Clinical judgment must guide each clinician in weighing the possible risks, benefits, or contraindications of any diagnostics, interventions or treatments discussed. However, the authors also concluded that although no serious adverse effects were observed, the benefits must be weighed against possible rare adverse drug effects and further medicalization of a condition for which most people do not seek medical attention. Additionally, Eli says that his throat is slightly sore, but he is not sure whether it is because he has been vomiting. Please see our , which outline our policy concerning permissible reproduction of this work. Multiple investigations were undertaken to identify the cause of the acute respiratory failure. Respiratory samples, obtained with nasopharyngeal swabs and bronchoalveolar lavage, and a serum sample collected at admission were positive for influenza A subtype H1 by means of nucleic acid testing.
He also says that his nose is somewhat stuffy. Your firm was able to present the solutions that would have likely meant the difference between life and death, I am sorry the other family members made poor decisions and were slow in reacting. Because of the false negative H1N1 test results, a proper diagnosis was not obtained until the third week. No recent sick contacts or sick persons within the household. The numbers are continuously rising and circulating at very high rates in the United States. Certainly a strategy of disease avoidance in pregnancy through the use of a vaccine with a proven safety record is preferable to using antiviral therapies with unknown consequences. Answer: With his onset of symptoms being less than 24 hours, Eli is prescribed oseltamivir to be taken twice daily for 5 days.
Be sure to designate the particular virus that you are discussing. Answer: Eli has no previous health conditions to report except that he was told that as a small child, he had reactive airway disease. Because the infection is of viral origin, the best treatment we can offer is symptomatic, and allow body takes its course to impede the virus. His health steadily improved and he was released from the hospital 2 days after being admitted. Background to the case study Background 01:30:00 Defining influenza 01:30:00 Influenza infection in humans 01:30:00 Influenza infection in other species 01:30:00 2. His temperature in the office is 101. Flu seasons vary and affect different people in various ways.
Appropriate for noontime and other lecture formats. Despite convincing evidence of both safety and potential value of influenza vaccination in reducing maternal and fetal morbidity, influenza vaccination rates among pregnant women remain below 10%. Teaching notes are intended to help teachers select and adopt a case. At the onset of the ailment the family contacted HealthCare Advocates but did not engage us until the fourth week of the hospitalization. A Case Study Involving Influenza and the Influenza Vaccine This case study presents a discussion about the benefits o f the influenza vaccine between Mary, a nursing student, and her coworker, Karen. If you are not successful after your first attempt, you will be given an opportunity to reflect upon the answer rationales and have the opportunity to review the educational content before proceeding. The second homework 2 involves research Into more current strains of Influenza that have been found.
To complete this activity and claim credit, you must answer 2 out of the 3 questions correctly. The infant required support in the neonatal intensive care unit for 27 days and has a number of conditions related to prematurity, including hyaline membrane disease, apnea and bradycardia, anemia, retinopathy and right-sided hydrocele. The shot is given intragluteal in the buttocks for the layperson by one of the nurses in the clinic. Unfortunately the patient passed away that Tuesday. The flu vaccine develops antibodies after two weeks of administration to prevent infection. Although the incidence and severity of disease varies markedly from season to season, certain populations are known to be at high risk for influenza-related morbidity and death.
For many years, pregnant women have been recognized as being at increased risk of complications and death associated with pandemic influenza. Cite all sources used and bring two copies to class on the due date. Jeffrey K Tabernacles, Ann Reid, and Thomas G. Based on the National Advisory Committee on Immunization guidelines, the patient we have described would have been a candidate for influenza vaccination on the basis of her asthma, irrespective of her pregnancy status. Cite all sources used and bring two copies to class on the due date.
The case was designed for use in an entry-level course in microbiology for nursing students or a first-year biology course for majors. Take a look at all. Should be a minimum of 7 pages. Additionally, he reports having no appetite. Before 2007, the committee recommended vaccination of pregnant women who had comorbidities, as well as those who did not have comorbidities in their third trimester if they were expected to deliver during the influenza season, since they would then be the household contacts for infants less than 6 months old, a group recognized to be at high risk for influenza-related complications. Following Alberts death the family called and said, had we engaged HealthCare Advocates four weeks earlier when we originally contacted you, Albert would still be alive.
He is also advised to avoid contact with others for the next several days. Diagnosis of influenza Diagnosis of influenza 01:30:00 Initial identification of influenza infection 01:30:00 Determining the subtype of influenza 01:30:00 Summary — Influenza 01:30:00 Acknowledgements — Influenza 00:30:00. Read pages 64-69 as an introduction to the influenza virus and the 1 91 8 pandemic. A rapid flu test is completed with a nasal swab. For symptom relief, Eli has taken ibuprofen.
In addressing the questions in the case, students learn about the general biology of viral infections, treatment of infections, and immunity. Creative commons: The Open University is proud to release this free course under a Creative Commons licence. See your unit 3 schedule for more Information about due dates. The sensitivity of rapid influenza diagnostic tests for 2009 H1N1 virus can range from 10% to 70%, indicating that false negative results occur frequently. Eli says that he does not know of anyone around who is ill but that he takes classes in lecture halls with about 100 other students several days a week. Gob have some excellent information.
Prospective studies have demonstrated higher levels of influenza A antibodies in umbilical cord blood samples from infants born to mothers who had been vaccinated during the pregnancy relative to those whose mothers had not been vaccinated, as well as a delay in the onset and severity of influenza illness in babies born with higher antibody levels. Trainees are asked a series of questions and provided with immediate feedback for their responses. Nearly 100 Power Point slides are provided for your selection including data, vaccine myths and more. Eli lives in a college dorm with 1 roommate, and his dorm houses about 150 students. Patterns of disease Patterns of disease 01:30:00 Tracking the emergence of new strains 01:30:00 Immune responses to influenza 01:30:00 Summary of the response 01:30:00 4.