Unit 13-health promotion Flashcards

1
Q

What is active immunization?

A

Administration of all or part of microorganism or modified product of microorganism to evoke immune response. No threat to recipient.

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2
Q

What is passive immunity?

A

those already exposed to infectious agents-administration of preformed antibody

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3
Q

What patients need special consideration in vaccinating?

A

pre term infants, immunocompromised, HIV infection, lack spleen, person or family history of seizures

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4
Q

What is one of the only groups that receives primary varicella vaccination?

A

children with ALL in remission

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5
Q

What vaccinations can cause seizures in infants w/ h/o or family h/o seizures?

A

DTaP and MMR

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6
Q

Children taking what med should not receive vaccines?

A

corticosteroids

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7
Q

What groups are at risk for influenza related complications?

A

over 50 y/o, children 6-23 months, pulmonary disease, second or third trimaster

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8
Q

When is chemoprophylaxis used for influenza? What are examples?

A

within 2 days of symptoms onset. Tamilflu, Symmetryl

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9
Q

what are contraindications to vaccinating?

A

allergic reaction to egg related antigens, mercury sensitivity, febrile illness

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10
Q

What is a commonly used system to test level of dependence on nicotine?

A

Fagerstom tolerance test

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11
Q

What is the normal dosing for buproprion for smoking cessation?

A

150mg qd x3 days, then 150 bid x7-12 weeks

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12
Q

what is normal dosing for chantix?

A

0.5mg qd x3 days, then 0.5mg bid x4 days, then 1mg bid x12-24weeks.

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13
Q

how long are nicotine patches left on?

A

16-24 hours

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14
Q

In what instance is tingling normal w/ nicotine patches? When is it NOT normal?

A

for first minute it is normal. If it persists >4 days, call doctor

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15
Q

What are common doses of nicotine gum?

A

2mg and 4mg

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16
Q

When is 4mg gum used?

A

h/o withdrawal, >25 cigarettes daily, if 2mg fails, or if patient requests

17
Q

Why is wellbutrin not recommended in doses over 300mg/day?

A

seizure risk

18
Q

How long doe sit take wellbutrin to reach steady state in bloodstream?

A

one week (so make quit date during second week)

19
Q

In what patients is dosing change required for Chantix?

A

renal insufficiency (GFR <30)

20
Q

What should body fat percentage be fore men and women?

A

Men: <30%

21
Q

what is first line therapy for a weight loss drug?

A

orlistat (Xenical)