An Intaan’s guide to surviving ARV posting’s!

ALL ABOUT ARV POSTINGS!

Hello, My dear GMCites,
Here, We shall be updating you about our JJH ARV postings.

Reporting time:- 9 am
OPD timings :- 9-1pm

All about Rabies
Categories

Rabies

Cat 1 – Wound wash
Cat 2 – Only Rabies vaccine- Indirab
Cat 3 – Vaccine + IG – Indirab + Equirab

How to prepare vaccines!?

Indirab:
-Mix diluent and indirab
-take 8 marks of the mixture in insulin syringe
-give 4 parts on each arm ID

Equirab test dose:
-Take 2 parts equirab in insulin syringe
– fill the same syringe with NS upto 20 mark
– give the test dose on the right forearm ID
– circle the site and write T followed by the time of test dose

Equirab loading dose:
-fill a normal syringe with equirab according to the dose calculated

Imagine you are the Casualty Medical Officer, How to calculate the Equirab dose?

Equirab dose (ml)=40x Weight of patient in kg/300 IU

From where did this formula come?

Equirab (IU)= Weight of patient (kg) x 40

Now we have to convert IU into ml.

1 vial of Equirab is of 5ml containing 1500IU. So, 1ml of Equirab contains 300IU

So divide it by 300!

Rx Inj.Indirab 0.1 ml OED OED- On Each Deltoid

Rx Inj. Equirab 40 IU/Kg Eg. For a 53 kg individual, 2120IU= 7.07 ml

Here’s the readymade easy table to calculate dose!

Check this out if you suspect Anaphylactic reactions.

Adult immunization

PCV
<15 or > 65 yrs le lo

Hep booster
Titre check Karo

ARV

Influenza

HPV
Cervarix
Gardasil
Buy from outside.

Pointers to remember!

We don’t give two live vaccines together.
Ideally:- Gap of 4 weeks

Eg. OPV, Yellow

Googly scenarios

What If your patient has been already Immunised in the past 5 years?

Schedule:- 0,3 Dose:- Only on one Deltoid

As an intern posted here which all vaccines are recommended for you?

1. ARV=Pre-Exposure Prophylaxis 2. Influenza 3.HPV

HMIS ID
ID:- ms68069
PWD:- a

Dear GMCite, got anything more to add?
Please, do let us know!

Stay tuned.
Jeeyo Dil se:).

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Disclaimer:
This article is for general information purposes only.
It is not meant to hurt any person, institution or entity.
Any information may change without prior notice.
Please visit the hospital or contact the office for further details.
This article is meant just to help people out.