well adult Flashcards
screening recs for type 2 diabetes
when to begin: adults w/ sustained BP 135/80
interval: 1-3 yrs
screening recs for hyperlipidemia
men 35 and older
women 45 and older
interval: every 5 years (more often if close to needing therapy and less often if lipid levels low)
breast cancer screening
begin to end: 50-74
interval: every 2 years
cervical cancer screening-when it ends? and interval?
age 65 if three consecutive negatives
interval: at least every 3 years (ACOD and ACS recommend annual)
chlamydia screening
all sexually active women under 25
asymptomatic women at increased risk for infec
interval: routine w/ pelvic exam until 25 and also in women >25 at increased risk, in pregnancy
osteoporosis screening
age 65, or age 60 if high risk
interval: minimum 2 years for measuring BMD. longer intervals are ok for screening
TdaP booster given every
10 years
if wound present and over 5 years since last dose, then give booster
when is MMR given
if born after 1956 health care personnel travelers HIV without severe immunosuppression entering college
2nd dose recommended for health care workers, travelers, college students
varicella vaccine is given when
US born infants since 1980
high risk individuals
absence of reliable hx of dis or evidence of immunity
influenza vaccine indication
all pts greater than 6 mos of age
pneumococcal polysaccharide vaccine indications
65 yrs and older cigarette smokers chronic disease Alaskin natives/American Indian residents of nursing homes
zoster vaccine indication
adults >60
when to screen for diabetes?
sustained BP>135/80
overweight or obese age>45
250, hx of cardiovascular dis, women w hx GDM or delivering baby over 9 lb, PCOS, impaired glucose tolerance on previous testing)
