University:
Camosun College
Course:
NURS132 | Promoting Health and Wellbeing
Academic year:

2023
Views:

35

Pages:

3
Author:

Aysha A

Post-exposure pophylaxis (PEP) [Not recired] PEP consists of three-components -local wound care, rabies vaccine, & Rabies - Immunoglobulin (RIG). Category of Risk Category-1 category-2 Category-3 HA I Type of Exposure • Touching, or Feeding Animat Minor scrutches Y abrasions without bleeding or nibbling of uncovered skin • Single or multiple transdermal Bites with oozing of Blood •Licks on broken skin of my cous membrane •Direct contact with bat or wild Animals Recommended Prophylaxis No treatment if history is reliabile • Wound managerat 0 • Rabies vaccine Obsern the dog for 10 days wound managemen • Rabias immunoglobulin • Rabies vaccine - observe the dog for 10 days. Local wound care Physical cleaning =) Soup & water for 15 minutes. Chemical Inactivation Antisepties such or Alcohol. as povidone iodine • Suturing Locul tissue danese, RIG administratia some-loose and atte other measures Idebridemest 2) tetanus propylaxis 3) Ab treatmat • No toucky. Rabies Vaccine Types of vaccines + D purified chick embryo cell (PCE) Vaccine (derived from Chicken Fibroblast cell line) +2) Purified Ven cell (PVC) 4 +3) Human Diploid cell (HDC) vaccine. Routes DID 2) IM Site-beltrid aree of arm of child for adulth & Anterolateral aree of thigh for children// Schedule of PEP regimen ID PEP regimen (2-2-2):- 2 site-ID vaccine is given on 0,3, &7. IM PEP regimen (Total 4 doses are given) 1st site IM vaccine given on 0,3,7 & 4th between 14-28 days. +2 site:- M d vaccine giver on day os and ist site IM on 7 & 21st days. Rabies Immunoglobulin (RIG) (passive Immunization) Tirning: onf once, and not beyond day dose of vaccine. 7 after fint Rla) & equire Rlat erla) • Preparations Human RIG (ARIA) B → Dose: 20 N 40 IN per ich bod weight. مد PEP for •Individuals previously Vaccinated (PrEP PEP) Need Local wound care & accelerated va cane regimer schedule l-site. ID vaccine given on days 0 &3 1-sik IM Vaccine given on days 043. 4- site ID Vaccine giver on day o anf. conditions Pre-exposure Prophylaxis (PrEP) For individuals at higher occupational visk For sub-populations in remote endemic areas (Limited access to PEP & >50% incidence annuel)) dog Bite PrEP regimen Schedule a 2 site ID vaccine given on dy o & 7 • I site IM vaccine gille on des o f7 Boost Lifetime protection. CF nabation parod 3-8 weeks (lo day-Few yrs) 2-manifestab FURIOUS RABIES (MAD-DOG-SYNDRIME) change in Behaviour Aggressive, lose Fear Running amok -Wandering Aimless -charge in tone of dogs bork Fery & Loss of appetit -Excessive salivation & Foaming at mouth. -Paralytic stage towards eter stagell - -Come & deathy DUMB or PARALYTIC RADIES paralytic features are sees, excitatio sympton are absent BPL inac Veural vaccine