Immunization Flashcards

Question

Measles, mumps and rubella containing vaccines

Answer 1

MMR:M-M-RII MMRV: ProQuad Given to children, patients born before 1957 generally are considered immune Do not give in pregnancy as this is a live vaccine Storage: refrigerator or freezer (MMR); freezer only due to varicella component (MMRV) protect from light Administration: give SC

Answer 2

MCV4: Menactra, Menveo MPSV4: Menomune 1 dose 11–12 yo with one booster at age 16–18 1 dose at 13–18 yo if previously unvaccinated Encouraged at 2–55 yo if at high risk: college, asplenia, military, immunodeficiency, travelers to high-risk countries such as Saharan Africa, lab workers with meningitis exposure, required by Saudi Arabia for annual travel during the period of the hajj Storage: refrigerate, protect from light Administration: MCV (IM), MPSV (SC)

Answer 3

13 valent pneumococcal conjugate vaccine (PCV13): Prevnar 13 (minimum age at immunization is six weeks) 23 serotype polysaccharide vaccine (PPSV23): Pneumovax 23 (minimum age at immunization is two years) Prevnar: routine vaccination for all and infants at two, four, six and 12 to 15 months Pneumovax: recommended for patients greater than 65, patient's age 19–64 who smoke or have asthma, patient's age 2–64 who have chronic illnesses (NOTE GIVE ONE DOES AFTER AGE 65 IF FIRST DOSE WAS BEFORE 65) Storage: refrigerator Administration: IM AND DO NOT MIX WITH OTHER VACCINES IN THE SAME SYRINGE

Answer 4

Tdap: Adacel, Boostrix Who: patient's age 7–10 that were not fully vaccinated with DTaP series, as a single booster for ages 11–64 with no previous record of Tdap then one dose of Td every 10 years, patients greater than 65 years old with no previous Tdap who have close contact with infant age less than 12 months, pregnant women during weeks 27–36 Storage: refrigerator Administration: IM

Answer 5

VAR: varivax (chickenpox)- age 12 months and 4 years, and all adults without immunity (prior outbreak) should receive two doses 4 weeks apart ZOS: zostavax (herpes zoster – shingles)-indicated in age 50 and older but recommended in age 60 and older LIVE VACCINES DO NOT GIVE IF IMMUNOCOMPROMISED OR PREGNANT and do not give if sensitive to gelatin or neomycin Storage: store vaccine and freezer and protect from white and store diluent in refrigerator or at room temperature Administration: SC; administer quickly after removing from freezer

Answer 6

Given and spending one or more months in an endemic area during transmission season especially if travel will include rural areas this vaccine is given Administration:in two doses 28 days apart at least one week prior to potential exposure; IM

Answer 7

Given if high risk exposure such as animal handlers, traveling to high-risk area or given with rabies exposure Three doses for prevention Four doses plus rabies immune globulin with first dose if exposed Give IM

Answer 8

Currently eradicated but US government has vaccine

Answer 9

REFRIGERATE CAPSULES typhoid fever is caused by salmonella Travelers from US to Asia, Africa, and Latin America at risk to reduce risk boil it, cook it, peel it or forget it Take four capsules; one on alternate days (day 1, 3, 5 & 7) at least one week prior to exposure

Answer 10

Patient should receive a yellow card valid 10 days after the vaccine for 10 years as proof of vaccine Transmitted by mosquitoes use insect repellent and wear protective clothing High risk and tropical and subtropical areas of South America and Africa Give SC; reconstituted Contraindicated with severe allergy to eggs, chicken proteins, or gelatin

Answer 11

Dormitory style refrigerator should not be used Store away from the edges and never store on the doors of the refrigerator or freezer as the temperature there is unstable Record the temperature at least twice a day and keep records for three years

Answer 12

Given the deltoid muscle at a 90° angle making sure to separate two injections by 1 inch Adults require a 1 inch needle unless greater than 200 pounds and women or 300 pounds and then at which point use one and a half inch needle

Answer 13

Given and the fatty tissue about the triceps 5/8 inch needle is used at a 45° angle making sure to separate two injections by 1 inch Varicella, zoster, MMR, meningococcal given SC pneumococcal can be given IM or SC

Answer 14

Abrupt onset of fever, myalgia, headache, malaise, nonproductive cough, sore throat, and rhinitis And children you may also see otitis media, nausea, and vomiting Typically resolves after 3 to 7 days for the majority of patients