EINC Flashcards
T or F. Expanded program on immunization is same sa National immunization program.
True
PD 996 of 1976 stands for?
EPI law
Sa immunization laws,
1. <8 yo, free ang bakuna
2. Mandatory immunization <5 yo
- PD 996 of 1976
- RA 10152 of 2011
We added vaccines under RA 10151, what are they?
Pentavalent (5 in 1)
IPV
Rota vaccine
PCV
MMR
Ano laman ng Pentavalent vaccine na 5 in 1?
DPT (diptheria, pertussis, tetanus)
HiB
Hepa B
(Penta means five)
Vaccine for haemophillus influenza type B. Then saan siya under
Hib- Pentavalent
Vaccine that prevents acute gastroenteritis and diarrhea
Rota vaccine
Components of MMR
Measles, mumps, and rubella
Under principles of PD 996, check if T or F.
- It is not safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the
body - 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 =
___ - Vaccine schedule should be restated.
- Giving doses less than the recommended interval doesn’t lessen the antibody response
- No extra must be given to children/ mother who missed a dose of ___ vaccines. Give yung four
- Strictly follow the principle of never, ever reconstituting the freeze dried vaccines other than the diluents supplied.
- One Syringe, One Needle per child during vaccination
- False, safe naman
- As soon as 9 mos old.
Endemic = as easrly as 6 mos
9 mos = 85% protection
One year and older = 95% - False, should not be restated.
- False, it lessens
- True, DPT, Hep B, OPV, TT
- True
- True
False contraindications for EPI
Malnutrition
Low Grade Fever
Mild Respiratory Infections
Cough
Diarrhea
Vomiting
Absolute contraindications ng EPI
- DPT 2 or DPT 3 to a child who has had convulsions or shock within 3 days the previous dose.
- Patients with neurologic disease should not be given vaccines containing whole cell pertussis
- Live vaccines like BCG vaccine must not be given to individuals who are immunosuppressed due to a
malignant disease.
Give five elements of EPI
Surveillance
IEC
Cold chain and logistic management
Assessment and evaluation
Target setting
Under elements ng EPI wherein we search for cases, evaluation to know if effective ba ang vaccine
Surveillance
What day is ang National Immunization Day?
Wed!!
Nabibigay naman ang bakuna sa GIDAS every?
3 mos
Geographically isolated and disadvantaged areas
T or F. Not all vaccines are sensitive to heat.
False! All vacc are sensitive
Give vaccines na most sensitive to heat.
Varicella
Oral polio vaccine
MMR
Temperature ng freezer and body ng ref
Freezer (-15 to -25)
Body ng ref (2 to 8)
Schedule sa vacc
(Follow pneumonic na sa Boarding House, may POP at RIM)
Check nalang lecture
Since may local tenderness as side effect ng Penta, we do what?
Give cold compress
If nag seizure as adverse effect ng Penta, what do we do? And it can also cause?
Huwag ibigay Penta 2 &3, can cause death
Vaccine given to prevent TB meningitis
BCG
T or F. We clean the site ng BCG with alcohol.
False, water only since it can kill microbes eh live attenuated vaccine to
Side effect ng BCG. Give interventions
1. Abscess
2. Deep abscess
- Give isoniazid powder
- Incision and drainage na plus isoniazid powder
Ano yung sabin and ano yung salk vacc?
Sabin - OPV
Salk - IPV
Which of the two ang bawal and pwede sa immunocompromised?
Bawal - OPV
Pwede - IPV
Route ng OPV and saan hinuhulog?
Oral, hulog sa tongue since need umabot sa tiyan
The child spits yung vaccine ng OPV. What do we do? Vomited naman?
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
Nursing responsiblity for OPV is?
NPO for 30 mins since it promotes absorption
A vaccine made from recombinant DNA, hence it is a special vaccine.
Hepa B
What vaccine is considered as teratogenic?
MMR! Kaya need ilayo sa buntis
Rashes are a side effect of MMR. What do we need to do after?
Keep it dry lang, no need to worry.
What do we need to assess before administering Hepa B vaccine?
Allergy to yeast
T or F. Syringe is a one time use only.
True
It is a primary element of EPI.
Target settimg
Formula ng traget setting sa infant and pregnant
Infant
Total population X 2.7%
Pregnant
Total population X 3.5%
Sites for
BCG
DPT
OPV
Hep B
Measles
BCG - right deltoid region
DPT - vastus lateralis (upper outer portion ng thigh)
OPV - mouth
Hep B - vastus lateralis
Measles - outer upper portion ng arm
Ilang yo yung catch up dose?
4-5 yo
Fully immunized children age
< 12 mos old child with complete immunization ng DPT, OPV, BCG, Anti hepa and anti measles
