Immunizations Flashcards
When are live vaccines contraindicated?
individuals with severe asthma (on inhaling steroids or active wheezing) in the 7 days prior to vaccine and pregnancy, immunocompromised, TB active and untreated
When is rotavirus contraindicated?
uncorrected congenital malformation of GI tract (dt risk of intuss)
When are vaccines contraindicated?
Hx of Guillain-Barre syndrome onset within 6 weeks of immunization and immunocompromised, hx of anaphylaxis to that specific vaccine
How long should someone be observed post vaccine?
15 minutes minimum, 30 mins if higher concern of allergy
Where are vaccine adverse reactions reported?
Canada Vigilance Program and must fill out adverse event following immunization form
T or F
People with egg allergies can be vaccinated with live vaccines
True
How to treat anaphylaxis in office post vaccine?
Call 911, admin epi 0.5mL0f 1:1000 & inject into opposite arm of vaccine (max 3 doses), can also give Ventolin, oxygen if needed, send to ED
What is the pediatric dosing (<5 years) for anaphylaxis?
0.01mg/kg for 1:1000 epi
Ideally, how long should you wait to get pregnant after a live vaccine?
3 months (min 28 days)
What should pregnant women receive if they are exposed to chickenpox and not immune?
Varicella immune globulin within 96 hours of contact ideally up to 10 days post exposure. No rash must be present.
When should TDAP be offered during pregnancy?
Between 27-36 weeks gestation
Which vaccines should be recommended during pregnancy?
Influenza, covid, pertussis (regardless of when last dose was given) after 20 weeks for babies protection up to 2m of age. TDAP
When is D-TAP-IPV-Hib given?
2, 4, 6, 18m
When is Prevnar 13 given?
2, 4m, 1 yr and >65 for high risk
When is Rotavirus given?
2, 4 m
