Term
| Recommended immunizations for general adult populations |
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Definition
Td booster - every 10 years
Tdap if over 65 with infant < 12 mos
Varicella - 2 doses (0 and 4-8 eeks later)
Zoster - 1 at age 60 regardless
HPV - 3 doses up to 26yoa can start at 9 yoa. before sexually active.
Flu - annually
Fluzone - over 65
Pnumococcus - at or over 65 and every 5 yrs. 1 repeat under 65 |
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Term
| Exceptions to general population rules rules |
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Definition
Hep A - liver and clotting factor concentrates, homos, drug use, primate work
Hep B - renal disease, hemodialysis, HIV infection, health care, promiscutity
MMR booster - born after 1957, exposure risk (travel work)
Meningococcal - asplenia, component deficiencies, college, microbiologists, military |
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Term
| 5 point rating scale for USPSTF screening treatment recommendations |
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Definition
A - high certainty of net benefit substantial, offer or provide.
B - High certainty that net benefit is moderate.
C - may be evidence supporting net benefit. Not a routine recommendation. Offer and provide with other evidence.
D - recommend against. net eficit
I - inconclusive. weigh benefit and harm, |
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Term
| List A rated USPSTF reccomendations |
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Definition
Aspirin - 45-79 men MI 55-79 women Ischemic stroke - 75mg
HTN screening - 18 and older
tabacco screen and counsel esp pregnant
Rh(D) for pregnant women screening
Clamydia - women <24 sexually active non-pregnant
Gonorrhea - prophylactic ocular topical meds in newborn
Hep B - pregnant women 1st prenatal visit
HIV - adolescent and adults increased risk. all pregnant women
Lipid screen - men over 35, women over 45
Cervical screen for sexually active adult
Colon screen - 50-75 fecal blood, sigmoidoscopy, colonoscopy not over 75 |
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Term
| List B level USPSTF reccomendations |
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Definition
AAA screen - Men ultrasound 65-75.
D - for women
Lipid screening - CHD risk and men 20-35, women 20-45
Mammography - 2 yrs 50-74
BRCA screen with family history
Chalmydia - preg < 24
Gonorrhea - sexually active women and men regardless of pregnancy
syphillis - all at increased risk and pregnant women.
type 2 diabetes - > 135/80
osteoporosis - > 65F and >60 with risk (>75kg and diet concerns)
Promote breastfeeding
promote weight loss in obese
screen and counsel alcohol abuse
Iron deficiency anemia screeing in preggos
adult depression screeeing with potential support |
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Term
| List D rated USPSTF recommendations |
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Definition
aspirin - women < 55 men <45
Breast self exam
routine cervix exam over 65 and normal pap smears
Pap smear - with hysterectomy
Colon cancer - over 85
Dietary reccomendation - intensive with hyperlipidemia |
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Term
| Contra indications for vaccination |
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Definition
| Pregnancy or HIV with < 200 CD4 count |
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Term
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Definition
Hep B - 1st year 3 shots
DTaP - 2,4,6 months boost: 1, 4-6, 11-15 years
Polio - 2, 4 months with boost: 6-18mo, 4-6yr inactive
MMR - 12-15 mo, boost 4-6, Live
Varicellar -12-15mo boost 4-6 yrs Live attenutated
Hep A - 12 mo boost 1.5 yr
HIB - 2,4,6mo boost at 12-15 months
Prevnar - 23 and 7 stereotype vaccines
Rota virus vaccine - 2,4,6 mo live oral
Influenza - many options yearly
meningcoccal - 11-12 yoa before college
HPV - 11-12 yoa, boost 2mo an 6mo after |
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Term
| Contraindications for vaccination |
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Definition
| aapylylaxis, encephalopathy after DTapP, immunodeficient with live |
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Term
| Precautions for vaccination |
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Definition
Ig transfusionw ith 3 months
DTaP - fever>40.5C, collapse with vaccine, seizure, crying a lot |
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Term
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Definition
Growth - head, BMI, height, weight(I)
Blood pressure - 3yoa start earlier w/ risk
IDA - screeen <6
lead - with risk
vision - B for younger 5 start at 3
Hearing - B AABR, EOAE
Oral care - I
TB - with risk
lead - all 9mo-6yr with risk others: D to I
Major depression - B with symptoms
STI - after 11 and sexually active A for chlamydia
Cervical dysplasia at - 21 yoa |
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Term
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Definition
metabolic screen - 23 test of newborn
hypothyroid - A
PKU - A
Sickle cell - A
Cardiac screening - recommended
cholesterol and lipids - I |
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