March 2025 Flashcards
MMR,
MMR schedule
12-15 mos and 4-6 yrs
Age qual for international travel or outbreak situations.
6+ mos
Low risk exposure adults recommended…
one dose in lifetime or positive measles IgG.
Adults with elevated exposure risk (secondary education institutions, int. travel,…)
two documented doses
measles transmission
air droplets when breathing, coughing, or sneezing.
measles incubation
7-10 days from contact to fever
measles symptoms
fever, cough, coryza, conjunctivitis preceding rash by 2-4 days. Generally 1-3 weeks from exposure.
measles complications
pneumonia, encephalitis, death
infectious contact
In air and on surfaces for up to 2 hours after carrier leaves the room.
PEP
pre-exposure prophylaxis. standard for measles
Care for Measles
no specific antiviral therapy. Mostly supportive care and secondary infection care. Vitamin A (severe cases, hospitalized.)
Vit A use in measles
Retinol. PO 50,000 to 200,000 IU PO qd x2 days
MMR II, Priorix
Live vaccine. no monitoring req. Contraindicated in pregnancy. Use contraception for 4wks in females after administration. Benefit outweighs risk when bf.
Adult 2 dose schedule MMR
4+ weeks apart.
PCMH
Patient Centered Medical Home
CMAC and Proview
video laryngoscopy devices
Overhead Page
1970 at WRSU (1971 at Cibecue), 1972 at both
Urgent threat infections
Carbapenem-resistant Acinetobacter, Candida Auris, C. Diff, Carbapenem-resistant Enterobacteriaceae (CRE), Drug-resistant Gonorrhoeae
Causes of drug resistance
Treating UTIs prior to culture,
ASP
antibiotic stewardship program - fight MDROs
ASP - CDC’s 5 Ds
Correct drug, dose, drug route, duration, timely de-escalation to a targeted antimicrobial.
