6-20 Manage Immunization Program Flashcards

1
Q

What is the dosage for Adenovirus tpyes 4 and 7?

A

2 tablets

-1 white/1 peach

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2
Q

Administer the adenovirus types 4 and 7 to?

A

military enlisted basic trainees

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3
Q

what is the route of administration for the adenovirus types 4 and 7?

A

oral

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4
Q

Administer the anthrax vaccine to who?

A

based on policy by anthrax vaccine immunization program DOD or coast guard

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5
Q

What is the dosage for the anthrax vaccine?

how many shots over what time?

A

0.5 ml

5 shots over 18 months

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6
Q

What is the interval to give the anthrax series?

A
  • 0
  • 4 weeks
  • 6 months
  • 12 months
  • 18 months
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7
Q

What is the route for the anthrax vaccine?

A

-IM

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8
Q

Give the anthrax booster when?

A

annually to sustain immunity if needed

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9
Q

Administer the HIB vaccine to those who are?

A
  • immunocompromised
  • have sickle cell disease
  • do not have a spleen or functioning spleen
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10
Q

What is the dosage for HIB?

A

0.5 ml

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11
Q

What is the route for HIB?

A

IM

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12
Q

Administer the HEP A vaccine to?

A

-trainees and accessions during initial entry training unless seroimmune

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13
Q

What is the dosage for Hep A for 6 months to 18 years old?

what is the interval of doses?

A

2 doses of 0.5 ml

give at 0 and 6 month intervals

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14
Q

What is the dosage for Hep A for 19 years and older?

what is the interval of doses?

A

2 doses of 1.0 ml

give at 0 and 6 month intervals

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15
Q

What is the route for the Hep A vaccine?

A

IM, deltoid

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16
Q

If dose #2 of the Hep A vaccine is delayed what do you do?

A

do not repeat dose #1, just give #2

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17
Q

Administer the Hep B vaccine to who?

A
  • trainees and accessions during initial entry training unless seroimmune
  • high risk personnel
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18
Q

Who is defined as high risk personnel in regards to Hep B vaccines?

A
  • occupational exposure to blood
  • all healthcare workers
  • all students in hospital corps/dental tech school
  • anyone who has contracted an STD
  • anyone entering a high-risk area where Hep B is endemic
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19
Q

What is the dosage for Hep B for 0-19 years?

what is the interval?

A

3 doses, 0.5 ml

0, 1 month, then 8 weeks minimum and at least 16 weeks after dose #1

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20
Q

What is the dosage for Hep B for 20 years and older?

what is the interval?

A

3 doses, 1.0 ml

0, 1 month, then 8 weeks minimum and at least 16 weeks after dose #1

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21
Q

What is the route for Hep B vaccine?

A

IM

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22
Q

What is the dosage for Hepatitis A/B (twinrix)?

what interval?

A

3 dose
1.0 ml
1, 4 weeks, 5 months

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23
Q

What is the dosage for the influenza vaccine?

A

1 dose

0.5 ml

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24
Q

What is the route for the influenza vaccine?

A

IM

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25
Q

Who is Japanese encephalitis administered to?

A

personnel going to endemic areas

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26
Q

What is the dosage for Japanese encephalitis?

what interval?

A

2 doses
0.5 ml
day 0 and between 7-28 days

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27
Q

The last dose of Japanese encephalitis should be administered how many days before international travel?

A

7 days

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28
Q

What is the route for Japanese encephalitis?

A

IM

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29
Q

Administer the MMR vaccine to who?

A

-all active duty personnel and DOD healthcare workers

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30
Q

What are the exceptions for getting the MMR vaccine?

A
  • 2 documented age appropriate vaccines

- pregnancy, or planned within next month

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31
Q

All women should be advised to avoid becoming pregnant for at least ____ days after getting MMR vaccine

A

28 days

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32
Q

What is the dosage for MMR?

what interval?

A

2 doses
0.5 ml
0 and 4 weeks

33
Q

What is the route for the MMR vaccine?

A

SQ

34
Q

Administer the meningococcal vaccine to who?

A
  • all active duty, with no evidence of vaccine in last 5 years
  • those deploying to endemic areas
35
Q

What is the dosage for meningococcal vaccine?

dose for adults at high risk?

A

single dose of 0.5ml

-high risk: 2 doses, 2 months apart

36
Q

What is the route for the meningococcal vaccine?

A

IM

37
Q

What is the required booster time for meningococcal?

A

if persistent risk, 5 years

38
Q

Administer the pneumococcal vaccine to who?

A

-high risk military

39
Q

What is the dosage for pneumococcal vaccine?

A

0.5 ml

40
Q

What is the route for the pneumococcal vaccine?

A

IM

41
Q

What are the booster requirements for pneumococcal?

A

-2nd dose to persons without a spleen or severely immunocompromised every 5 years

42
Q

Administer the poliomyelitis vaccine booster to who?

A

all active duty during basic training if series was completed

43
Q

what is the dosage for the poliomyelitis vaccine?

A

0.5 ml

44
Q

What is the route for the poliomyelitis vaccine?

A

SQ or IM

45
Q

What is the dosage for the rabies post exposure prophylaxis?

given at what interval?

A

4 doses of 1.0ml human diploid cell vaccine (HDCV)

-given on days: 0,3,7, and 14

46
Q

When is the 5th dose given for rabies to immunocompromised person?

A

28th day

47
Q

When is human rabies immune given during the rabies post exposure prophylaxis?

A

give with the 1st dose of the HDCV

48
Q

What is the route for the rabies post exposure prophylaxis HDVC?

A

IM

49
Q

What is the dosage and route for the rabies post exposure prophylaxis HRIG?

A

20 international units/kg

infiltrate around the wound if possible, the rest is IM at a site distant from the wound

50
Q

Administer the smallpox vaccine to?

A

personnel based on geographical areas at higher risk

51
Q

Before administering the smallpox vaccine, educate pt on:

A
  • criteria for exemption
  • expected response at vaccine site
  • site care
  • risk of spreading
  • adverse reactions/events
52
Q

What is the dosage for the smallpox vaccine?

A

15 jabs using a bifurcated needle

53
Q

Assess the smallpox vaccine site how may days after injection?
reaction is labeled as what two things?

A
  • assess 6-8 days later

- either no take or major reaction

54
Q

What is the route for the smallpox vaccine?

A

percutaneous (scarification)

55
Q

What is the booster period for the small pox vaccine?

A

10 years if repeated or continued exposure

56
Q

Administer Tdap to who?

A

all active duty personnel, recruits, reservist

57
Q

What is the dosage for the Tdap vaccine?

A

0.5 ml

58
Q

What is the route for the Tdap vaccine?

A

IM

59
Q

What is the booster period for Tdap?

A

10 years

60
Q

Administer typhoid vaccine to who?

A

before overseas deployment/assignment to typhoid endemic areas

61
Q

What is the dosage for the typhoid vaccine?

A

0.5 ml

62
Q

What is the route for the typhoid vaccine?

A

IM

63
Q

What is the booster period for the typhoid vaccine?

A

ever 2 years if repeated or continued exposure

64
Q

Administer the varicella vaccine to who?

A

basic trainees, new accessions, healthcare workers

65
Q

What is the dosage for the varicella vaccine?

what interval?

A

2 doses
0.5 ml
0, then 4-8 weeks later

66
Q

What is the route for the varicella vaccine?

A

SQ

67
Q

Administer the yellow fever vaccine to who?

A

all alert forces, active and reserve traveling to endemic areas

68
Q

What is the dosage for yellow fever vaccine?

A

0.5 ml

69
Q

What is the route for yellow fever vaccine?

A

SQ

70
Q

What is the booster period for the yellow fever vaccine?

A

every 10 years if travel to high risk areas

71
Q

The yellow fever vaccine is stored between what temperatures?

A

36 to 46 F

72
Q

The multi-dose vial of yellow fever must be discarded if not used within how long of reconstitution?

A

1 hour

73
Q

The MMR vaccine is stored between what temperature?

A

-58 and 5 F

74
Q

Discard the MMR vaccine if not used within how many hours after reconstitution?

A

8 hours

75
Q

The varicella vaccine should be stored between what temperature for refrigerator?
freezer?

A

refrigerator- between 35 and 46 F

freezer- (-)58 to 5 F

76
Q

The varicella vaccine must be used within how long of reconstitution?

A

30 minutes

77
Q

Yellow fever is required for navy personnel assigned to navy units that are subject to deployment within ____ of notification

A

10 days

78
Q

What must be provided to all personnel prior to any vaccine?

A

vaccine information sheet

79
Q

Live virus vaccines should not be administered to any ____ females

A

pregnant