Immunization lecture flu/covid part 3 Flashcards
Adults >/= 65 years
ACIP recommends that adults aged ≥65 years
preferentially receive any one of the following:
High-dose inactivated influenza vaccine (HD-IIV3, ________
High-Dose)
Recombinant influenza vaccine (RIV3, _____)
Adjuvanted inactivated influenza vaccine (aIIV3, _______)
If none of these three vaccines is available at a
vaccination opportunity, then any other age-appropriate
influenza vaccine should be used
Fluzone
Flublok
Fluad
Persons with egg allergy
Studies indicate that egg allergic persons are not at increased risk of severe allergic reactions to egg-based influenza vaccines.
Any influenza vaccine that is otherwise appropriate for the
recipient’s age and health status (egg based or non-egg
based) can be administered to persons with egg allergy.
Egg allergy necessitates no additional safety measures for
influenza vaccination beyond those recommended for any
recipient of any vaccine
SIRVA Too High
Risk of injecting into the shoulder joint or _______
Can cause inflammation leading to __________,frozen shoulder syndrome, and other complication
Watch for prolonged shoulder pain, ________, and decreased range of motion
Symptoms begin within hours to days
Without treatments symptoms last months and may never resolve
bursa
bursitis
weakness
Too far to side in regards to SIRVA
Can inject into _________nerve
axillary nerve
Too low in regards to SIRVA
Can inject into __________nerve
radial
Too far to side and too low in regards to SIRVA
Can cause paralysis/and or ____________
Watch for ___________,shooting pain during injection
Symptoms start _________
neuropathy
burning
immediately
What happens when needle is too short
Can inject into ___________tissue
More _________ for the patient
Risk of skin reaction
Vaccines may be less effective
subcutaneous
painful
What happens when needle is too long
Can hit bone or nerve
If you hit bone, pull needle __________and inject
If you hit nerve, pull needle out and try again
back slightly
Tips to avoid SIRVA
Landmark, don’t eyeball
Always _______ to inject a seated patient
sit
Tips to avoid SIRVA
Expose the __________ completely
When a shirt can’t be removed, roll the sleeve up, don’t pull the shirts neck over the shoulder
shoulder
Proper Administration Technique
Inject into the lower __________of the deltoid. Note that giving injections in the upper third of the deltoid can damage the muscle and cause inordinate pain
two thirds
Everyone ages __________ and older should get a 2024–2025
COVID-19 vaccine.
6 months
The COVID-19 vaccine helps protect you from _______ disease,
hospitalization, and death.
It is especially important to get your 2024–2025 COVID-19
vaccine if you are ages 65 and older, are at high risk for severe
COVID-19, or have never received a COVID-19 vaccine.
severe
Vaccine protection __________ over time, so it is important to stay
up to date with your COVID-19 vaccine.
decreases
Everyone ages 6 months and older should get the 2024–2025 COVID-19 vaccine. This includes people who have received a COVID-19 vaccine before and people who have had COVID.
