N6501 Exam 1 Study Guide Qs
Deciding which vaccine a pt will get depends on HALO: - answer- H: Health Factors:
presence of chronic disease, pregnancy, STDs history, immunosuppression
- A: Age Factors: Adolescents and young adults, age 50 years and older, age 65 years
and older
- L: Lifestyle Factors: Born outside US, men having sex with men, more than 1 sex
partner in 6 months, injection use, international travel
- O: Occupational Factors: College, daycare workers, sanitation workers, prisoner,
nursing home resident
You should not give a live attenuated vaccine to somebody that is: - answer-
immunocompromised (high dose steroids, cancer or chemo, HIV/AIDs, taking
immunosuppressive drugs)
- Pregnant patients
- Should not try to become pregnant until 4 weeks after getting the vaccine
- Pt with moderate to severe acute illness
- You can give the vaccine to somebody with a minor illness, like a cold
General Administration Guidelines for Vaccines - answer- All vaccines used for routine
vaccines can be given at the same time
- If 2 live vaccines are not given simultaneously, the provider must wait at least 4 weeks
before giving the 2nd live vaccine
- Inactive vaccines can be given at any time before or after each other and live vaccines
Who should get the Hepatitis A/B vaccine - answer- Sex partners of infected people
- Health care and public safety workers at risk for occupational exposure
- Travelers to different countries with intermediate/high prevalence of it
- Dialysis pts
- Men who have sex with men
Who should not get the herpes zoster vaccine? - answer- Don't give to pts that have
serious reactions to gelatin, neomycin, or people with weakened immune systems
(prolonged use of high dose steroids, HIV/AIDs, cancer or getting chemo, PREGNANT
pts
- pregnant
, - currently sick
Examples of live attenuated vaccines - answer- herpes zoster
- MMR
Differential Diagnoses for sudden vision loss - answer- Acute angle-closure glaucoma
- Central retinal vessel occlusion
- Iritis or uveitis
- Stroke
- Retinal hemorrhage
- Corneal ulcer
- Giant cell arteritis
Differential diagnoses for gradual vision loss - answer- Amblyopia
- Cataracts
- Corneal opacities
- Primary open-angle glaucoma
- Iritis or uveitis
- Macular degeneration
- Pit tumor
- Retinal detachment
- Vitreous opacities
Viral Conjunctivitis:
- definition, appearance - answerRecent URI or exposure to sick ppl
Appearance:
- Adenoviral conjunctivitis
- Red eye
- Excessive watery discharge
Viral Conjunctivitis:
- length of SS, treatment - answerAcute onset
5-14 days
Treatment:
- Artificial tears
- Cool compresses
Bacterial conjunctivitis:
definition, appearance - answerOvergrowth of normal eye flora or from an infected
person
Appearance:
Thick, purulent discharge
- Worse in AM
Deciding which vaccine a pt will get depends on HALO: - answer- H: Health Factors:
presence of chronic disease, pregnancy, STDs history, immunosuppression
- A: Age Factors: Adolescents and young adults, age 50 years and older, age 65 years
and older
- L: Lifestyle Factors: Born outside US, men having sex with men, more than 1 sex
partner in 6 months, injection use, international travel
- O: Occupational Factors: College, daycare workers, sanitation workers, prisoner,
nursing home resident
You should not give a live attenuated vaccine to somebody that is: - answer-
immunocompromised (high dose steroids, cancer or chemo, HIV/AIDs, taking
immunosuppressive drugs)
- Pregnant patients
- Should not try to become pregnant until 4 weeks after getting the vaccine
- Pt with moderate to severe acute illness
- You can give the vaccine to somebody with a minor illness, like a cold
General Administration Guidelines for Vaccines - answer- All vaccines used for routine
vaccines can be given at the same time
- If 2 live vaccines are not given simultaneously, the provider must wait at least 4 weeks
before giving the 2nd live vaccine
- Inactive vaccines can be given at any time before or after each other and live vaccines
Who should get the Hepatitis A/B vaccine - answer- Sex partners of infected people
- Health care and public safety workers at risk for occupational exposure
- Travelers to different countries with intermediate/high prevalence of it
- Dialysis pts
- Men who have sex with men
Who should not get the herpes zoster vaccine? - answer- Don't give to pts that have
serious reactions to gelatin, neomycin, or people with weakened immune systems
(prolonged use of high dose steroids, HIV/AIDs, cancer or getting chemo, PREGNANT
pts
- pregnant
, - currently sick
Examples of live attenuated vaccines - answer- herpes zoster
- MMR
Differential Diagnoses for sudden vision loss - answer- Acute angle-closure glaucoma
- Central retinal vessel occlusion
- Iritis or uveitis
- Stroke
- Retinal hemorrhage
- Corneal ulcer
- Giant cell arteritis
Differential diagnoses for gradual vision loss - answer- Amblyopia
- Cataracts
- Corneal opacities
- Primary open-angle glaucoma
- Iritis or uveitis
- Macular degeneration
- Pit tumor
- Retinal detachment
- Vitreous opacities
Viral Conjunctivitis:
- definition, appearance - answerRecent URI or exposure to sick ppl
Appearance:
- Adenoviral conjunctivitis
- Red eye
- Excessive watery discharge
Viral Conjunctivitis:
- length of SS, treatment - answerAcute onset
5-14 days
Treatment:
- Artificial tears
- Cool compresses
Bacterial conjunctivitis:
definition, appearance - answerOvergrowth of normal eye flora or from an infected
person
Appearance:
Thick, purulent discharge
- Worse in AM
