"please keep me updated about oximeters "
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H1N1 Flu Shot
I teach as many of you know. Our school district was able to get a very limited quantity of the vaccine for the most fragile students with compromised immune systems. This morning the shots were administered by the county health nurse (an RN). They had an extra shot available and I was given the chance at the shot since I have asthma and it is not unusual for me to experience respiratory issues in the winter months. I had been on the fence about getting the vaccine, but since the opportunity to get the shot at no cost I went ahead and took it.
Anyone else going to or has received the vaccine?
Anyone else going to or has received the vaccine?
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History & exam
Key factors
fever and chills
cough
sore throat
Other diagnostic factors
runny nose
age <5 or >65 years (increased risk of complications)
comorbidities (increased risk of complications)
immunosuppressive medication
pregnancy (increased risk of complications)
smoking (increased risk of complications)
residence in a nursing home (increased risk of complications)
presence of ill contacts, or residence in or travel to pandemic areas
constitutional symptoms (fatigue, heading)
myalgia and arthralgia
tachypnoea
nausea, abdominal pain, diarrhoea
extreme irritability (young children and infants)
altered mental status/lethargy (young children and infants)
seizure
severe shortness of breath
hypotension
wheezing
crackles
History & exam details Diagnostic tests
Tests to consider
rapid influenza antigen test
real-time reverse transcriptase (rRT)-PCR
viral culture
immunofluorescent antibody staining
CBC
CXR
Diagnostic tests details Treatment details
Presumptive
high-risk patients who have had close contact with an infectious person
antiviral prophylaxis
Acute
5-64 years (non-pregnant): previously healthy
supportive care and antipyretics
with severe symptoms
antiviral therapy
<5 years of age: previously healthy
supportive care and antipyretics
symptom onset within past 48 hours or severe disease
antiviral therapy
adults (non-pregnant): high risk of influenza complications
supportive care, antipyretics, and antiviral therapy
children: high risk of influenza complications
supportive care, antipyretics, and antiviral therapy
pregnant
supportive care, antipyretics, and antiviral therapy
Treatment details
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