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immunizations Flashcards

1
Q

3 general contraindications

A

severe febrile illness

Known allergic response to a previously administered vaccine

Can’t give Live vaccines to immunocompromised or pregnant patients

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2
Q

can you give vaccines to severe febrile illness patients

A

NO

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3
Q

can you give vaccines to patient with Known allergic response to a previously administered vaccine

A

NO

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4
Q

can you give live vaccines to immunocompromised or pregnant patients

A

NO

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5
Q
  • If child has history of seizures = hold ______
A

pertussis

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6
Q
  • Encephalopathy within 7 days = hold ________
A

DTaP

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7
Q
  • Seizures with/without fever within 3 day period of dose = hold ________
A

DTaP

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8
Q
  • Neomycin, polymyxin B, streptomycin allergy = hold _________
A

polio

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9
Q
  • Neomycin allergy = hold _________
A

measles

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10
Q

reasons someone is immunocompromised

A

HIV,

chemo,

steroids,

severe febrile infection,

the presence of recently acquired passive immunity through blood transfusions, immunoglobulin, or maternal antibodies, etc.

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11
Q

4 live vaccines

A
  • MMR
  • Varicella
  • Flumist – nasal spray influenza vaccine
  • Rotavirus
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12
Q

can someone get vaccinated if they have a general cold or ear infection

A

YES

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13
Q

can someone get vaccinated if they have a history of moderate to sever local reactions

A

YES

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14
Q

can someone get vaccinated if they have a mild acute fever with/without illness

A

YES

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15
Q

can someone get vaccinated if they are on a current antibiotic therapy

A

YES

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16
Q

can someone get vaccinated if they are recovering from illness (convalescent phase)

A

YES

17
Q

can someone get vaccinated if they are born prematurely

A

YES

18
Q

can someone get vaccinated if they have had a recent exposure to infectious disease

A

YES

19
Q

can someone get vaccinated if they have a history of non-specific allergies

A

YES

20
Q

would we be concerned if patient has any type of local reaction to vaccine

A

NO

21
Q

would we be concerned if patient has any type of systemic reaction to vaccine

A

YES

22
Q

would we be concerned if client has a history of anaphylaxis related to vaccine

A

YES

23
Q

name that disease:

Spread:
Airborne
Contact (respiratory secretions, blood, urine)

Manifestation:
Rash
Cough
Fever

Complications:
Ear infection
Pneumonia
Diarrhea
Seizures
Brain damage
death

A

measles

24
Q

name that disease vaccine:

Spread:
Contact,
Droplet (saliva)

Manifestation:
Fever
Headache
Swollen glands under jaw

Complications:
Hearing loss
Meningitis
Swollen painful testicles

A

mumps

25
Q

name that disease vaccine:

Spread:
Droplet (nasopharngeal secretions, blood, stool, urine)

Manifestation:
Rash
Fever
Swollen glands
arthritis

Complications:
Greatest Danger is teratogenic effects on fetus.

A

rubella

26
Q

name that disease vaccine:

Spread:
Contact (feces, oropharyngeal secretions)
airborne

Manifestation:
Three Different Forms

Abortive/ inapparent: Fever, uneasiness, Sore Throat, headache, anorexia, vomiting, abdominal pain.

Nonparalytic: Same as abortive, but more severe, pain/ stiffness in neck, back, legs.

Paralytic: Initial course similar to nonparalytic, recovery, and later, signs of central nervous system paralysis.

Complications:
Permanent Paralysis
Death

A

polio

27
Q

name that disease:

Spread:
Airborne,
Contact.

Manifestation:
Rash
Fever
anorexia

Complications:
Ear infections
Pneumonia
Encephalitis
Thrombocytopenia (decreased platelets)

Side effects:
Pain at site

A

varicella

28
Q

name that disease:

causes thick covering in back of throat

Source:
Contact; mucus, lesions of infected person.

Manifestation:
Differs based on location of infection.

Nasal: Common cold like symptoms, serosanguineous nasal discharge. Nosebleed.

Tonsil/ pharyngeal: Malaise; anorexia; sore throat; low grade fever; pulse increased. Swollen neck. SEVERE; toxemia, septic shock, death in 6-10 days.

Laryngeal: Fever, hoarseness, cough, potential airway obstruction; apprehensive; dyspneic retractions; cyanosis.

Complications:
Breathing problems
Paralysis
Heart failure
Death

A

diphtheria

29
Q

name that disease:

painful tightening of muscles, lock jaw

A

tetanus

31
Q

name that disease:

Source:
Contact (respiratory secretions),
Droplet.

Manifestation:
Coughing spells so bad it is hard for infants to eat, drink, breath

Complications:
Pneumonia
Seizures
Brain damage
death

A

pertussis (whooping cough)

32
Q

DTaP =

A

diphtheria
tetanus
pertussis

33
Q

MMR =

A

measles
mumps
rubella

34
Q

side effects:
seizures

A

pertussis

35
Q

side effects:
anorexia
fever 7-10 days later

A

MMR

sav 331 (12 decks)

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