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NRNP 6550 MIDTERM EXAM
Vaccinations and immunosuppression. 2 keypoints
- give inactive agents instead of live agents
- might not work as effectively
Live virus vaccine types
- Virus:
- measles
- mumps
- polio (oral)
- rubella
- varicella
- yellow fever
- herpes zoster
Bacteria:
- typhoid
Inactive vaccine virus
- Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
- pneumococcus
- tetanus
Immunization recommendation influenza
- all ages, all types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy and weakened immune system
- 1 dose Tdap
- no varicella, zoster, MMR
HIV and vaccinations
- Give inactive agents when CD4 count is greater than 200 cells/ mm3
Health screening 18 - 45 years
- BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL greater than 200 or HDL lower than 40)
- annual breast exam, females
- Pap-smear annually
Health screening 45 and up
- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
Top 5 leading causes of death