vaccine Flashcards
exemptions in oregon
medical and religious exemptions
our jobs with vaccine
educate and suport parents in making their own safe choice.
rist/benefit
information statement
mild local vaccine reaction treatment
ice pack
benadryl
arnica, ledum, thuja,
viral exanthem
any eruptuon of the skin accompanied by inflammation such as measles, scarlet fever, rubella, dukes disease, parvo B19
measles/rubeola
paramyxovirus spread by droplets/contageous
Koplik spots: difinitive
fever, hacking cough, conjunctivitis
cutaneous rash: maculopapular, confluent and irrectular, possible petechial with mild desquamination.
From top of head down the body.
Dx of measles
Koplik’s spots, c
coryza with photophobia
management of measles.
avoid secondary infections
risks of OM and penumonia.
Rubella/german measles
1-5 days of malaiseand LA followed by rash that begins on face and neck and moves down body,
rash gone in 3 days. macular to pinpoint.
dx of Rubella
No Kopliks spots: not measles
No sore throat: not scarlet fever
rubella antibodies
Dangers of rubella
that a pregnant woman will contact rubella causing sever to fatal birthdefects if infected 1st trimeter.
- deaf, cataracts, heart defect, microcephalus
roseola infantum
infants and children under 4., contagenous
abrupt onset high fever 103-5, for 3-5 days, dissapears then rash develops.
maculopapular starts trunk.
some parents may not notice rash its gone so quick.
not bad sick.
fifths disease: erythema infectinosum
parvo B19
low grade fever,
slapped cheek rash that may spread into symmetric maculopapular rash on extremities and trunk.
arthralgias.
dangers with fifths disease
during pregnancy can cause fetal death
varicella/chicken pox and zoster
winter spring
vesicular rash, macules to papules to vesicles that then crust, then more rash.
trunk most common.
Dx of varicella
lesion appearance and the appearing in crops behavior.
why is varicella a concern
can rarely lead to death, then can lead to penumonia, encephalitis and birth defects if pregnant mother is infected.
100 adults and children (50/50) died each year from chicken pox. out of 3.5 million.
coxzckie virus/enterovirus
Late summer/ early fall
hand food and mouth: rash palms soles mouth ucers
herpangina: pain in neck, vimit, gray spots on buccal mucosa, ucleration, sore throat.
treatment for herpangina
mouthwashes, clove, maalox,
what should you tell all parents who’s kids have herpangina
its not herpes.
whooping cough/pertussus
paroxysmal cough that has high pitched inspiratio nat ient.
constant cough no fever, thick mucus, vomiting
1-3 mos
complicaitons of whooping cough
secondary infection./pneumonia, asphysication
diptheria
tussue necrosis, pseudomembraine, edema,
toxin can damage heart, nerves and kidenys.
ssx of diptheria
rhinorhea that becomes bloody then mucopurulen, anorexia maliase, pharangitis, membrain,
management of diptheria
diptheria antitoxin
tetanus
clostridium tetani
tetanus sx
exotoxin, following deep wound, causing jaw stiffness, muscle tetany, spasm
Managment tetanus
get vaccine,
Tetanus immune globulin, antibiotics and hospital care.
Mumps
viral infection causing swelling of parotid and salivary glands, can cause infertility by affecting testicle/oophoritis
1-2 weeks
When does one get mumps,
uncommon under two. lifetime immunity if you get it.
gland swelling, pain on chewing and swallowing, fever 1-3 days.
dx of mumps:
if uncomplicated just clinical,
see if sour foods increase poin.
treatment mumps
avoid food that encourages salivaion,
parotidinum: homeopathic
mumps complications
oophoritis, meningoencephalitis: aseptic meningitis encephalitis pancreatitis other gland involvment possible
mono ssx
fever, fatigue pharyngitis, LA
prolongued fatigue and malise
splenomegaly 50%
dx mono
CBC with diff: atypical lymphocytes
monospot of antibodies, repeat if negative in 7 days
management of mono
supportive care,
steroids if LA threatens airway obstrucion
complications of mono
strep pharyngitis
splenic rupture
airway rupture
dehydration
Hepatitis B vaccine
recommend for those with HEP B positive mthers so that they don’t develop chronic infection.
Hemophilus influenza type B
85% of cases before 5, 5% mortality, 20% neuro swquele
polio vaccine
Before travel after 1 year,
1 in 1000 who get polio get paralytic
Pneumococcal
for strep pneumoniae, most common cause of meningitis,
