pneumonia

A

spread from person to person by direct contact

  • many people especially children have the bacteria in their nose and throat without being ill
  • daycares, schools and LTCF are at higher risk for pneumococcal disease
  • need to get flu shot if not it increases the chance of getting it
81
Q

what is the schedule for PCV13 vaccine

A

4 doses
2,4,6 and 12-15 months old

if older than 65 and no shot given in lifetime dose PCV13 then given PPSV23 12 months apart

82
Q

what is the schedule for PPSV23 vaccine

A

recommended for all adults 65 years or older if ages 2-65 and have a major illness they need this vaccine as well

83
Q

what is the vaccination against measles, mumps and rubella

A

MMR vaccine

84
Q

who should not get MMR Vaccine

A
  • anyone with allergic reactions to neomycin
  • allergic reactions to previous dose of MMR
  • sick people at time of injection
  • PREGNANT WOMEN
85
Q

pt teachings for MMR vaccine

A
  • injected subQ

- may develop fever, rash

86
Q

what is the schedule for MMR vaccine

A

2 dose series
1st dose= between 12-15 months
2nd dose= between ages 4-6

87
Q

what disease is caused by the bacteria Neisseria meningitides which is the leading cause of bacterial meningitis

A

Meningococcal

88
Q

can cause limb loss through amputation, hearing loss, problems with the nervous system, seizures, mental retardation and strokes

A

meningitis

89
Q

who should not get the meningococcal vaccine

A
  • allergic reactions to any part of the vaccine
  • Pregnant women
  • severely ill
  • Guillain Barre syndrome
90
Q

pt teaching for meningococcal vaccine

A
  • children traveling to other countries

- severe shoulder pain

91
Q

what is the schedule for meningococcal vaccine

A

age 11-12 a single dose of Menactro or Menveo
booster at age 16
16-18 can be vaccinated with Bexsero or Trumenba
65 and older