FNP Leik System Review (Answered 2022) Over 900 Questions And Answers, Verified Solution
FNP Leik System Review 1,000 terms Sensitivity (SNOUT) Negative results rules out the disease. Specificity (SPIN) Positive results rules in the disease. Primary Prevention Prevent the disease in its entirety. Examples include healthy diet, exercise, safety (helmets/seatbelts), immunizations, and job safety Secondary Prevention Early detection of a disease. Examples include screening tests Tertiary Prevention Rehabilitation of a disease. Examples include support groups, education for pts with pre-existing disease, drug side effect safety, medical equipment safety, any type of rehab like PT or OT Breast Cancer Screening Guidelines (USPSTF) Onset = 50yo. Biannual. Stop at age 74yo. No SBE. Breast Cancer Screening Guidelines (ACA) Onset = 40yo. Annual. No stop age. Cervical cancer screening guidelines Onset=21yo (immunocompromised individuals start at onset of sexual activity). Every 3 years Pap w/ no HPV test until 30yo. Pap and HPV test after 30 yo and can begin screening every 5 years. Stop at age 65yo. Complete hysterectomy means no Pap unless pt has history of cervical cancer or high grade lesion. Colorectal cancer Onset 50yo. 1) colonoscopy q 10 years if wnl, 2) sigmoidoscopy q 5 years if wnl, 3) annual FOBT with 3 stool samples. Stop age 75 yo. Prostate cancer USPSTF does not recommend screening with PSA but it based on individual pt. Lipid screening Onset 18-35/45yo screen if at increased risk of heart disease. Males 35yo and Females 45yo Flu vaccine LAIV - Live virus can only be given to healthy non-pregnant 2 -49 yo w/o recent hx of asthma (Peds). Cautioned or C/I in pts with egg, gentamicin or gelatin allergy and kids receiving aspirin therapy (Reye's syndrome). TIV (trivalent inactivated vaccine) is approved for 6months. Tetanus vaccine Q 10 years. Booster for dirty wounds if last TDAP/Td is 5 years old. 7yo receive Td/TDAP. Avoid in egg allergy and Gullian Barre. 5 doses of DTAP aka Pediarix (2,4,6,15 months and 5 yo) First TDAP is at age 11-12yo. Td is the booster every 10 years or if someone has never had TDAP (came out in 2005) then they should have a one time dose of TDAP and then continue with Td boosters. Pneumococcal vaccine PCV 23 given one time at age 65
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