Flashcards in Prevention/Health Promo/Immunization Deck (34)
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1
Goal: preventing the health problem, the
most cost-effective form of healthcare
Primary Prevention
2
Example: immunizations, counseling about
safety, injury and disease prevention
Primary Prevention
3
Goal: detecting disease in early,
asymptomatic, or preclinical state to minimize
its impact
Secondary Prevention
4
Example: screening tests, such as BP check,
mammography, colonoscopy, ASA in hx MI
Secondary Prevention
5
Goal: minimizing negative disease induced
outcomes
Tertiary Prevention
6
Example: in established disease, adjusting
therapy to avoid further target organ damage.
Potentially viewed as a failure of primary
prevention, support groups
Tertiary Prevention
7
Immunize those who can be to protect those
who cannot be immunized
Community (Herd immunity)
8
Resistance developed in response to an
antigen (either infection or vaccine)
Active Immunity
9
Immunity conferred by an antibody produced
in another host (infant of mother or immune
globulin
Passive Immunity
10
What immunizations to avoid if hx of ax reaction to Neomycin?
IPV, MMR, Varicella
11
What immunizations to avoid if hx of ax reaction to Streptomycin, polymyxin, neomycin?
IPV, Smallpox
12
What immunizations to avoid if hx of ax reaction to baker's yeast?
Hep B
13
What immunizations to avoid if hx of ax reaction to gelatin, neomycin?
Varicella Zoster
14
What immunizations to avoid if hx of ax reaction to gelatin?
MMR
15
Live Vaccines Example
MMR, Varicella, Zostavax, Intranasal Flu
16
Live vaccines should not be given to:
Pregnancy, Immunosuppressed and with HIV (CD4 count <200)
17
Do not give rotavirus vaccine to:
SCID (sever combined immunodeficiency)
18
Chronic Hep B causes: (3)
Hepatocellular carcinoma, cirrhosis and cont. infectivity
19
When was childhood Hep B vax made?
1982
20
Hep B doses and spacing:
3 doses, 0, 1, 6 months.
21
What are the 5 A's of smoking cessation?
1. Ask about tobacco use
2. Advise to quit
3. Assess willingness to make a quit
attempt
4. Assist in quit attempt
5. Arrange follow-up
22
When to give PCV13?
All children younger than 2; Adults 65 and older.
23
Pneumococcal vax for adults
PCV13 then 1 year later PPSV23
24
PPSV23 repeated if?
Given before age 65 repeat in five years
25
Smallpox is caused by what virus?
Variola
26
How is smallpox spread?
Droplets. Contagious when pt has fever and/or rash.
27
When did we stop vaccinating for smallpox?
1972
28
Smallpox incubation period
7-17 days
29
Smallpox prodromal stage symptoms
fever, malaise, HA, body aches
30
