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Immunizations Flashcards

1
Q

Hep B
how many?
timing?

A

Series of 3

0-2-6 months

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2
Q

What is management for newborn with HBsAg + mother?

A

Administer Hep B vaccine and HBIG within 12 hours of birth

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3
Q

When should baby born to Hep B + mother be tested for HBsAg and antibody?

A

After Hep B series is complete

age 9 to 18 months

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4
Q

If mother’s Hep B status is unknown at birth, what is the “deadline” for giving HBIG?

A

HBIG should be given by the end of first week of life

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5
Q

Final dose of Hep B should be given at or after what age?

A

6 months

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6
Q

Rotavirus
how many?
timing?

A

Series of 3

2-4-6

minimum age 6 weeks
maximum age for FIRST DOSE 14 weeks, 6 days

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7
Q

What is maximum age for giving Rotavirus vaccine?

A

32 weeks is the maximum age for giving Rotavirus

8 months

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8
Q

What is the risk of Rotavirus?

A

Increased (though still small) risk of intussuception 3 weeks after administration.

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9
Q

DTaP
how many?
timing?

A

5 total

2-4-6 months and two boosters – 15 months and 4 years

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10
Q

What is the maximum age for giving DTaP?

A

6 years of age is the maximum for DTaP

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11
Q

Does DTaP have more Diphtheria or Tetanus?

A

Diphtheria

Tdap has more Tetanus

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12
Q

When is Tdap recommended?

A

At age 11 - 12 years

and then every 10 years (Tetatus every 10)

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13
Q

Hib
how many?
timing?

A

total of 4

2-4-6 months + booster at 12 months

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14
Q

What are the major benefits of Hib?

A

Decrease in ear infections and pneumonia

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15
Q

What is the maximum age for giving Hib and Pneumovax (PS23)?

A

4 years

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16
Q

Pneumococcal

(PCV13 aka Prevnar)

how many?
timing?

A

total of 4

2-4-6 months + 12 months (booster)

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17
Q

Pneumococcal

(PS23 aka Pneumovax)

this is a supplemental dose - 23 vs 13 which is regular

who might need?

A

IMMUNO-COMPROMISED children should receive one additional dose at age 24 months.

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18
Q

What is the maximum age for giving Pneumovax (PS23)?

A

4 years is the maximum age for Pneumovax (PS23)

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19
Q

Examples of immuno-compromising conditions?

A 
Sickle cell anemia
HIV
Renal failure
Asthma
Diabetes
Splenic dysfunction
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20
Q

Polio vaccine (IPV)

how many?
timing?

A

Series of 4

2-4-6 months and 4 years

21
Q

Is IPV injectable or oral?

Inactivated or live?

A

IPV is Injectable and Inactivated

22
Q

Is OPV injectable or oral?

Inactivated or live?

A

OPV is Oral and Live

OPV is discouraged and only possible for doses 3 and 4

23
Q

Influenza vaccine (TIV = trivalent inactivated vaccine)

how many?
timing?

A

One dose of influenza annually

24
Q

Who needs two doses of influenza vaccine, 1 month apart?

A

Children younger than 9 years receiving influenza for the FIRST TIME get two doses, 1 month apart

25
Q

Influenza

Who gets 0.25 mL dosing?

A

Children 6 months to 35 months get 0.25 mL

All others get 0.5 mL

26
Q

What is FluMist?

Is it a live virus?

A

Flu vaccine by nasal spray

LAIV = LIVE attenuated inactive vaccine

Shed for 6 months

27
Q

Who can get FluMist?

A

Healthy people aged 2 to 49 years

28
Q

MMR
how many?
timing?

A

Series of 2

12-15 months and 4-6 years

**the two doses must be at least 28 DAYS apart

29
Q

Can MMR be given simultaneously with PPD?

A

Yes, but prefer to separate by 4 - 6 weeks

This avoids suppressive response to PPD

30
Q

Varicella
how many?
timing?

A

Series of 2

12 months and 4-6 years
**the two doses must be at least 3 months apart

31
Q

Can varicella be given at the same time as MMR?

A

Prefer to separate by one month from MMR

If given together, titers are increased in both but may be too much and cause illness

32
Q

Hepatitis A

how many?
timing?

A

Series of 2

Given age 1 - 2 years, doses 6 months apart

33
Q

How is Hep A transmitted?

A

The oral-fecal route

34
Q

Meningococcal vaccine (MCV4)

how many?
timing?

A

Series of 2

age 11 or 12 years and a booster at age 16

35
Q

What is the reasoning for the timing of MCV4?

A

There is an increased rate of meningococcal disease between 16 and 21 years of age

36
Q

Does an adolescent receiving first dose of MCV4 at age 16 or later need a booster dose?

A

No

37
Q

HPV

how many?
timing?

A

Series of 3

age 11 or 12, then 1 month after first, 6 months after first

38
Q

What are the oncologic strains of HPV?

A

types 16 and 18

39
Q

What are the strains of HPV associated with genital warts?

A

types 6 and 11

40
Q

Which HPV vaccine is quadrivalent?

A

Gardasil

“Quad-asil”

41
Q

Which vaccines are LIVE?

A 
MMR
Varicella
Rotavirus
Flumist
Shingles (herpes zoster)
Smallpox
42
Q

What is an advantage of LIVE vaccines?

A

The are good “teachers” often confer lifelong immunity in 1-2 doses.

43
Q

Typical adverse reactions to immunizations?

A

Local erythema, tenderness, and muscle soreness

Low grade fever

44
Q

Those with a history of anaphylaxis to

STREPTOMYCIN should not have which vaccinations?

A

IPV and varicella

45
Q

Which vaccines are contraindicated in those who are pregnant or immunocompromised?

A

MMR and varicella

46
Q

What ALLERGIES may be a contraindication to receiving the INFLUENZA vaccine?

A

Those with EGG or LATEX allergy may not be able to receive the flu vaccine.

47
Q

What are reportable VAERS events?

A

Anaphylaxis
Encephalitis
Death

48
Q

Which vaccines are given in a series of 2?

A

MMR
Varicella
Hep A
Meningococcal

NP (76 decks)

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