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Old 09-13-2011
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Syringe Which vaccine to give?

You see a debilitated 80-year-old woman who requires nursing home placement in the early summer. The general physical examination was unremarkable. She had had no immunizations for many years except for a pneumococcal vaccine 3 years ago when discharged from the hospital after a stay for pneumonia. Appropriate admission orders to the nursing home include which of the following?

A) Influenza vaccine
B) Haemophilus influenzae B immunization
C) Hepatitis B immunization series
D) Pneumococcal revaccination
E) Tetanus-diphtheria toxoid booster
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Old 09-13-2011
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well, not sure it can be influenza vaccine or Td booster, as infuenza is given every year and Td booster every 10 yrs most likely influenza vaccine.
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Old 09-13-2011
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Quote:
Originally Posted by iron View Post
well ,not sure it can be influenza vaccine or Td booster ,as infuenza is given every year n Td booster every 10 yrs most likely influenza vaccine.
I agree with iron.

2 good answers.

What's the correct answer?
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Old 09-13-2011
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Correct answer is E. Tetanus-Diptheria toxoid booster.

A Td (adult tetanus-diphtheria booster) should be given every 10 years. A flu shot should be given in this age group, but at the appropriate time in the fall. There is no recommendation to give the Haemophilus immunization in adults. This patient is not in one of the high-risk categories for hepatitis B (including health care workers, hemodialysis patients, routine recipients of clotting factors, travelers to endemic areas, persons at elevated risk for sexually transmitted diseases, injection drug users, those in institutions for the mentally retarded, and household contacts of hepatitis B carriers) and therefore has no specific indication to receive this series. The pneumococcal vaccine may be given again to higher-risk individuals at least 5 years after the original, and to older adults who received the initial pneumococcal vaccine before age 65.
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Infectious-Diseases, Preventive-Medicine-, Step-2-Questions

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