IMMUNIZATIONS Flashcards
ACTIVE IMMUNITY
FROM PERSON’S OWN IMMUNE SYSTEM
FROM VACCINES OR INFECTION
LONG LASTING
PASSIVE IMMUNITY
RECEIVED FROM MOTHER WHILE IN WOMB
VIA IVIG
LIVE ATTENUATED VIRUSES ARE CONTRAINDICATED IN WHICH POPULATIONS
PREGNANT PATIENTS
IMMUNOCOMPROMISED
LIST THE LIVE VACCINES
MICRO-VY MMR IN INFLUENZA CHOLERA ROTAVIRUS ORAL TYPHOID VARICELLA YELLOW FEVER
VACCINES IN A SERIES:
IS IT OK TO INCREASE THE INTERVAL BETWEEN DOSES?
YES
WOULD JUST DELAY MORE COMPLETE PROTECTION
VACCINE IN A SERIES:
IS IT OK TO DECREASE THE INTERVAL BETWEEN DOSES?
NO
IT CAN INTERFERE WITH ANTIBODY RESPONSE
THERE NEEDS TO BE AN INTERVAL BETWEEN ANTIBODY CONTAINING PRODUCTS AND CERTAIN VACCINES.
HOW LONG AND WHICH VACCINES
VACCINES -> 2 WEEKS -> AB PRODUCT
OR
AB PRODUCT -> 3 MONTHS OR LONGER -> VACCINE
MMR AND VARICELLA CONTAINING VACCINES
LIVE VACCINES AND THE TB SKIN TEST
WHAT IS THE BEST TIMING?
OK TO BE SAME DAY
IF NOT, HAS TO BE SEPARATED BY 4 WEEKS
MULTIPLE VACCINE ADMINISTRATION RULES
CAN ALL BE SAME DAY
IF MULTIPLE LIVE VACCINES, SAME DAY OR 4 WEEKS APART
WITH LIVE VACCIENS, HOW LONG CAN SYSTEMIC REACTIONS OCCUR?
3 TO 21 DAYS
CAN A PERSON RECEIVE A VACCINE IF THEY ARE SICK?
MILD ILLNESS - OK TO GIVE
MOD TO SEVERE ILLNESS - REASONABLE TO DELAY
HBV VACCINE CONTRAINDICATION
HYPERSENSITIVITY TO YEAST
HPV VACCINE
HYPERSENSITIVITY TO YEAST
LIVE ATTENUATED FLU VACCINE CONTRAINDICATIONS
EGG ALLERGY ASA CONTAINING PRODUCTS RECENT USE OF FLU ANTIVIRALS AGE 2-4 YRS WITH ASTHMA OR WHEEZING EP IN LAST 12 MONTHS CLOSE CONTACT WITH IMMUNOCOMPROMISED PT
DIPHTHERIA, TETANUS, PERTUSSIS VACCINES CONTRAINDICATIONS
PERTUSSIS CONTAINING - ENCEPHALOPATHY THAT IS NOT ATTRIBUTED TO ANOTHER CAUSE WITHIN 7 DAYS AFTER RECEIVING THE VACCINE
DIPHTHERIA, TETANUS, PERTUSSIS VACCINES PRECAUTION
GUILLAIN-BARRE SYNDROME WITHIN 6 WEEKS OF PREVIOUS D, T, AND/OR P VACCINE
DTAP AND TDAP: INFANTILE SPASMS, UNCONTROLLED SEIZURES
RECOMBINANT ZOSTER VACCINE (RZV) CONTRAINDICATION
PREGNANCY
LACTATION
VARICELLA VACCINES CONTRAINDICATED
HISTORY OF SEVERE ALLERGIC REACTION TO GELATIN OR NEOMYCIN
VARICELLA VACCINES PRECAUTION
USE OF ANTIVIRAL IN THE 24 HOURS BEFORE VACCINATION
AVOID ANTIVIRALS FOR 14 DAYS AFTER VACCINATION
VARICELLA VACCINES PRECAUTION
USE OF ANTIVIRAL IN THE 24 HOURS BEFORE VACCINATION
AVOID ANTIVIRALS FOR 14 DAYS AFTER VACCINATION
ROTAVIRUS VACCINE CONTRAINDICATION
HISTORY OF INTUSSUSCEPTION
ROTAVIRUS PRECAUTION
CHRONIC GI DISEASE
YELLOW FEVER VACCINE CONTRAINDICATIONS
SEVERE ALLERGIC REACTION TO EGGS
Tdap or DTaP: WHO RECEIVES WHAT?
Capital D = pediatrics
Lower case D = adult
PEDIATRICS GETS HIGHER DOSE OF DIPHTHERIA
