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community health nursing > Exam 02 - ONLY STD and IMMUNIZATION > Flashcards

Exam 02 - ONLY STD and IMMUNIZATION Flashcards

1
Q

Two Sources of HIV financial assistance

A

Ryan White HIV/AIDS Treatment Extension Act of 2009

ADAP: AIDS Drug Assistance Porgram

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2
Q

Primary Infection Stage of HIV

A

Mono-like syndrome, may go unrecognised

WBC drop for brief time; increased immune response to initial infection, self limiting illness

S/sx: lymphadenopathy, myalgia, sore throat, lethargy, rash, fever

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3
Q

Second Stage of HIV: Clinical Latency

A

period when body shows no symptoms but gradual deterioration of immune system during incubation period.

Can transmit virus to others

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4
Q

Third Stage of HIV: Symptomatic Disease

A

AIDS is the last stage. Damage from HIV, secondary cancers, or opportunistic organisms

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5
Q

What is AIDS? Diagnosis?

A

disabling or life threatening illness caused by HIV

Dx: CD4 T-lymph count <200 w documented HIV infection

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6
Q

Modes of transmission for HIV (4)

A
  • sexual contact
  • needle sharing
  • perinatal transmission
  • transfusions, organ transplants, semen from HIV positive
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7
Q

Who is HIV reported to?

A

CDC

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8
Q

What are the 2 tests done for HIV

A

HIV antibody test

Enzyme-linked Immunosorbent Assay (screens blood and other donor products)

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9
Q

s/sx HIV in kids

A

failure to thrive
unexplained persistent diarrhea
dev. delays
bact inf such as TB, severe pneumonia

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10
Q

bacterial STDs (3)

A

gonorrhea, syphillis, chlamydia

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11
Q

viral STDs (3)

A

HSV, HIV, HPV

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12
Q

Which STD has the highest risk for PID?

A

Gonorrhea

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13
Q

Chlamydia s/sx

A

Dysuria, urinary frequency, purulent vaginal discharge

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14
Q

Chlamydia neonate s/sx

A

conjuncitivitis and pneumonia

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15
Q

Coinfection STDs

A

gonorrhea and chlamydia

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16
Q

Gonorrhea s/sx

A

Thick, cloudy or bloody discharge from the penis or vagina.
Pain or burning sensation when urinating.
Heavy menstrual bleeding or bleeding between periods.

17
Q

Syphillis s/sx by stages

A

first stage involves a painless sore on the genitals, rectum, or mouth. untreated, goes away in 3-6 wks

second stage is characterized by a rash, lymphadenopathy, mucosal ulceration

latency period

final stage can result in damage to the brain, nerves, eyes, or heart. occurs years later

18
Q

Can you infect others with asymptomatic HSV?

A

yes

19
Q

HSV-1 and HSV-2 s/sx

A

HSV1: blister-like, painful lesions in mouth
HSV2: blister-like, painful lesions on genitals, buttocks, upper thighs

20
Q

HSV lesions and pregnancy

A

C-section recommended if active lesions are present

21
Q

Most common reportable disease in the US

A

Chlamydia

22
Q

HPV s/sx

A

cauliflower-like warts on the genitals or surrounding skin

23
Q

Is there a cure for viral STDs?

A

no

24
Q

Main danger of HPV

A

cervical cancer

25
Q

6 types of vaccines

A

mRNA
Live attenuated
Inactive
Conjugate
Subunit
Toxoid

26
Q

Live vaccines: My Very Rude Sister Yawned

A

MMR
Varicella
Rotavirus
Smallpox
Yellow fever

27
Q

Oral and SQ Vaccines Mnmemonic: Our Rude Sister Made You Vomit

A

Oral: Rotavirus
SQ: MMR, Yellow fever, Varicella

28
Q

What vaccine is given at birth?

A

Hep B and RSV

29
Q

DTAP/TDAP SCHEDULE:

A

In pregnancy, then…
2,4,6,15-18 mo
4-6 yrs
11-12 yrs
adult: Q10yrs

30
Q

Vaccines given at 2,4,6 mo: DIHHPeR

A

DTap
IPV
Hep B
Hib
PCV (Pneumococcal)
Rotavirus

31
Q

Vaccines at 12-15 mo: Harry V Potter, MD

A

Hib
Varicella
PCV
MMR
DTap

32
Q

Vaccines at 4-6 years old: I Did My Vaccines

A

IPV
Dtap
MMR
Varicella

33
Q

Vaccines at 11-12: Tweens Have Money

A

Tdap
HPV
Meningococcal (MCV4)

34
Q

Vaccination for college aged people

A

Bacterial meningitis!

MCV4: 2 doses, 1 at 11-12, 1 at 16
MENB: 1 dose at 19-23

35
Q

Vaccination for odler people

A

RZV (Zoster recombinant - shingles)

36
Q

Contraindications to immunisation

A

Fever >102
Moderate-severe illness
Pregnancy -no live vaccine
Immunosuppressed
Sensitivity to components of the agent
Prior hx of severe allergic reaction

37
Q

Adverse immunisation treatment

A

Generalised s/sx – activate EMS, assess ABC and LOC
Administer epinephrine
CPR if necessary

38
Q

What is the VIS?

A

Vaccination Information Sheet
Must be given to the pt prior to administering vaccine
Document giving it, and in their own language
Consent for vaccination
You may not modify the sheet

community health nursing (4 decks)

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