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MedPedia > immunization > Flashcards

immunization Flashcards

1
Q

carrier protein that enhances immunologic response

A

conjugating proteins

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2
Q

saline, sterile water

A

suspending fluids/vehicles

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3
Q

common preservative used especially in multiple doses that kill orminhibit growth of microorganism

A

thimerosal

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4
Q

aluminum salt to increased immunogenicity and prolong stimulatory effect

A

adjuvants

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5
Q

administration techniques

A

intradermal
subcu
intramuscular

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6
Q

Philippines EPI vaccines

A 
BCG
hep B
DTwP Hib Hep B
OPV
rotavirus
PCV
maseles
MMR/MR
Td
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7
Q

live vaccine given at earliest time possible

A

Bacillus Calmette Guarin

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8
Q

dosage of BCG

A

.05 mL ID / .1 mL ID

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9
Q

PPD is not necessary for healthy infants >2 months not given BCG at birth unless

A

suspected congenital TB
clinical and xray siggestive og TB
history fo close contact to suspected and known cases

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10
Q

contraindications of BCG

A

immunodef

progressive dermatoses near site of infection

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11
Q

adverse rxns of BCG

A

abscess
regional lymphadenopathy
osteitis affecting epiphysis of long bones

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12
Q

usual and accelerated rxns of induration of BCG

A

2-4weeks; 2-4 days

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13
Q

usual and accelerated rxns of pustule formation of BCG

A

5-7 wks; 5-7 days

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14
Q

usual and accelerated rxns of scar formation in BCG

A

2-3mos; 2-3 wks

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15
Q

Hep B: active or inactived?

A

inactivated

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16
Q

dose of Hep B

A
  1. 5 mL IM (10 mcg)

1. 0 mL IM (20 mcg)

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17
Q

schedule of hep B

A

birth-6-10-14 weeks

0-1-6 mos

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18
Q

adverse rxn of hep B

A

pain

swelling

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19
Q

what to do if mother is HBsAg

A
  1. 5 ml IM Hep B vaccine @ birth within 12 hrs

0. 5 mL IM HBIg within 12 hrs

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20
Q

breastfeeding: risk or no risk for hep B virus?

A

no risk with appropriate administration of vaccine and Ig

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21
Q

DTP: which are toxoids

A

DT

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22
Q

DTP: which are whole cell inactivated or killed vaccine or accelular pertussis

A

P

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23
Q

pertussis vaccine may be

A

whole cell or acellular

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24
Q

dose of DTP

A

0.5 mL IM

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25
Q

schedule of DTP

A

6-10-14 wks
4th dose @ 1yr after 3rd
5th dose @ 4-6yrs

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26
Q

usual rxns for DTP

A

low fever 72hrs
restlessness
irritability
pain and swelling

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27
Q

adverse rxns of DTP

A 
high fever
seizure
sever irrita
somnolence
lethargy
uncontrolabble crying
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28
Q

if a patient develops any of the DTwP, what to do

A

recommended nxt dose of DTaP

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29
Q

OPV: live or inactivated?

A

live

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30
Q

schedu of OPV

A

6-10-14 wks
4th dose @ 12-18 mos
5th dose @ 4-6 yrs

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31
Q

administartion of OPV

A

oral

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32
Q

contraindications for OPV

A 
altered immune
antineoplastics or chemo
high dose steroids
HIV
prgs
on radiation
contact with immunocom patients
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33
Q

advwerse of OPV

A

paralysis

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34
Q

IPV: live or ianctivated

A

inactivated

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35
Q

dose of IPV

A

0.5 mL IM

36
Q

HIB what kind of vaccine

A

polysacch protein conjugate vaccine

37
Q

dose of HIB

A

0.,5 mL IM

38
Q

schedule of HIB

A

6-10-14 wks booster @ 1-5yrs

2-4-6 mos booster @ 1yr after 3rd dose

39
Q

rxns to HIB

A

low grade fev
pain
swelling

40
Q

for high risk unimmunized 5year old childern or older, give 1 dose if

A

sickle cell dse
leukemia
HIV
splenectomy

41
Q

rotavirus vaccine: live or inactivated?

A

live

42
Q

itsura ng rotavirus vacc

A

clear, colorless, liquid free of visible particles

ready to use no reconstituion needed

43
Q

preparation of rotavirus vacc

A

1.5 mL oral suspension

44
Q

storage of rotavirus vacc

A

2 to 8 oC

45
Q

schedules of doses of rotavirus

A

1st dose: all infnts 6 weeks to 14wks6days old

2nd dose: 10-32 wks 9final dose 8mos and 0 days)

46
Q

how to admin RV

A

semi reclining position
press cheeks to open mouth
angle tube towars inner cheek

47
Q

what kind of vaccine pneumococcal protein conjugate

A

polysacch protein conjugate

48
Q

dose of PCV

A

0.5 mL IM

49
Q

sched of PCV

A

6-10-14 wks
2-4-6 mos
booster at 6-12mos after 3rd

50
Q

dose of PPV

A

0.5 mL IM

51
Q

PPV given children >2 yo with underlying conditions:

A 
anatomic or functional asplenia
HIV
chornic lung dse
renal dse
cochlear implants
CSF leaks
52
Q

what kind of vacc ang measles vacc

A

live attenuated

53
Q

dose of measles

A

0.5 mL SC

54
Q

sched of measles

A

9mos but can be 6 mos if outbreak

55
Q

side rxns of measles

A

fever with or without rash 5-12days after vacc

56
Q

contraindications of measles vacc

A

preg

immunocompromised

57
Q

what kind of vacc ang MMR

A

live attenuated

58
Q

dose of MMR

A

0.5 mL SC

59
Q

sched of MMR

A

1st dose @ 12-15 mos

2nd dose 4-6yo

60
Q

rxns of MMR

A

measles fever
mumps swelling of parotid
transient arthritis or arthtralgia
post auricular lymphadenopathy

61
Q

contraindications for MMR

A

immunocompromised

pregnant

62
Q

dose of flu vacc

A

6-35mos 0.25 mL

> 3 yo 0.5 mL

63
Q

route for flu vacc

A

IM or SC

64
Q

sched of flu vacc

A

annual before flu season

65
Q

how to sched flu vacc when giving to children <9 yrs receiving the vacc the first time

A

2 doses given 2 wks apart

66
Q

indications for flu vacc

A 
all chil 6-59mos
high risk chil (chronic cardivascu, chronic pulmo and asthma, chro ic metabolic and DM, chornic renal, immunocom and HIV and hemoglobinopathoes
chil on long term salicylate therapy
all household contacts of #1-3
adult over 60yrs
67
Q

what kind of vacc ang varicella vacc

A

live attenuated viral vaccine

68
Q

dose of varicella vacc

A

0.5 mL SC

69
Q

sched of varicella vacc

A

1st @ 12-15 mos
2nd @ 4-6 yrs
can be given within 5 days from exposure to person infected

70
Q

rxns to varicella vacc

A

varicella-like lesions 2-3 wks to a month after, may develop shingles

71
Q

why is varicella vacc so safe

A

so weak cannot be transferred to another person
can be given to children living with immuneweak shit people
may be given to chil with preggy nanays

72
Q

what kind of vacc ang hep A

A

inactivated viral antigen

73
Q

dose of hep A

A

1-18 yo 720 U (0.5 mL)

>19 yo 1440 U (1.0 mL)

74
Q

sched of hep A

A

1st @ >12mos

2nd @ 6-12 mos after

75
Q

route of hep A vacc

A

IM

76
Q

rxns to hep A

A

pain

local swelling

77
Q

indications for hep A

A

all chil >12 mos
traveling to areas of prevalence
occupational hazard
when immunity is desired aka kung trip mo lng

78
Q

what kind of vacc ang HPV

A

inactivated vacc

79
Q

dose of HPV

A

0.5 mL IM

80
Q

bivalent HPV prevents what

A

precancers and cancers

81
Q

quadrivalent HPV prevents

A

cervical pre and cancers
vaginal anf vulvar cancers
genital warts in males andfemales

82
Q

when most effectively given to male and female ang HPV

A

before exposure through sexy time

83
Q

reminders for live vaccines

A

wait 2 weeks before giving Igs

84
Q

reminder for Igs

A

wait 3 months or longer before giving vacc

85
Q

reminder when giving 2 or more IM injections

A

distance of 2.5 cm if 2 IM injections are given in the same thigh

86
Q

reminder for anaphylaxis

A

epinephrine 1:1000

0.01 mL/kg up to maximum 0.5 mL

87
Q

reminder when administering 2 or more live psrenterals

A

4 weeks interval if not simultaneous

MedPedia (3 decks)

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