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PREVMED TEST 3 > Immunization program > Flashcards

Immunization program Flashcards

1
Q

What are the 13 immunizations that are under BUMEDINST 6230.15A?

A
  1. Anthrax
  2. Cholera
  3. HEP A
  4. HEP B
  5. JE
  6. MMR
  7. Meningococcal
  8. Plague
  9. Polio
  10. Rabies
  11. TDAP
  12. Typhoid
  13. Yellow Fever
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2
Q

Who sets the policy for implementing Anthrax vaccine immunization program?

A

DOD or USCG

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3
Q

Dosages for Anthrax:

A 
0.5ml IM @ 0
4 weeks
6 months
12 months
18 months 
Yearly boosters
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4
Q

Dosages for Cholera:

A

when required by host country, 0.5ml sub q/ IM

X6 months in highly endemic areas

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5
Q

Dosages for HEP A:

A

IM deltoid
Havrix (SmithKline Beecham)
Vaqta (Merck + company)

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6
Q

Dosages for Havrix:

A

1-18y/o 1st dose 720 el.u/0.5ml, booster720 el.u/0.5ml

19y/o and older 1st dose 1440 el.u/1.0ml
booster 6-12 months since 1st dose 1440 el.u/1.0ml

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7
Q

Dosages for Vaqta:

A

1-18y/o 1st dose 36 u/0.5ml, booster 25u/0.5ml 6-18 months after 1st dose

19y/o and older 1st dose 50u/1.0ml
booster 50u/1.0ml 6 months after 1st dose

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8
Q

Dosages for HEP B:

A

3 doses: 1st dose, 2nd at least 1 month, 3rd at least 5 (6 months from 1st dose)
*no max interval

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9
Q

When should immunity be checked for HEP B?

A

1-6months after 3rd dose

if failure to demonstrate protective level of anti-HBs f/u with possible further immunizations

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10
Q

Dosages for JE:

A

prior to going to endemic areas or have started series
3 doses 1.0ml sub q on days 0, 7, and 30
periodicity: every 3 years

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11
Q

Dosages for MMR:

A

live virus, all DOD/CIV

0.5ml sub q, one time only

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12
Q

What are the exceptions for administering MMR?

A

documented of 2 MMR doses
Serological immunity on MMR
Pregnant

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13
Q

How many days should women be advised to avoid of becoming pregnant?

A

28 days

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14
Q

Who is required to get HEP B?

A

high risk personnel, occupational exposure to blood, healthcare workers, all students in hospitals, persons in contact to sexually transmitted diseases, high-risk HEP B endemic areas

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15
Q

Dosages for meningococcal:

A

freeze dried, bacterial polysaccharides of serotypes

all AD traveling to endemic areas, 0.5ml sub q

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16
Q

Dosages for plague:

A

deploying to endemic areas,

  1. 0ml IM
  2. 2ml 1 month later
  3. 2ml 3-6 moths after 2nd dose
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17
Q

Dosages for polio:

A

inactivated poliovirus 0.5ml sub q

singled dose no booster

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18
Q

Dosages for rabies:

A

1.0ml IM human diploid cell on 0, 3, 7, & 14 days

Human rabies immune globulin (HRIG)

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19
Q

What are the species for consideration of post exposure prophylaxis (rabies vaccine)?

A

wild and tamed

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20
Q

What incident/circumstances is considered for administration of rabies vaccine?

A

provoked and unprovoked

bite, non bite (scratch/abrasion), exposure to saliva

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21
Q

Dosages for TDAP:

A

0.5ml IM all AD, every 10yrs

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22
Q

Dosages for typhoid:

A

overseas and deployed to endemic areas

0.5ml IM every 2yrs

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23
Q

Dosages for yellow fever:

A

live virus, all alert forces/AD traveling to endemic areas

0.5ml sub q every 10yrs

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24
Q

When should you discard yellow fever vaccine?

A

multi-dose vial after 1hr of reconstitution

25
Q

How should you store yellow fever vaccine?

A

32-41F (0-5C)

26
Q

What are the storage requirements for MMR?

A

46-58F, store in dark place, discard if not in use within 8hrs of reconstitution

27
Q

What are the requirements for immunizations for members that deploy to an endemic area on very short notice?

A

administer 1st dose

make arrangements to complete series

28
Q

Yellow fever immunization is required for Navy personnel assigned to units within how days of notification to deploy to yellow fever endemic areas?

A

10 days

29
Q

Who is required to receive typhoid immunization?

A

alert forces: fleet units deployed scheduled or situational basis to foreign country

30
Q

What are alert forces?

A

fleet units deployed scheduled or situational basis to foreign countries except Canada

31
Q

What immunization is required for alert forces such as Navy + military sealift command + CIVMAR?

A

Typhoid

32
Q

What immunization is required for medical department personnel assigned to Mobile Medical Augmentation Readiness Teams and others, including reservists subject to deploy? and within how many days of notification?

A

Typhoid

10 days

33
Q

What is required to be provided information regarding certain immunizations prior to receiving it?

A

VIS- Vaccine Information Sheet

34
Q

When should you provide VIS?

A

Immediately before the immunization or days before

35
Q

What will providers use to provide patients information regarding immunizations prior to receiving it?

A

VIS only

36
Q

Who are VIS prepared by?

A

Dept. of Health and Human Services, CDC + Prevention

37
Q

What should you check for prior to administering immunizations?

A

allergies and hypersensitivities

38
Q

If patients are hypersensitive to eggs what vaccines should you not administer?

A

vaccines prepared by cultivation:
Influenza
Yellow Fever
MMR (anaphylactic)

39
Q

If a patient is Prego what is required prior to administering vaccines to include live vaccines?

A

if Prego exclude and refer to PCM
ask females if pregnant, pregnancy test not required
may administer live virus vaccines only if specified by provider, usually for traveling

40
Q

When can Polio and yellow fever be administered to Prego patients?

A

when risks of contracting illness outweigh potential complications

41
Q

What is the necessary equipment to treat anaphylactic shock?

A 
O2
Administration apparatus
Airways
IV fluid apparatus
Appropriate medications ACLS
Defibrillator/cardiac monitor
42
Q

In order to treat anaphylactic shock at an immunization site, what is required for a Physician, IDC, PA, Dentist, and Nurse to have?

A

BCLS required, ACLS preferred

May administer vaccine

43
Q

Where should immunization clinics be located?

A

near ER or sickbay, or ready ambulance available with MTF Physician <10min away

44
Q

Who selects members of the ACIP committee and what guidance do they use?

A

Secretary of Dept. of Hlth + Human Services

Under guidance to Ass. Secretary for Health + CDC Prevention on control of vax preventable diseases

45
Q

What is the role for the Advisory Committee on Immunization Practices (ACIP)?

A

provide advice to reduce incidence of vaccine preventable diseases in the US and increase safe use

46
Q

What is included in the ACIP written recommendations?

A

age for vaccine administration
# of doses and dosing interval
precautions + contraindications

47
Q

When is it ok for Navy Immunization Programs to not follow recommendations from CDC and ACIP?

A

when there’s a militarily relevant reason to do otherwise

48
Q

What instruction governs immunizations not to be given while underway?

A

COMNAVSURFORINST 6000.1 Sec. 5606

49
Q

Why are routine immunizations not given while underway?

A

may lead to anaphylactic reactions

50
Q

When can immunizations be given when at sea or ashore?

A

@ discretion of MDR and concurrence of CO

51
Q

Which immunization can only be conducted in port during normal working hours and concurrence of local ISIC / RSG/Group MO/ or presence of an MO?

A

Yellow fever

52
Q

What are the provisions of medical exemptions for specific vaccines?

A

contraindication relevant to a specific vaccine
may be temporary (up to 365 days)or permanent
PCM grants exemption

53
Q

What are some medical exemption examples? and what is immunity evidence based off of?

A

underlying health condition
individuals clinical case is complex/not readily definable

immunity is evidence based on serologic test + documented infection

54
Q

What are some types of immunization administrative exemptions?

A

separation/retirement within 180days if not deployed or mission essential
religious reason with CMD + medical/chaplain advice

55
Q

What form is adult health record immunization record?

A

NAVMED 6230/4

56
Q

What form is International Certificate of Vaccination?

A

PHS or CDC 731

57
Q

What identifies and notifies personnel due for required/specific vaccinations?

A

IMMZ roster

58
Q

Where do you record evidence of prior immunization or serological immunity for recruits?

A

NAVMED 6230/4
PHS 731
Electronic database

PREVMED TEST 3 (4 decks)

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