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⏱️ 120s
🌱 Beginner Level — 0 / 50
RA Safety — Vaccines & Drug Toxicity Monitoring
Person with RA starting/receiving DMARDs/biologics/JAK inhibitor. Update immunizations, screen for infections, and build a lab monitoring plan to prevent toxicity.
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Baseline screen: TB, HBV/HCV/HIV; pregnancy if relevant; CBC/CMP/lipids
Monitoring: CBC/LFTs (MTX/leflunomide), creatinine, lipids (JAK); drug‑specific schedules
Vaccinate before immunosuppression (inactivated: influenza, PCV/PPSV23, HBV, Tdap; zoster [Shingrix])
Select/adjust DMARDs: MTX first‑line unless contraindicated; folic acid; avoid teratogens
Hold biologic/JAK for serious infection or major surgery; resume when controlled
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