Immunizations

Question 1

Which type of vaccinations have a very small potential to cause disease?

Answer 1

Live (attenuated)

Question 2

Who should not receive live (attenuated) vaccinations?

Answer 2

immunocompromised patients
(on immunosuppressants, severe disease process, cancer, etc.)

Question 3

Do exogenous vaccinations provide active or passive immunization?

Answer 3

active

Question 4

What are some sources of passive vaccination?

Answer 4

Maternal-fetal via placental circulation
maternal-infant via breastmilk
Antibody infusion (Immune globulin)

Question 5

Recommendations to relief post-immunization symptoms include:

Answer 5

massage
warm compress
fluids
rest

attempt to avoid anti-inflammatories

Question 6

Best pain med to take after vaccination (if you have to)

Answer 6

acetaminophen (no peripheral anti-inflammatory properties)

Question 7

Is a cough or cold a contraindication to vaccination?

Answer 7

no

Question 8

Is MMR a live vaccine

Answer 8

yes

Question 9

is DTaP a live vaccine

Answer 9

no

Question 10

For a 16 year old, should DTaP or TDaP be given?

Answer 10

TDaP
lower doses, used for booster

Question 11

List some contraindications to vaccination

Answer 11

previous anaphylaxis to THAT vaccine

severely immunocompromised (for live vaccines)

moderate/severe illness

Question 12

is poliovirus vaccination live?

Answer 12

PO = yes
IM = no

Question 13

is HiB vaccination live?

Answer 13

no

Question 14

is varicella vaccination live?

Answer 14

yes

Question 15

is hepB vaccination live?

Answer 15

no

Question 16

is hepA vaccination live?

Answer 16

no

Question 17

is pneumococcal vaccination live?

Answer 17

no

Question 18

is meningococcal vaccination live?

Answer 18

no

Question 19

is influenza vaccination live?

Answer 19

no

Question 20

how often should booster of influenza be administered?

Answer 20

yearly

Question 21

is rotavirus vaccination live?

Answer 21

yes

Question 22

is HPV vaccination live?

Answer 22

no

Question 23

Does hx of HPV vaccination preclude a female from getting a yearly pap smear?

Answer 23

no - some strains of HPV aren’t included in the vaccine

Question 24

Is RSV vaccination live?

Answer 24

No - it’s not a vaccination. Immunity is passively administered as monoclonal antibody infusion

Question 25

How does activated charcoal work

Answer 25

binds drugs/chemicals in GI tract for excretion

Question 26

contraindications to activated charcoal administration

Answer 26

bowel obstruction or perforation

Question 27

how to administer activated charcoal

Answer 27

PO, mix with water.
can be given via NGT

Question 28

How long after poison ingestion should activated charcoal be administered?

Answer 28

ASAP
<30mins = 90% of poison inactivated
60mins = only 37%

Question 29

How does polyethylene glycol work?

Answer 29

decreases time for gut absorption of poison

Question 30

contraindications for polyethelyene glycol administration

Answer 30

ileus
peritonitis
bowel obstruction or perforation

Question 31

List three methods to accelerate poison removal from plasma

Answer 31

ion trapping
alter urinary pH
nondrug txs (HD, exchange transfusion)

Question 32

definition of antidote

Answer 32

substance that counteracts the effects of another

(i.e. naloxone for opioid agonists)