Chapter 14: Vaccines

Question 1

What vaccines are mandatory at 8 weeks old?

Answer 1

6-in-1: diptheria, pertussis, polio, Hep B, H influenzae B, tetanus - dose 1

Meningitis B dose 1

Rotavirus dose 1

born before 30 dec 2019: pneumococcal dose 1

Question 2

What vaccines are mandatory at 12 weeks old?

Answer 2

6-in-1: diptheria, pertussis, polio, Hep B, H influenzae B, tetanus - dose 2

Pneumococcal dose 1 if born after 1st Jan 2020

Rotavirus dose 2

Question 3

What vaccines are mandatory at 16 weeks old?

Answer 3

6-in-1 dose 3 (diptheria, tetanus, polio, pertussis, hip B, Hep B)

Meningitis B dose 2

born before 31/12/19 - pneumococcal 2

Question 4

What vaccines are mandatory at 1year old?

Answer 4

MMR - Live, dose 1

Meningitis B - booster
Pneumococcal - booster

HIP B (haemophilus influenzae B) + meningococcal group c - dose 1

Question 5

What vaccines are mandatory at 2-10year old?

Answer 5

flu vaccine annual

Question 6

What vaccines are mandatory at 3yrs and 4months?

Answer 6

4 in 1 booster: diptheria, polio, pertussis, polio

MMR live dose 2

Question 7

What vaccines are mandatory at 12-13yrs?

Answer 7

HPV - human papillomavirus: 2 dose schedule 2nd dose 6-24months after dose 1

Question 8

What vaccines are mandatory at 14yrs

Answer 8

3-in-1 booster: diptheria, tetanus, polio

MenACWY: protects against sepsis and meningitis

Question 9

Females that are of child bearing age and susceptible to rubella should…

Answer 9

be given MMR live vaccine if not given 2 doses of rubella vaccine or no antibodies for rubella.

Question 10

If the live MMR vaccine is given to women susceptible to rubella what should also be advised?

Answer 10

No pregnancy before immunisation and 1 month after

Question 11

Pregnant women should be offered two vaccines what are they?

Answer 11

Flu vaccine

from 16 weeks: pertussis (whooping cough vaccine)

Question 12

Those going to uni and under 25 should be offered which vaccine?

Answer 12

MenACWY: as increased risk of meningitis and sepsis

Question 13

If the dip, polio, tetanus vaccine is incomplete when should it be given during adult life?

Answer 13

Anytime long as not previously immunised or 5 dose course is incomplete

Question 14

At 65yrs what vaccine should be given?

Answer 14

Pneumococcal

Question 15

From 65yrs what vaccine should be given?

Answer 15

Influenza inactivated

Question 16

What vaccine should be given at 70 and why?

Answer 16

Varicella-zoster - risk of shingles

Question 17

Which vaccine is given to those at high risk of coming into contact with TB?

Answer 17

BCG

Question 18

What vaccine should be avoided in those that are immunocompromised e.g. methotrexate, Lupus, steroids?

Answer 18

Live vaccines as they can cause severe infection as a response and can lead to sepsis

Question 19

Which vaccine cannot be used in those with an egg allergy?

Answer 19

Flu vaccines

Question 20

Why would a child get fever post vaccine?

Answer 20

Response to the vaccine and shows it is working

Question 21

Dose of paracetamol 120/5ml in a 2mth+ baby weighing >4kg for pos immunisation?

Answer 21

Dose 1: 60mg (2.5ml) STAT after vaccine

Dose 2: 60mg (2.5ml) 4-6hrs after PRN

Max 2 doses in 24hrs

Question 22

What antipyretic would you give in a child whose had a meningitis vaccine?

Answer 22

paracetamol only

60mg STAT then two more doses to follow (4-6hr gap in between)

Question 23

Dose of ibuprofen 100mg/5ml in a 3mth+ baby weighing >5kg for pos immunisation?

Answer 23

50mg (2.5ml) STAT then 50mg (2.5ml) 6 hrs later

max 2 doses in 24hrs