-
Age to screen lipids
- Men >35
- Women >45
- DM
- HTN
- CAD
- Carotid, PAD, aortic disease
-
Indication for DM screening
-
Pneumococcal vaccine
- Chronic disease
- HIV
- Steroid
- Asplenia
- DM
- Cochlear implant
- CSF leak
- Alcoholics
- >65yo
- Revaccine every 5 years if under 65 or immunocompromised
-
HepB vaccine indications
- Children
- MSM or multiple sex partners
- Contacts
- IVDU
- Dialysis
- Healthcare workers
-
Meningococcal vaccine
- 11yo
- Asplenia
- Terminal complement deficiency
- Military
- Dorms
- Hajj
-
Order of decision making
- Patient with capacity
- Healthcare proxy
- Living will
- Persons familiar with wishes
- Family - spouse, adult children, parents, siblings
- Ethics committe or court order
-
Indications for ethics committee
- no capacity and no/unclear advanced directives
- medical futility is being asked
-
Indications for court order
- no capacity or proxy and family is split
- caregiver want to withdraw care and ethics committee cant reach a conclusion
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