doyoudig
Forum Guru
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1. If a person is previously immunized and there has been a documented response to the Hep B vaccine---the person now has a needle stick injury from a pt w/ Active Hep B SAg-----what is the next step??
2. If a person is previously immunized and there has been no documented response to the Hep B vaccine----the person now has a needle stick injury from a pt w/ Active Hep B SAg --what is the next step???
3. if a person has not been immunized to Hep B and there is a needle stick injuryfrom a pt w/ Active Hep B SAg --what is the next step??
options are the same for the 3 qts---
A---- administer HBIg
B---- administer Hep B Vaccine
C---- administer Vaccine and HBIg
D---- Reassurance
E---- test for Anti HBSAg
Explain ur reasoning
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| doc_clotaire
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1.- D ) Reasurrance ( because response is documented .... so no risk of having the disease
2.- B ) administer Hep B Vaccine ( No documentation of response , just give VACCINE )
3 .- C ) administer Vaccine and HBIg ( this dude is Big time at risk so you give him both vaccine and Immunoglobin )
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| doyoudig
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doclaire, why not C for #2, since there has been no documented response (he may or may not have, which we don't know) ???
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| doc_clotaire
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I understand your point doyoudig !
In this case they assume that his risk is not as high as a dude who did not get vaccinated at all At least he is already immunized even if there is documented responsed so I think giving him the vaccine without the immunoglobin would be ENOUGH in this case
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| ssrpk
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Topics: 154
Posts: 2,819
| | 05/22/07 - 05:07 PM
2 of 2 forum leaders found this post helpful
| #5 |
doc-clotaire is right!
check out the table in this article
Attached Files:
needlestick & contamination - jan 03.doc (62 KB, 14 downloads)
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| ssrpk
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thaks for the question doyoudig
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| doyoudig
Forum Guru
Topics: 144
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ur welcome
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| doyoudig
Forum Guru
Topics: 144
Posts: 613
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ur welcome and thank you
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