801 Immunizations for Older Adults

Question 1

influenza

Answer 1

• fluzone: for pts >65 (contains 4x antigen amount)

- fluad: for pts ?65 (standard dose)

Question 2

does CDC recommend 1 influenza vaccine over another?

Answer 2

no they do not

Question 3

pneumovax (PPSV23)

Answer 3

all adults 65 and older should receive 1 dose

Question 4

high risk patients- PPSV23

Answer 4

• may need to receive 1 dose under 65 yo then need to get ONLY ONE MORE at 65+
• must wait 5 YEARS btwn doses

Question 5

prevnar (PCV13)

Answer 5

shared clinical decision making for healthy seniors WITHOUT immunocompromising condition, cerebrospinal fluid leaks or cochlear implant

Question 6

spacing for PCV13 & PPSV23

Answer 6

• pneumo-naive: 1 PCV13 at age 65 then PPSV23 1 year later
• not pneumo-naive: give PCV13 at 65, then PPSV23 1 year later (at least 5 years after the first)
• if pt received PPSV23 at or after 65, give PCV13 1 year after

Question 7

zostavax (ZVL)

Answer 7

• for pts 60 and older

- liver attenuated vaccine

Question 8

shingrix (RZV)

Answer 8

• preferred!!
• for pts 50 & older
• 2 IM doses given 2-6 months apart

Question 9

Tdap/Td

Answer 9

-1 IM dose of Tdap for all adults then 1 dose of Tdap or Td every 10 years after that

Question 10

hepatitis C screening

Answer 10

IMAGE

2019 recommendation: screen all adults 18-79

Question 11

bone health screening

Answer 11

• women: all 65 and older
• men: all 70 and older
• monitor every 2 years

Question 12

risk for bone health

Answer 12

high risk: post menopausal women & men aged 50-69 yo, low body weight, prior fracture, high risk meds

Question 13

daily vitamin D requirements

Answer 13

• younger than 50: 400-800 IU

- adults over 80: 800-1000 IU

Question 14

daily calcium requirements

Answer 14

• 1000 mg for women 50 & younger and men 70 & younger
• 1200 mg for women 51 & older and men 71 & older

Question 15

calcium carbonate

Answer 15

most common form