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CHN > EINC > Flashcards

EINC Flashcards

1
Q

T or F. Expanded program on immunization is same sa National immunization program.

A

True

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2
Q

PD 996 of 1976 stands for?

A

EPI law

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3
Q

Sa immunization laws,
1. <8 yo, free ang bakuna
2. Mandatory immunization <5 yo

A
  1. PD 996 of 1976
  2. RA 10152 of 2011
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4
Q

We added vaccines under RA 10151, what are they?

A

Pentavalent (5 in 1)
IPV
Rota vaccine
PCV
MMR

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5
Q

Ano laman ng Pentavalent vaccine na 5 in 1?

A

DPT (diptheria, pertussis, tetanus)
HiB
Hepa B

(Penta means five)

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6
Q

Vaccine for haemophillus influenza type B. Then saan siya under

A

Hib- Pentavalent

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7
Q

Vaccine that prevents acute gastroenteritis and diarrhea

A

Rota vaccine

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8
Q

Components of MMR

A

Measles, mumps, and rubella

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9
Q

Under principles of PD 996, check if T or F.

  1. It is not safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the
    body
  2. Measles Vaccine should be given as soon as the child is __ months old. If the child is living in an endemic area,
    give the vaccine as early as __ months. If given at 9 months =__ % protection; if given at one year and older =
    ___
  3. Vaccine schedule should be restated.
  4. Giving doses less than the recommended interval doesn’t lessen the antibody response
  5. No extra must be given to children/ mother who missed a dose of ___ vaccines. Give yung four
  6. Strictly follow the principle of never, ever reconstituting the freeze dried vaccines other than the diluents supplied.
  7. One Syringe, One Needle per child during vaccination
A
  1. False, safe naman
  2. As soon as 9 mos old.
    Endemic = as easrly as 6 mos
    9 mos = 85% protection
    One year and older = 95%
  3. False, should not be restated.
  4. False, it lessens
  5. True, DPT, Hep B, OPV, TT
  6. True
  7. True
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10
Q

False contraindications for EPI

A

Malnutrition
Low Grade Fever
Mild Respiratory Infections
Cough
Diarrhea
Vomiting

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11
Q

Absolute contraindications ng EPI

A
  1. DPT 2 or DPT 3 to a child who has had convulsions or shock within 3 days the previous dose.
  2. Patients with neurologic disease should not be given vaccines containing whole cell pertussis
  3. Live vaccines like BCG vaccine must not be given to individuals who are immunosuppressed due to a
    malignant disease.
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12
Q

Give five elements of EPI

A

Surveillance
IEC
Cold chain and logistic management
Assessment and evaluation
Target setting

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13
Q

Under elements ng EPI wherein we search for cases, evaluation to know if effective ba ang vaccine

A

Surveillance

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14
Q

What day is ang National Immunization Day?

A

Wed!!

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15
Q

Nabibigay naman ang bakuna sa GIDAS every?

A

3 mos
Geographically isolated and disadvantaged areas

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16
Q

T or F. Not all vaccines are sensitive to heat.

A

False! All vacc are sensitive

17
Q

Give vaccines na most sensitive to heat.

A

Varicella
Oral polio vaccine
MMR

18
Q

Temperature ng freezer and body ng ref

A

Freezer (-15 to -25)
Body ng ref (2 to 8)

19
Q

Schedule sa vacc
(Follow pneumonic na sa Boarding House, may POP at RIM)

A

Check nalang lecture

20
Q

Since may local tenderness as side effect ng Penta, we do what?

A

Give cold compress

21
Q

If nag seizure as adverse effect ng Penta, what do we do? And it can also cause?

A

Huwag ibigay Penta 2 &3, can cause death

22
Q

Vaccine given to prevent TB meningitis

A

BCG

23
Q

T or F. We clean the site ng BCG with alcohol.

A

False, water only since it can kill microbes eh live attenuated vaccine to

24
Q

Side effect ng BCG. Give interventions
1. Abscess
2. Deep abscess

A
  1. Give isoniazid powder
  2. Incision and drainage na plus isoniazid powder
25
Q

Ano yung sabin and ano yung salk vacc?

A

Sabin - OPV
Salk - IPV

26
Q

Which of the two ang bawal and pwede sa immunocompromised?

A

Bawal - OPV
Pwede - IPV

27
Q

Route ng OPV and saan hinuhulog?

A

Oral, hulog sa tongue since need umabot sa tiyan

28
Q

The child spits yung vaccine ng OPV. What do we do? Vomited naman?

A

Give him another two drops since vaccine has no overdose.

Vomitted:
30 mins - give another dose since hindi pa naa-absorb
After 30 mins - don’t give another dose na

29
Q

Nursing responsiblity for OPV is?

A

NPO for 30 mins since it promotes absorption

30
Q

A vaccine made from recombinant DNA, hence it is a special vaccine.

A

Hepa B

31
Q

What vaccine is considered as teratogenic?

A

MMR! Kaya need ilayo sa buntis

32
Q

Rashes are a side effect of MMR. What do we need to do after?

A

Keep it dry lang, no need to worry.

33
Q

What do we need to assess before administering Hepa B vaccine?

A

Allergy to yeast

34
Q

T or F. Syringe is a one time use only.

A

True

35
Q

It is a primary element of EPI.

A

Target settimg

36
Q

Formula ng traget setting sa infant and pregnant

A

Infant
Total population X 2.7%

Pregnant
Total population X 3.5%

37
Q

Sites for
BCG
DPT
OPV
Hep B
Measles

A

BCG - right deltoid region
DPT - vastus lateralis (upper outer portion ng thigh)
OPV - mouth
Hep B - vastus lateralis
Measles - outer upper portion ng arm

38
Q

Ilang yo yung catch up dose?

A

4-5 yo

39
Q

Fully immunized children age

A

< 12 mos old child with complete immunization ng DPT, OPV, BCG, Anti hepa and anti measles

CHN (7 decks)

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