tag:blogger.com,1999:blog-4078711896790515112.post9018272484452815991..comments2024-02-25T17:46:00.407-08:00Comments on Welcome to gpexamsupport.com.au: CASE 1: A 45 yo Accountant coming in for a Flu shotPerpetual Healthhttp://www.blogger.com/profile/08370965026844641346noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-4078711896790515112.post-54543416575356867902011-10-13T14:35:36.784-07:002011-10-13T14:35:36.784-07:00Thanks.
I read the website on Sunday and I got a ...Thanks. <br />I read the website on Sunday and I got a case of anaphylaxis (after ate prawn) on Monday. Can't believe!<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-28492443969486030932011-10-04T05:47:33.984-07:002011-10-04T05:47:33.984-07:00Yes, you will need to write up and explain an anap...Yes, you will need to write up and explain an anaphylaxis plan with the patient.<br /><br />Please click on the link at the end of the case www.epipenclub.com.au <br /><br />It will give you a template to follow.<br /><br />Dr Vinh Tran<br />MBBS FRACGP<br />www.doyouhavedepression.blogspot.com<br />www.fracgpexamsupport.blogspot.com<br />www.priorityhealthmedicalcentre.com.auPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-68165253612575857222011-10-01T23:20:51.692-07:002011-10-01T23:20:51.692-07:00anaphylaxis action plan?
Sorrey, I don't know....anaphylaxis action plan?<br />Sorrey, I don't know.<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-70943183258490720692011-09-25T05:57:09.899-07:002011-09-25T05:57:09.899-07:00Tricia,
There is one more important thing that i...Tricia, <br /><br />There is one more important thing that is necessary with the prescribing of epipen. It is part of authority requirement I think?<br /><br />Clue....something to do with a "plan"....<br /><br />Dr Vinh TranPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-57416474048632358372011-09-24T19:35:12.511-07:002011-09-24T19:35:12.511-07:00education re Epipen use, medical alert bracelet
T...education re Epipen use, medical alert bracelet<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-54403587218911743822011-09-20T06:03:19.020-07:002011-09-20T06:03:19.020-07:00What else?
Dr Vinh Tran
www.fracgpexamsupport.blo...What else?<br /><br />Dr Vinh Tran<br />www.fracgpexamsupport.blogspot.com<br />www.doyouhavedepression.blogspot.com<br />www.priorityhealthmedicalcentre.com.auPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-63744630132041877722011-09-20T02:25:26.895-07:002011-09-20T02:25:26.895-07:00History of anaphylaxis and needs Allergy specialis...History of anaphylaxis and needs Allergy specialist review for the 1st prescription.<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-39099077408177917222011-09-04T06:00:38.301-07:002011-09-04T06:00:38.301-07:00With regards to the Epipen, what is the requiremen...With regards to the Epipen, what is the requirement for prescribing the Epipen?<br /><br />Dr Vinh Tran<br />MBBS FRACGPPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-40960911845047741142011-09-04T04:19:27.688-07:002011-09-04T04:19:27.688-07:00I see, Flu vaccine for his families therefor reduc...I see, Flu vaccine for his families therefor reduced his risk.<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-58202441937421035792011-09-04T04:05:11.092-07:002011-09-04T04:05:11.092-07:00Is there anything "simpler" you can offe...Is there anything "simpler" you can offer him or "his family"?<br /><br />Dr Vinh Tran<br />MBBS FRACGP<br />www.doyouhavedepression.blogspot.com<br />www.priorityhealthmedicalcentre.com.au<br />www.fracgpexamsupport.blogspot.comPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-39218742299111799282011-09-03T18:58:52.234-07:002011-09-03T18:58:52.234-07:00antiviral agents such as Relenza, Tamiflu and Aman...antiviral agents such as Relenza, Tamiflu and Amantadine are sued for treatment of Flu (starting with 48 hours of Flu symptoms). They are not recommended for routine prophylaxis against Flu. However, they may be used to prevent flu in poorly vaccinated communities at risk. I think this patient will be benefit from antiviral agent if he is at high risk of developing symptomatic Flu. <br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-25324283476655001742011-09-03T05:11:23.906-07:002011-09-03T05:11:23.906-07:00Tricia,
Is there anything you can offer him with ...Tricia,<br /><br />Is there anything you can offer him with regards to protection against the flu?<br /><br />Dr Vinh Tran MBBS FRACGP <br />www.doyouhavedepression.blogspot.com<br />www.fracgpexamsupport.blogspot.com<br />www.priorityhealthmedicalcentre.com.auPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-12715828903662149822011-09-02T17:52:56.992-07:002011-09-02T17:52:56.992-07:001.appreciate his motivation to protect himself for...1.appreciate his motivation to protect himself form the Flu and keep healthy<br />2. explain that anaphylactic reaction to egg is one of the absolute contraindications to Flu vaccine, the risk is too high<br />3. explain there are other measures to help him, such as smoking cessation (if he smokes), optimize asthma control, regular exercise and healthy diet to keep healthy, avoid contact people with flu, avoid crowded places in flu season. <br /><br />Dr TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-35658350019595220582011-09-02T06:10:59.010-07:002011-09-02T06:10:59.010-07:00Dr Tricia,
Great response on the "Issues tha...Dr Tricia,<br /><br />Great response on the "Issues that needs to addressed"<br /><br />If this person really want to protect himself from the Flu and insist on having the Fluvax, what will be your response?<br /><br />Dr Vinh Tran MBBS FRACGP<br />www.priorityhealthmedicalcentre.com.au<br />www.doyouhavedepression.blogspot.com<br />www.fracgpexamsupport.blogspot.comPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-9667538321164236812011-09-01T23:00:40.121-07:002011-09-01T23:00:40.121-07:00Very interesting case!
Issues need to be addresse...Very interesting case!<br /><br />Issues need to be addressed - <br />1.suitability/contraindication to Flu vaccine, previous Flu vaccination? reaction?<br />2. anaphylaxis prevention and management - Epipen and injection skills, family and co-worker education<br />3. other allergy which may contribute to asthma, management, <br />4. asthma management plan, <br />5. other family members (such as children) has anaphylaxis reaction? management?<br />6. smoking, health promotion?<br /><br />What do we have to clarify further-<br />the nature of previous anaphylaxis (hospital records?)<br />previous Flu vaccination and reaction<br /><br /><br />How will we manage this - <br />I will not give flu vaccine <br />request hospital record re previous anaphylaxis episode today<br />refer to Allergist for r/v ASAP (speak to the Allergist re the pt needs Epipen)<br />Educate pt and family<br /><br />long term management <br />asthma<br />life style/health promotion<br /><br /><br /><br />Dr TriciaAnonymousnoreply@blogger.com