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This is caused by a nematode, eggs are ingested or inhaled, and hatchedin the upper intestine, the larvae mature and migrate out of the anus, and lay eggs, causing intense perianal itching, these eggs persist in the indoor enviroment for 2-3 weeks, a tape test 1st thing in the morning to confirm?
At what age can iburofen be given? and for tylenol?
- iburprofen-6 months
- tylenol- at birth
An important defense against infection, extra heat inhibits organism growth, acetaminophen and ibuprofen to treat?
FYI: Potential complications of infectious disease: encephalitis-more common with measels
Pneumonia-rubella, pertussis, and chicken pox
Orchitis-mumps, if contracted during adolescence, and adult hood could cause the male to become steril
This is caused by group A hemolytic streptococci, transmission is by droplet or direct contact, complications of this is carditis, peritonsillar abcess, glomerulonephritis, ususally have high fever, headache, vomiting, and rash on face?
This is caused by Bordetella pertussis, trasmitted by droplet or direct contact, short rapid coughs followed by crowing or whoop sounds (narrowed glottis) this is serious in infants, complication of this is pneumonia (which is usually the cause of death)?
Pertussis (whooping cough)
This is caused by a virus, trasmitted via droplet or direct contact, a fever headache, malaise, followed by parotitis (inflammation of the parotid gland) swelling in front of the ears, pain with chewing and tasting sweet and sour tastes?
This initially is a maculopapular rash that becomes vesicular, rash itches and may cause scarring, is contracted by direct contact and airborn transmission, if lesions are scratched risk for secondary infection occurs, if adults get this they will be sicker than if a child gets it?
This is caused by a virus, can be contracted through secretions (droplet transmission) it is communicable from 4 days before to 5 days after appearence of rash, kopliks spots appear 2 days before rash (spots in buccual mucosa with white centers) Vit A can reduce morbidity and mortality with this illness?
This is caused by the rubella virus, is transmittled by direct contact or indirect contact with infected articals by nasopharyngeal secretions, blood, stool or urine, has a distinct rash, fever, soar throat? how is a pregnant woman effected by this?
- 1. Rubella (german measles)
- 2. it is a known teratogen to fetus, should keep away from affected people if pregnant.
This is caused by Human parvovirus with a rash in 3 stages, slapped face and dissapears in 1-4days, maculopapular rash on extrimities lasting 7+ days, rash disappears but can reappear if skin is irratated by heat, cold, friction, ect? what would happen if a pregnant woman got this illness?
- 1. Erythema infection (fifth disease)
- 2. Fetal death
Is roseola a life threating illness?
What agent causes roseola? what are the signs, and symptoms?
- 1. Human herpes virus type 6
- 2. persistant high fever for 3-4 days, after fever subsides a rash appears on the trunk and then the face and extrimites.
FYI: Scabies treatment is repeated in 14-17 days, all clothing ect.. that is in direct contact with skin should be washed in hot water and in a hot dryer
A parasitic infection of the skin resulting in intensley itching eruptions of the skin, transmission is by direct contact, females burrow into the epidermis and deposit eggs and brown fecal pellets, eggs hatch in 2-4 days releasing larvae which will go to the surface of the skin?
At what age can the deltoid be used for injections?
FYI: National childhood vaccine injury act of 1986 provides comensation if a link between immunization and serious adverse effect is found.
When a person has a serious reaction to a vaccine who does it need to be reported to?
vaccine adverse event reporting (VAERS)
What should be recorded when administering a vaccine?
- the lot number and expiration date
- site used
- route used
- and name of person who gave the vaccine
Written consent must be giving before?
Administration of a vaccine
Serious reactions of anaphylaxis is possible with a vaccine, how should this be treated?
What are some rare reactions to vaccines?
Seziures and persistant crying over 3 hours
What does the HPV vaccine prevent in boys and girls? and when should it be given?
- boys-genital warts
- girls-cervical cancer
- 3 doses starting a 11-12 years old
When is the meningococcal vaccine given? what is the NEW recomendation for high risk people for this vaccine?
- 11-12 years old
- 9 months for high risk infants
Hepitis A is recommended for all children and given at what age? what is the school requirement?
- 12-23 months and booster 6 months following
- not required for public school
When is the varicella vaccine given?
between 12-15 and between 4-6 years
MMR is given when and how? is it required for school?
- between 12015 months and 4-6 years
- IS required for school
Influenza vaccine is recommended for? and starting at what age? what is the school requirment? At what age can a child recieve the intranasla vaccine? what is the difference between the IM or intranasal vaccine?
- 6 months-18 years old
- 2-49 years
- IM-is inactivated
- intranasaly- is live attenuated
When is IPV given? what is it? how is it given? and is it required for school?
- between 2-4 months, 6-18 months, 4-6 years
- inactivated polio virus
- required for school
- Sub Q or IM
When should PCV vaccine be given? what does it prevent? what are the school requirments?
- 2,4,6 months, and 12-15 months
- strepicoccal pneumonia, and otitis media
- required for daycare/preschool but not public school
When should the Hib vaccine be given? does the Hib prevent the flu? What are the school requirments?
- 2,4,6, and 12-15 months
- not required for public school but is required for daycare/preschool.
What do you do if a child is allergic to the pertussis portion of the DTaP?
administer the DT at full strength and pertussis at age 7
What is DTaP? when is it given?
- Diphtheria, Tetanus, and acellular pertussis
- 2,4,6, 15-18, and 4-6 years
What does rotavirus cause and how is this a problem for children?
Diarrhea and causes dehydration that can be dangerous
Rotavirus vaccine is given______ and is given at what ages? is this a required vaccine?
How many doses of Hep B do children get and when? is this a required vaccine?
- 1st is given before hospital discharge, 2and 1-2months, 3ard 6-18months
Do premature infants have the same requirments for immunization?
Can Several vaccines can be given at the same time? Can two injections be given int he same extrimity?
- Yes but in differnt sites
Early symptoms before full manisfestations of disease?
What is a primary prevention of a disease?
Children with immunodeficiency, children recieving steroid therapy, other immune suppressive therapy, generlized malignancies, or immune disorders (HIV) are?
At greater risk for serious complications
how do you control the spread of disease to others?
- keep child away from others and do not allow sharring of cups or food
Nursing assessment in identification of infection?
- -recent exposure to infectious agents
- -prodromal symptoms
- -immuniztion history
- -history of having disease
communicable diseases have decreased or increased? why?
- because of immuniztions and antibiotic/antitoxins
anaphylactic reation to a vaccine or one of its components (eggs, geliten, neomycin). moderate to severe acute illness, and pregnancy (for some vaccines) ummunosupression for the MMR and varicella are all?
can immunizations be given where there was a local reaction to a prior vaccine or a family memeber had and adverse reaction?
can immunizations be given to a child with a minor illness or low grade fever?
A toxin that has been treated to weaken its toxic effects but retain its antigenicity (tetanus)
This kind of vaccine contains the microorganism in a live but attenuated, or weakend state?
This kind of vaccine contains a killed microorganism that is still capable of inducing the boy to form antibodies?
Stimulation of antibody production without causeing disease. an antigen is given so the body produces antibodies?
immunity produced through introduction of specific antibodies to the disease, this type of immunity is not only temp?