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Immunizations > Final > Flashcards

Final Flashcards

0
Q

LAIV is recommended for?

A

LAIV is approved only for healthy nonpregnant people age 2–49yrs.

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1
Q

For whom is the vaccine “TIV” recommended?

A

recommended for all adults. (This includes healthy adults ages 19–49yrs without risk factors.)

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2
Q

Adults age 18 through 64yrs may be given any intramuscular TIV product or, alternatively…….

A

the intradermal TIV product (Fluzone

Intradermal).

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3
Q

Adults ages 65 yrs and older may be given standard-dose TIV or, alternatively,

A

the high-dose TIV (Fluzone High-Dose).

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4
Q

what is the flu vaccine schedule?

A

Give 1 dose every year in the fall or winter.

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5
Q

If 2 or more live virus vaccines are to be given, they should be given on the same day, if not give them at least ____ apart

A

28 days

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6
Q

patients with allergies to ______ blank should not receive flu vaccines.

A

Egg protein

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7
Q

History of Guillain-Barré syndrome (GBS) within 6wks following a previous vaccination is a precaution for what vaccines?

A

Influenza
Td
Tdap

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8
Q

PPSV is to be administered in what fashion?

A

IM or SC

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9
Q

who should receive PPSV? (6 things)

A
  • people 65+
  • people younger than 65 who have a chronic illness
  • American Indian/Alaska Natives age50 through 64yrs if recommended by local public health authorities)
  • Asplenic individuals
  • immunocompromised individuals or people who are on immunocompromising drugs,
  • organ or bone marrow transplant
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10
Q

PPSV vaccine schedule

A

Give a 1-time revaccination to people
- Age 65yrs and older if 1st dose was givenprior to age 65yrs and 5yrs have elapsed since dose #1.
- Age 19 through 64yrs who are at high-
est risk of fatal pneumococcal infection
or rapid antibody loss and 5yrs have elapsed since dose #1.

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11
Q

MMR is (live/inactivated) and is given ___

A

live, SC

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12
Q

MMR should be given to…

A
  • people born after 1957 (should get at least 1 dose)
  • people in high risk groups (healthcare, travelers, college students) (should get 2 Doses)
  • people born before 1957 who are healthcare workers and arent immune (history of 2 doses)
  • women of childbearing age who not immune to rubella
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13
Q

if 2 doses of MMR are recommended, the second dose should be given no sooner than _____ weeks after the first

A

4

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14
Q

if a pregnant woman is susceptible to rubella, she should be given ____ dose ______

A

1, postpartum

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15
Q

MMR can be given within _____ of measles exposure as prophylaxis

A

72 hours

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16
Q

MMR is contraindicated in HIV patients, even if they aren’t immunocompromised. T/F?

A

False, if they aren’t severely immunocompromised, they can receive MMR (200 cells/μL)

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17
Q

Varicella should be given to

A

All adults without history of immunity

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18
Q

people who have received 2 doses of varicella or were born before ____ are considered to be immune

A

1980

19
Q

what two categories of people born before 1980 should receive varicella?

A

healthcare workers and pregnant women who are not immune

20
Q

Varicella Schedule

A

2 doses the second dose should be given 4-8 weeks after the first

21
Q

Varicella can be given for prophylaxis up to ____ days after exposure

A

5

22
Q

Zoster should be given to people…

A

60+

23
Q

zoster schedule

A

1 dose

24
Q

varicella and zoster are both administered by which route?

A

SC

25
Q

who should receive HepA vaccine?

A

People who anticipate close personal contact with an international adoptee from a country of high or intermediate endemicity during the first 60 days following the adoptee’s arrival in the U.S.

Adults	age	40yrs	or	younger	with	recent	(within	2	wks)	exposure	to	HAV.	For	people	older	than	age	40yrs	with	recent	(within	2	wks)	exposure	to	HAV,	im- mune	globulin	is	preferred	over	HepA vaccine.
26
Q

HepA Schedule

A

2 doses spaced 6-12 months apart

27
Q

twinrix is a combo HepA/HepB vaccine and must be given on a _____ schedule

A

0,1,6 month schedule

or a 0, 7d, 21-30d, and A booster at 12 months

28
Q

if you’re banging someone with HBV, should you get vaccinated?

A

duh

29
Q

HBV schedule

A

3 doses 0, 1, and 6 months

0, 2, 4m (alternative)

0,1,4m (alternative)

30
Q

engerix (hbv vaccine) may be given on an alternative schedule that is?

A

0, 1, 2, 12m

31
Q

the polio vaccine is typically not given to..

A

Not routinely recommended for U.S. residents age 18yrs and older.

32
Q

Previously vaccinated adults can

receive __ booster dose(s) if traveling to polio endemic areas or to areas where therisk of exposure is high.

A

1

33
Q

HPV is indicated for…

A

All previously unvaccinated women through age 26yrs and men through age 21yrs.
• All previously unvaccinated men through age 26yrs who 1) have sex with men or 2) are immunocompromised as a result of infection (including HIV), disease, or medications.

34
Q

HPV Schedule

A

3 doses on a 0, 2, 6 month schedule

35
Q

MCV4/MPSV4 should be given to….

A

Asplenic individuals

first year college students through age 21

36
Q

true or false? MCV4 is preferred for people 56 years and older?

A

False MPSV4 should be given to those over the age of 55

37
Q

MCV4 schedule

A

2 doses seperated by 2 months in asplenic or hiv patients

1 booster every 5 years to those with continuing risks

give 1 dose to healthy adults with risk factors

give 1 dose to college students if their last dose was given prior to age 16

38
Q

MPSV4 schedule

A

1 dose to pts age 56 and older with risk factors

39
Q

MPSV4 is administered

A

SC

40
Q

Td/ Tdap should be given to

A

• All people who lack written documentation of a primary series consisting of at least 3 doses of tetanus- and diphtheria-toxoid-containing vaccine.

41
Q

which vaccine (Td or Tdap) is preferred during pregnancy?

A

Tdap

42
Q

adults of any age should receive Tdap if they are going to be in contact with _____

A

infants

43
Q

Td schedule

A

(spaced at 0, 1–2m, 6–12m intervals); substitute a one-time dose of Tdap for one of the doses in the series, preferably the first.

give a booster of Td every 10 years after the primary series

44
Q

Tdap contraindication/ precaution

A

history of encephalopathy within 7 days DTP or Tdap

uncontrolled neurologic disorders

45
Q

Td/Tdap precaution

A

history of arthus reaction after a prior dose of tetanus diphtheria toxoid drug (wait until its been 10 years since last dose)

Immunizations (1 decks)

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