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1. NAPLEX Prep > Immunizations > Flashcards

Immunizations Flashcards

1
Q

FDA approves the indication of a vaccine based on

A

demonstrated safety and efficacy

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2
Q

Who provides recommendations for vaccine administration?

A

ACIP

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3
Q

Who approves ACIPs recommendations? Where can you find them?

A

CDC approved
Publishes on Morbidity and Mortality Weekly Report (MMWR) and The Pink Book

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4
Q

Where can you find VISs

A

CDC and Immunization Action Coalition websites

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5
Q

Medical term for antibody

A

Immunoglobulin

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6
Q

Active immunity

A

A persons own immune system creates antibodies
Vaccine, infection

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7
Q

Passive immunity

A

Maternal immunity
IVIG products

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8
Q

Live vaccines

A

MICROVY
MMR
Intranasal influenza
Cholera
Rotavirus
Oral typhus
Varicella
Yellow Fever

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9
Q

Polysaccharide vaccines should not be used in

A

Children <2 years old (do not produce good response)
Example- Pneumococcal Polysacharide vaccine (Pneumovax 23)

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10
Q

Conjugate vaccines

A

Conjugation increases the immune response in infants
-Pneumococcal conjugate vaccine (Prevnar 13)
-Meningococcal Conjugate Vaccine (Menactra)

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11
Q

Interval between an antibody containing product (IVIG) and MMR or varicella vaccine

A

3-11 months

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12
Q

Which inactivated vaccine is started at birth?

A

Hepatitis B
The rest are started at 2 months old

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13
Q

Live vaccines and the TB skin test

A

1.) Give live vaccine on the same day of TST
2.) Wait 4 weeks after live vaccine to perform TST
3.) Administer TST, wait 48-72 hours to read, then give live vaccine

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14
Q

Vaccine spacing

A
  • Multiple vaccines can be given on the same day or spaced 4 weeks apart
  • If vaccine series requires >1 dose, intervals can be extended but should not be shortened
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15
Q

Recommended spacing of live vaccines and antibody products

A

Vaccine –> 2 weeks–> antibody product
Antibody product–> 3 months–> vaccine

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16
Q

How long should a pt be monitored after a vaccine?

A

At least 15 minutes

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17
Q

When do systemic reactions occur with live vaccines?

A

Can occur 3-21 days after the vaccine is given

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18
Q

Intranasal flu vaccine can replicate

A

mild cold

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19
Q

How many epi pens should be available when administering vaccines?

A

at least 3

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20
Q

Influenza vaccine is recommended for

A

Annually for all patients >/= 6 months

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21
Q

Shingles vaccine is recommended for

A

All adults >/= 50
>/= 19 if immunosuppressed
2 dose series, second dose given 2-6 months after

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22
Q

Pneumococcal vaccine recommended for

A

19-64 to with AUD, cigarette smoking, DM, chronic heart, lung, or liver disease, asplenia, HIV, malignancy, transplant, CKD,or taking immunosupressive drugs
Age >/=65 in all patients

-PCV20 x1
-PCV15 x 1 followed by PPSV23 >1 yr later

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23
Q

Hepatitis B is recommended for

A

All adults 19-59 and patients >/= 60 with RF

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24
Q

HPV is recommended for

A

Adults </= 26 who did not complete the series

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25
Meningococcal vaccine is recommended for
all adults 2 vaccines, adults need 1 or both -Serogroup B vaccines Conjugate Vaccines
26
Vaccines for infants/children
3 dose hep B at birth 2 months old- PCV13, DTaP, Hib, polio, rotavirus Live vaccines at >1 year- MMR, varicella
27
Adolescents and young adults vaccines
Meningococcal vaccine (Menactra, Menveo, Menquadfi) -2 doses 1 at 11-12 yo and 1 at 16 yo -1 extra dose as 1st year college student in dorms HPV at 11-12 yo Tdap at >11
28
Vaccines for older adults
Shingles >50 Pneumococcal >65 -PCV20x1 -PCV15x1 then PPSV23 >12 months later
29
Vaccines to give for patients with DM
Pneumococcal (19-64) -PCV20x1 -PCV15x1 then PPSV23 >12 months later Hepatitis B
30
Vaccines to give to HCP
Annual influenza vaccine Hepatitis B Tdap Varicella MMR
31
Vaccines to give in SCD or asplenia
H. influenza type B (HiB) vaccine Pneumoccocal vaccine -PCV20x1 -PCV15x1 then PPSV23 >8 weeks later Meningococcal vaccines -Conjugate AND Serogroup B (Bexsero or Trumenba)
32
Vaccines to give in immunodeficiency
Pneumococcal -PCV20x1 -PCV15x1 then PPSV23 >8 weeks later HIV- meningococcal conjugate, hepA, hepB
33
Haemophilus influenza Type B (HiB) vaccine
Given to adults with asplenia
34
Havrix
Hep A vaccine
35
VAQTA
Hep A vaccine
36
Pediarix
DTaP, HepB, IPV
37
HPV vaccine regimens
Start before age 15- 2 doses Start after age 15- 3 doses
38
Influenza A surface antigens
Hemagglutinin Neuraminidase
39
Aged 6 months to 8 years not previously vaccinated for flu
Give 2 doses 4 weeks apart
40
Patients with egg allergy and flu vaccine
Can get any inactivated flu vaccine Flublok is egg free for >18 Flucelvax is egg free >12
41
Which flu vaccines are for patients >/= 65 years old
Fluzone High dose Quadrivalent Fluad Quadrivalent
42
ProQuad
MMR + Varicells
43
MMR storage
fridge or freezer
44
ProQuad storage
Freezer
45
Diluents for MMR vaccines
Store at RT or in fridge
46
Menveo admin
Both vials contain vaccine
47
MenB vaccines are for
>/=10 years old with asplenia
48
Children <5 receive which pneumococcal vaccine as part of routine vaccination?
PCV13 (prevnar 13)
49
PPSV23 admin
IM or SC
50
Rotavirus vaccines are given
orally
51
RabAvert
1 dose rabies immune globulin with the first dose of vaccine 2 doses needed
52
Oral typhoid vaccine
Complete at least 1 week prior to exposure Store in fridge Take on empty stomach with cold or lukewarm water
53
Typhoid vaccine injection
At least 2 weeks prior to exposure
54
Yellow fever vaccine is contraindicated in
severe (life-threatening) allergy to eggs or gelatin
55
Cholera vaccine storage
Freezer
56
Can you place vaccines in fridge doors?
no
57
Temperature logs for vaccines
Read at least twice per work day Keep for 3 years
58
Vaccines stored in the freezer
Varicella MMRV Oral cholera
59
SC only vaccines
MMR MMRV Varicella Yellow Fever
60
PO vaccines
Typhoid (Vivotif) Cholera Rotavirus
61
SC administration
5/8" needle at 45 degree angle in the fatty tissue over the triceps
62
IM administration
90 degree angle into the deltoid muscle IM needle length- 1 inch If <130 lbs use 5/8-1 and if very overweight use 1 1/2 "

1. NAPLEX Prep (15 decks)

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