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
Who is Japanese encephalitis administered to?
personnel going to endemic areas
26
What is the dosage for Japanese encephalitis? | what interval?
2 doses 0.5 ml day 0 and between 7-28 days
27
The last dose of Japanese encephalitis should be administered how many days before international travel?
7 days
28
What is the route for Japanese encephalitis?
IM
29
Administer the MMR vaccine to who?
-all active duty personnel and DOD healthcare workers
30
What are the exceptions for getting the MMR vaccine?
- 2 documented age appropriate vaccines | - pregnancy, or planned within next month
31
All women should be advised to avoid becoming pregnant for at least ____ days after getting MMR vaccine
28 days
32
What is the dosage for MMR? | what interval?
2 doses 0.5 ml 0 and 4 weeks
33
What is the route for the MMR vaccine?
SQ
34
Administer the meningococcal vaccine to who?
- all active duty, with no evidence of vaccine in last 5 years - those deploying to endemic areas
35
What is the dosage for meningococcal vaccine? | dose for adults at high risk?
single dose of 0.5ml | -high risk: 2 doses, 2 months apart
36
What is the route for the meningococcal vaccine?
IM
37
What is the required booster time for meningococcal?
if persistent risk, 5 years
38
Administer the pneumococcal vaccine to who?
-high risk military
39
What is the dosage for pneumococcal vaccine?
0.5 ml
40
What is the route for the pneumococcal vaccine?
IM
41
What are the booster requirements for pneumococcal?
-2nd dose to persons without a spleen or severely immunocompromised every 5 years
42
Administer the poliomyelitis vaccine booster to who?
all active duty during basic training if series was completed
43
what is the dosage for the poliomyelitis vaccine?
0.5 ml
44
What is the route for the poliomyelitis vaccine?
SQ or IM
45
What is the dosage for the rabies post exposure prophylaxis? | given at what interval?
4 doses of 1.0ml human diploid cell vaccine (HDCV) | -given on days: 0,3,7, and 14
46
When is the 5th dose given for rabies to immunocompromised person?
28th day
47
When is human rabies immune given during the rabies post exposure prophylaxis?
give with the 1st dose of the HDCV
48
What is the route for the rabies post exposure prophylaxis HDVC?
IM
49
What is the dosage and route for the rabies post exposure prophylaxis HRIG?
20 international units/kg | infiltrate around the wound if possible, the rest is IM at a site distant from the wound
50
Administer the smallpox vaccine to?
personnel based on geographical areas at higher risk
51
Before administering the smallpox vaccine, educate pt on:
- criteria for exemption - expected response at vaccine site - site care - risk of spreading - adverse reactions/events
52
What is the dosage for the smallpox vaccine?
15 jabs using a bifurcated needle
53
Assess the smallpox vaccine site how may days after injection? reaction is labeled as what two things?
- assess 6-8 days later | - either no take or major reaction
54
What is the route for the smallpox vaccine?
percutaneous (scarification)
55
What is the booster period for the small pox vaccine?
10 years if repeated or continued exposure
56
Administer Tdap to who?
all active duty personnel, recruits, reservist
57
What is the dosage for the Tdap vaccine?
0.5 ml
58
What is the route for the Tdap vaccine?
IM
59
What is the booster period for Tdap?
10 years
60
Administer typhoid vaccine to who?
before overseas deployment/assignment to typhoid endemic areas
61
What is the dosage for the typhoid vaccine?
0.5 ml
62
What is the route for the typhoid vaccine?
IM
63
What is the booster period for the typhoid vaccine?
ever 2 years if repeated or continued exposure
64
Administer the varicella vaccine to who?
basic trainees, new accessions, healthcare workers
65
What is the dosage for the varicella vaccine? | what interval?
2 doses 0.5 ml 0, then 4-8 weeks later
66
What is the route for the varicella vaccine?
SQ
67
Administer the yellow fever vaccine to who?
all alert forces, active and reserve traveling to endemic areas
68
What is the dosage for yellow fever vaccine?
0.5 ml
69
What is the route for yellow fever vaccine?
SQ
70
What is the booster period for the yellow fever vaccine?
every 10 years if travel to high risk areas
71
The yellow fever vaccine is stored between what temperatures?
36 to 46 F
72
The multi-dose vial of yellow fever must be discarded if not used within how long of reconstitution?
1 hour
73
The MMR vaccine is stored between what temperature?
-58 and 5 F
74
Discard the MMR vaccine if not used within how many hours after reconstitution?
8 hours
75
The varicella vaccine should be stored between what temperature for refrigerator? freezer?
refrigerator- between 35 and 46 F | freezer- (-)58 to 5 F
76
The varicella vaccine must be used within how long of reconstitution?
30 minutes
77
Yellow fever is required for navy personnel assigned to navy units that are subject to deployment within ____ of notification
10 days
78
What must be provided to all personnel prior to any vaccine?
vaccine information sheet
79
Live virus vaccines should not be administered to any ____ females
pregnant