Immunizations Flashcards
When do you give Tdap in pregnancy
Every pregnancy around 27-32 weeks
Which vaccines can you not give while breastfeeding
BCG
Japanese encephalitis
Yellow fever
When do you need to delay vaccines if someone has symptoms of an iillness
Only if congestion and nasal vaccine, GI illness and oral vholera, or moderate to severe GI illness and rotavirus
Who should get the flu shot
Anyone >6 monhts
What do you say when someone says they don’t want to vaccinate
Vaccines are safe, there is a much high danger in not vaccinating
Pain can be reduced
Talk about if they were vaccinated
Give your child the best advantage
Like 6 ways to minimize discomfort during immuzations
Skin to skin
Breast feed
Don’t aspirate
Oral sugar
Topical anesthetic
Do the most painful last
What the protocol for shingles vaccine
2 doses of shingrix 2-6 months apart
2x as effective as zostavax
Give >50 years old
REgieme for the HPV vaccine
2 or three doses of 9 valent vaccine
All genders not just women
Who gets the Menigitis C vaccine
Travelers to Hajj or Parts of Africa
Military
Aspenia
Sickle Cell
<12 years old
If someone is immunocompromised OR if they live with someone immunocompromised, what vaccines should they not get
Polio
Varicella
Measles
Mumps
Rubella
BCG
Rotavirus
Smallpox
Yellow fever
If someone is pregnant what vaccines can they not get
Polio
Varicella
Measles
Mumps
Rubella
BCG
If someone has TB which vaccines can they not get
MMR
Varicella
BCG
Herpes zoster
Yellow fever
Rotavirus
Smallpox
If someone has severe asthma which vaccine can they not get
Live attenuated flu
If someone has a congeital GI malformation which vaccine can they not get
Rotavirus
If it hasn’t been corrected
If someone has HIV which vaccines can they not get
Polio, Varicella, MMR, BCG
If someone is allergic to eggs or chicken which vaccines can they not have
Yellow fever
Tick borne encephalitis
Rabies
What precautions are there for the covid vaccine
PEG allergy
Thrombosis
Thrombocytopenia
Pericarditis / myocarditis
Only contraindication is anaphylaxis to previous shot
Most common side effects to immunizations
Mild fever
Sore extremity
But do they cause Autism???
NO. the paper was recently withdrawn. The paper originally spoke to Thimerosal which is now only in the Hep B vaccine and multidose flu shot
Someone has Chronic liver Disease What vaccines do they need
Hep A and B
Flu
Pneumococal
Immunizations for adult
Pneumococcal 23 >65 or younger with risks
Shingrix >50
HPV 9 9-26 or 27 + if they have ongoing risks
Tetanus q 10 years
Influenza yearly
Pertussis once in adulthood
Travel vaccines
Catch up child hood vaccines
List five reportable diseases
Corona Virus
Diptheria
Haemophilus Influenza B
Measles
Menigococcal (if invasive)
Mumps
Pertussis
C+G
HIV
Polio (if acute)
Rabies
Rubella
Tetanus
