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Up to 40% of the residents in your community will get the flu How Do I Prevent the Flu?
this winter. This handout is designed to ensure that you aren’t One of the best ways to prevent the flu is through vaccination every year. The shot can be given to adults and children of any What is the Flu?
age at any time during the flu season. If you’re pregnant, it’s safe Influenza or “flu” is an infection of the respiratory tract caused to receive the injection in your second or third trimester. If you’re allergic to eggs, do not get a flu shot unless you have It occurs in three forms, types A, B and C. Influenza A and B undergone desensitization. The viral material used in flu vaccines cause infection in humans; Influenza C causes infection in animals. is grown in eggs, so the vaccine could trigger an allergic reaction.
The virus typically incubates for 24 to 48 hours, and can affect Also, if you have a fever, do not get vaccinated until the fever The flu season is annual because the proteins that coat the Flu vaccination does not cause the flu, and side effects of vacci- virus change constantly, and our immune systems do not recog- nation are minor. If you have never received the vaccination or nize and cannot protect us from the new strains. Thus, almost had the flu, you might experience fever, malaise and muscle every year a new strain causes infections, and a vaccine cannot aches. These reactions develop 6 to 12 hours after the injection be developed until new viral strains are isolated.
and last for 1 or 2 days. In rare cases, patients may exhibit imme- How is Influenza Spread?
diate reactions, such as hives, welts, wheezing and difficulty The influenza virus is spread through the air. Coughing by an breathing, as a result of an allergic reaction to the vaccine.
infected person fills the air with microscopic droplets of influenza During the flu season, try to avoid any unnecessary contact virus that are inhaled by others. Once the particles land on the lin- with people who have upper respiratory infections. In addition, ing of the nose, throat or airways, the virus starts reproducing watch your stress level, eat healthy and get plenty of rest.
You Have the Flu … Now What?
The flu has a rapid onset, with symptoms that are usually more Rest, plenty of fluids and comfort measures are the best strate- severe than the common cold. In certain populations, such as the gies for coping with the flu. Your NP may recommend aceta- elderly or those with weakened immune systems, the flu can be minophen (Tylenol) to relieve aches and fever. For multiple symp- quite severe. In most cases, the flu causes headache, fever, chills, toms, such as congestion, cough and a runny nose, a combination muscle aches, an overall lousy feeling (malaise), cough and sore of a decongestant (Sudafed or Afrin) and an antihistamine (Benadryl, Dimetapp or Tavist) may be helpful. Cough suppres- Stress, excessive fatigue and poor nutrition are some the main sants, expectorants and local anesthetics might also be prescribed.
risk factors of contracting the flu. If you’ve had a recent illness For the first 4 days, your NP will recommend bed rest and that causes lower resistance, have a chronic illness (lung or heart increased fluid intake. Resume your normal activities only after all disease or diabetes) or are pregnant, your risk for catching the flu is a bit higher than average. Students, office workers and health care providers who are in close proximity with others face an —Information adapted from Guidelines for the Prevention and Treatment of Influenza and the Common Cold by the American Lung Association, CDC fact ————————————————————————————————————— ————————————————————————————————————— ————————————————————————————————————— Your nurse practitioner has given you this patient education handout to further explain or remind you about principles related to your medical condition. This handout is a general guide only. If you have specific questions, be sure to discuss them with your nurse practitioner. 74 ADVANCE for Nurse Practitioners • January 2002
Familial hypercholesterolemia: current treatment options and patient selection for low-density lipoprotein apheresis
NLA Symposium on Familial HypercholesterolemiaFamilial hypercholesterolemia: Current treatment optionsand patient selection for low-density lipoproteinapheresisCardiology Department, Massachusetts General Hospital, Yawkey Center, Suite 5800, 55 Fruit Street, Boston, MA 02114,USAAbstract: Options for treatment of severe heterozygous and homozygous familial hypercholesterolemiaprior to the stati