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Immunizations Flashcards

1
Q

Types of vaccines [5]

A 
1 killed virus
2 toxoid
3 live virus
4 recombinant
5 conjugated
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2
Q

toxoid vaccine

A

treated w chem to weaken virus

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3
Q

live vaccine

A

live but weaker

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4
Q

recombinant vaccine

A

altered virus

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5
Q

conjugated vaccine

A

joined w substance to increase response

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6
Q

active immunity

A

antibody production is stimulated

>prepares child for any future exposure

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7
Q

passive immunity

A

maternal antibodies transferred thru placenta/breastmilk

> limited protections
only last few months

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8
Q

Birth

A

Hep B

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9
Q

2 months [6]

A 
1 Hep B 2
2 DTap
3 Rota
4 HiB
5 Polio
6 Pneumo
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10
Q

4 months [5]

all 2’s

A 
1 DTap 2
2 Rota 2
3 HiB 2
4 Polio 2
5 Pneumo 2
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11
Q

6 months [6]

all 3rds

A 
1 Hep B 3
2 DTap 3
3 Rota 3
4 HiB 3
5 Polio 3
6 Pneumo 3
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12
Q

1 - 1.5 years [6]

*3 repeats, 3 first doses

A

1 MMR
2 Varicella
3 Hep A

4 DTap 4
5 HiB 4
6 Pneumo 4

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13
Q

4-6 years [4]

all repeats

A

1 MMR 2
2 Varicella 2
3 Polio 4
4 DTap 5

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14
Q

11 - 12 years [3]

*all new

A

1 HPV
2 Tdap
3 Meningococcal

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15
Q

16-18 years [1]

booooooster

A

meningococcal

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16
Q

DTap, Tdap

vaccine type

A

inactivates

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17
Q

DTap, Tdap

notes

A

More than 5 years since last tetanus shot and has a burn or wound … NEED A BOOSTER

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18
Q

Haemophilus influenzae Type B

vaccine type

A

inactivated

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19
Q

Haemophilus influenzae Type B

notes

A

immunosuppressed children may need more doses

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20
Q

Hepatitis A

vaccine type

A

inactivated

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21
Q

Hepatitis A

notes

A

CI for latex allergy

22
Q

Hepatitis B

vaccine type

A

inactivated

23
Q

Hepatitis B

notes

A

check mom’s vax status

-consider immunoglobulin + immediate vax

24
Q

Human Papillomavirus

vaccine type

A

recombinant

25
Q

Human Papillomavirus

notes

A

admin before sexual activity
CI yeast allergy
CI pregnancy

26
Q

Influenza

vaccine type

A

inactivated or live attenuated

27
Q

Influenza

notes

A

CI egg allergy

  • *2 yo+ to receive live
  • postpone LAIV if congestion is present
28
Q

Measles, Mumps, Rubella

vaccine type

A

live attenuated

29
Q

Measles, Mumps, Rubella

notes

A

CI neomycin allergy
CI pregnancy (avoid preg 28 days after)
*ask abt immune suppression

30
Q

Meningococcal

vaccine type

31
Q

Meningococcal

notes

A

immunosuppressed may need for doses

32
Q

Pneumococcal

vaccine type

33
Q

Pneumococcal

notes

A

CI anaphylactic rxn w any vaccine that has diphtheria toxoid

34
Q

Poliovirus

vaccine type

A

inactivates

35
Q

Poliovirus

notes

A

CI allergy to neomycin, streptomycin, polymyxin B

CI pregnancy

36
Q

Rotavirus

vaccine type

37
Q

Rotavirus

notes

A

CI hx of intussusception

**ask about immunodeficiency

38
Q

Varicella

vaccine type

A

live attenuated

39
Q

Varicella

nottes

A

CI allergy to neomycin or gelatin
CI pregnancy (avoid preg for 3 mo after)
ask about immunosuppression

40
Q

common local rxn at injection site

A
  • erythema
  • swelling
  • pain
  • induration
41
Q

common systemic rxn after vax

A
  • fever
  • fussiness
  • irritability
  • malaise
  • anorexia
42
Q

anxious adolescents

A

may have syncope or vasovagal rxn w/in 15 min of vax

43
Q

severe localized allergic rxn

A
  • wheal + urticarial

- w/in min or hrs

44
Q

severe local allergic rxn

A

-warmth
-erythema
-edema
*petechiae
*ulceration
»2-8 hr after

45
Q

**anaphylaxis rxn

A
  • life threatening
  • hypotension
  • generalized urticaria
  • angioedema
  • laryngeal edema
46
Q

rescure for anaphylaxis

47
Q

Herd immunity

A

protection provided by large group of persons w immunity to disease
-indirectly protects others w/o immunity

48
Q

nursing mgmt to minimize pain

A
  • provide local anesthetic
  • give child as much control as possible
  • be honest
  • provide sucrose drink + pacifier when approp
  • use age approp distractions
49
Q

local anesthetic for shots

A

lidocaine cream

-15-20 min

50
Q

sucrose drink is for…

A

3 mo or younger

release endorphins to block pain

Pediatrics (51 decks)

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