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
Q

Meningococcal vaccine is recommended for

A

all adults
2 vaccines, adults need 1 or both

-Serogroup B vaccines
Conjugate Vaccines

26
Q

Vaccines for infants/children

A

3 dose hep B at birth
2 months old- PCV13, DTaP, Hib, polio, rotavirus
Live vaccines at >1 year- MMR, varicella

27
Q

Adolescents and young adults vaccines

A

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
Q

Vaccines for older adults

A

Shingles >50
Pneumococcal >65
-PCV20x1
-PCV15x1 then PPSV23 >12 months later

29
Q

Vaccines to give for patients with DM

A

Pneumococcal (19-64)
-PCV20x1
-PCV15x1 then PPSV23 >12 months later

Hepatitis B

30
Q

Vaccines to give to HCP

A

Annual influenza vaccine
Hepatitis B
Tdap
Varicella
MMR

31
Q

Vaccines to give in SCD or asplenia

A

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
Q

Vaccines to give in immunodeficiency

A

Pneumococcal
-PCV20x1
-PCV15x1 then PPSV23 >8 weeks later

HIV- meningococcal conjugate, hepA, hepB

33
Q

Haemophilus influenza Type B (HiB) vaccine

A

Given to adults with asplenia

34
Q

Havrix

A

Hep A vaccine

35
Q

VAQTA

A

Hep A vaccine

36
Q

Pediarix

A

DTaP, HepB, IPV

37
Q

HPV vaccine regimens

A

Start before age 15- 2 doses
Start after age 15- 3 doses

38
Q

Influenza A surface antigens

A

Hemagglutinin
Neuraminidase

39
Q

Aged 6 months to 8 years not previously vaccinated for flu

A

Give 2 doses 4 weeks apart

40
Q

Patients with egg allergy and flu vaccine

A

Can get any inactivated flu vaccine
Flublok is egg free for >18
Flucelvax is egg free >12

41
Q

Which flu vaccines are for patients >/= 65 years old

A

Fluzone High dose Quadrivalent
Fluad Quadrivalent

42
Q

ProQuad

A

MMR + Varicells

43
Q

MMR storage

A

fridge or freezer

44
Q

ProQuad storage

A

Freezer

45
Q

Diluents for MMR vaccines

A

Store at RT or in fridge

46
Q

Menveo admin

A

Both vials contain vaccine

47
Q

MenB vaccines are for

A

> /=10 years old with asplenia

48
Q

Children <5 receive which pneumococcal vaccine as part of routine vaccination?

A

PCV13 (prevnar 13)

49
Q

PPSV23 admin

A

IM or SC

50
Q

Rotavirus vaccines are given

A

orally

51
Q

RabAvert

A

1 dose rabies immune globulin with the first dose of vaccine
2 doses needed

52
Q

Oral typhoid vaccine

A

Complete at least 1 week prior to exposure
Store in fridge
Take on empty stomach with cold or lukewarm water

53
Q

Typhoid vaccine injection

A

At least 2 weeks prior to exposure

54
Q

Yellow fever vaccine is contraindicated in

A

severe (life-threatening) allergy to eggs or gelatin

55
Q

Cholera vaccine storage

A

Freezer

56
Q

Can you place vaccines in fridge doors?

A

no

57
Q

Temperature logs for vaccines

A

Read at least twice per work day
Keep for 3 years

58
Q

Vaccines stored in the freezer

A

Varicella
MMRV
Oral cholera

59
Q

SC only vaccines

A

MMR
MMRV
Varicella
Yellow Fever

60
Q

PO vaccines

A

Typhoid (Vivotif)
Cholera
Rotavirus

61
Q

SC administration

A

5/8” needle at 45 degree angle in the fatty tissue over the triceps

62
Q

IM administration

A

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 “