Schoenwald - Rabies

Question 1

rabies is classified as a __virus

Answer 1

rhabdo

Question 2

rabies is common in __ animals

Answer 2

terestial

animals that walk

Question 3

4 animals that are considered highly rabid

Answer 3

bats

foxes

skunks

raccoons

Question 4

incubation period of rabies

Answer 4

weeks to months

typically 2-4 weeks

Question 5

sx of rabies (4)

Answer 5

flu like prodrome

confusion

fever

hydrophobia

changes in behavior

Question 6

fatality rate of rabies if sx develop

Answer 6

100%

Question 7

preexposure rabies immunization (2)

Answer 7

imovax

OR

rabavert

Question 8

historically, imovax and rabavert were a _ shot series given on days

__

Answer 8

0, 7, 21 or 28

Question 9

new 2022 rec for preexposure rabies is a __ shot series

given on days __

Answer 9

2

0, 7

Question 10

schedule for imovax or rabavert for post exposure

Answer 10

2 immunizations on days: 0 and 3

Question 11

post exposure prophylaxis for rabies for someone who has received pre exposure prophylaxis (ex. vet) includes

Answer 11

2 doses of imovax OR rabavert on days 0 and 3

Question 12

post exposure prophylaxis for someone who has not had pre exposure prophylaxis

Answer 12

HRIG on day 0

PLUS

4 doses of rabies vaccine on days 0, 3, 7, 14

Question 13

human rabies immune globulin is __ immunization

Answer 13

passive

Question 14

what is passive immunization

Answer 14

ready to go abs → works fast

Question 15

dosing for human rabies immune globulin

Answer 15

20 u/kg

Question 16

available doses of human rabies immune globulin

Answer 16

150 units/mL

300 units/mL

Question 17

ex dosing of HRIG for for 82 kg person

Answer 17

82 kg x 20 u = 1,640 mL

1,640 u/150 u/mL = 10.9 u → 11 mL

Question 18

HRIG is most effective if infiltrated at

Answer 18

the bite site

alternately can be given IM

Question 19

when is HRIG given

Answer 19

day 0