Patient who is 68 , has an elevated WBC count. Gram positive bacteria on sputum and through an xray it shows that there is something in his left lobe of his lungs. The doctors start him on Cefuroxime. ALSO a pneumococcal vaccine is ordered for him , and he is to return in two weeks.
Which of the following if the primary reason for the pneumococcal vaccine? and why?
A)History of spleenectom B) Obesity C) Comorbid COPD D) Long term smoking histoy E ) Left lower lung pneumonia
-Left lower lung pneumonia
Explanation:
This suggests pneumococcal inoculation for all grown-ups 65 years or more established:
-Give a measurement of PCV13 to grown-ups 65 years or more established who have not already got a dosage. At that point control a measurements of PPSV23 no less than multi year later.
-If the patient officially got at least one measurements of PPSV23, give the dosage of PCV13 no less than multiyear after they got the latest measurements of PPSV23.
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