Review - Study Guide
1. know INR target for stroke/afib
a. (INR) target of 2.0 to 3.0 for preventing ischemic stroke in atrial fibrillation.
2. who can get hep B vaccine
a. The current recommendations for childhood immunizations include
administering the three-dose HBV series to newborns or at age 11 to 12
years to children not previously vaccinated. The series can be started at any
age, although it is recommended that preterm infants be at least 1 month of
age before starting HPV series
b. Vaccination with HBV is recommended for all ages, particularly patients at
high risk of contracting hepatitis B. Those at high risk include IV drug users,
infants born to mothers who are HbsAg-positive, hemodialysis patients,
sexually active people with multiple partners, incarcerated people,
international travelers, household contacts of hepatitis B carriers, and
sexual contacts of hepatitis B carriers. Patients who are getting tattoos or
who share razors, toothbrushes, or body-piercing jewelry are also at risk of
contracting hepatitis B. Health-care workers, daycare staff, and other people
who may have exposure to body fluids also have a greater risk of
contracting hepatitis B. Patients with diabetes are at increased risk of
contracting HBV and it is recommended they receive the HBV series
3. who can get tuberculin screening
a. Targeted screening for TB is usually based on the patient's presenting with
an identified risk factor. In some areas of the country, routine TB testing is
part of all health maintenance visits because of an increased incidence of TB
in the area.
b. Patients identified as being at risk are those with compromised immune
systems (e.g., HIV-positive or undergoing immunosuppressive therapy or
prolonged adrenocorticosteroid therapy), close contacts of patients with
newly diagnosed infectious TB, injection drug users known to be HIV
seronegative, foreign-born persons from high-prevalence countries,
medically underserved low-income populations, and residents and staff of
long-term-care facilities or prisons. All health-care providers should be
screened routinely.