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PDC > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Zoster:

A

Single dose ≧ 60 years of age

*must have had chickenpox perviously

Contraindicated in Pregnancy

Prevents: Neuralgia, scarring, ocular abnormalities

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2
Q

ADRs for “Varicella”

A

**Do not give salicylates for 5 weeks: Risk of Reye’s Syndrome

**Maculopapular rash 5-26 days after vaccination; usually only 2-5 lesions.

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3
Q

Varicella: Post-Exposure prophaysis

A

Vaccine - 90% effective if administered within 3-5 days

Varicella Zoster immunogloblin (VZIG)

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4
Q

Varicella: Combination

A

MMR + V or MMRV

higher risk of febrile seizures

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5
Q

Measels Mumps Rubella (MMR)

A

Given at ≧ 12 months

Live Vaccine

No evidence of MMR with Autimsm

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6
Q

MMR why?

A

Measles: Upper respiratory and neruologic

Mumps: sterilization of adult male

Rubella: taratogenic disease

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7
Q

Meningococcal: Contraindications

A

Allergy to any component of the vaccine including diptheria and tetanus toxid

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8
Q

Special indications: Meningococcal

Requires Booster q 5years

A

Asplenia

Sickle cell

Microbiologists??

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9
Q

Meningococcal: AE

A

GBS (rare)- higher in adolescent males

Syncope

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10
Q

Meningococcal: Preventes

A

Menigotilus infections

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11
Q

Meningococcal: Adminstration

A

ages ≧ 2 mo to 10 years if at risk

first dose at 11-12 years then booster at age 16

one dose if given at 12-18

can catch up dose at 19-21

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12
Q

Human Papillomavirus Vaccine (HPV):

Contraindications

A

Allergy to any component of the vaccine

Immediate hypersensitivy response to yeast

HPV2 vaccine - latex allergy

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13
Q

HPV: AE

A

rare: Gullian-Barre Syndrome (GBS)-Thromboembolic disorder w/other risk factors

Common: HA, N, local rxn, Synocope–Patient must sit or lie down for 15 minutes.

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14
Q

HPV: Dosing - Administration Schedule

A

3 doses between 9 - 26 years:

between 1st and 2nd -> 1-2 months ( mim, interval 4 wks)
between 2nd and 3rd- 12 wks
between 1st and 34d –> 6 months

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15
Q

Should women with HPV still recieve vaccine?

A

Yes, if already infect there are still other stains which the patient can catch.

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16
Q

HPV4

A

Gardasil: all 4 types: 6,11,16,18

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17
Q

Types 6,11 associated with?

A

Genital Warts

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18
Q

Tyeps 16 and 18 associated with?

A

Vaginal, cervical, and penile cancers (leisons)

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19
Q

HPV2 - Bivalent vaccine

A

Cervarix: 16,18

Only approved for woemn

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20
Q

HPV- 9

A

Covers 9 strians

approved for males 9-15

females 9-26

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21
Q

HPV: indications

A

All females at 11-12 yrs up to 26

Males: Recommend 11-12 years
Immunize all males 13-21 years

May immunized 22-26 years

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22
Q

Why immunize Pneumococcal?

A

bacterial disease not only causes pneumonia.

Symptomatic: Septicemia, and meningitis
non-invasive: pneumonia, sinus infections, otitis media

Incident greatest in adults > 65 years

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23
Q

Pneumococcal Vaccines:

A

Conjugate -> PCV-13

Polysaccharide - > PPSV23

24
Q

Pneumococcal indications: children

A

4 doses of PCV-13 if < 2 years

one dose if PCV-13 if < 5 years and did not recive first series

PCV13 + PPSV23:

Patients with anatomical functional asplenia including patient with sickle cell disease.**

CSF Leak**

Cochlear implants***

25
Q

Pneumococcal indications: Adults

A

1 dose each at age ≧ 65

PCV13 -recommended if immuncompormeed

PPSV23 - recommended in all adults ≧ 65

26
Q

Pneumococcal: Special populations

A

PPSV23 + Booster: all immunocomporomised

PCV13 + PPSV23: CSF leak, cochler implants

PCV13 + PPSV23+ booster: Sickle cell, ESRD, aslenia, nephrotic syndrome

27
Q

Pneumococcal: Timing

A

if both indicated: PCV-13 first then PPSV23 ≧ 8 weeks later

Do not administer both at same visit

if already received PPSV23 must wait 1 year to get PCV13

If patient require revaccination with PPSV23 the second dose is administered 5 year after first

28
Q

What immunize Diptheria, Tentanus, pertussis vaccines?

A

D: Myocarditis, neuritis , death
T: Muscle ridgity
P: whooping cough, asfriction

29
Q

DTP: Capital letter

A

Higher dose for vaccination

30
Q

DTP: lower case letter

A

lower for boosters

31
Q

DTP: DTaP

A

Children < 7 years

32
Q

DTP: DT

A

< 7 years with contraincicattion to pertussis component

33
Q

DTP: Td

A

People ≧ 7 years, decrease AE

34
Q

DTP: Tdap

A

booster=> also givin in 3rd trimester

Adminster on dose of Tdap in adolescetn 11 or 12 years of age.

Boostrix for ≧10 years (good for people passed 64 years)

Adacel for ages 11-64 years - backup

35
Q

Tdap dosing schedule

A

one time for all adults

36
Q

Tdap dosing: pregnacy

A

one dose in each pregnancy (preferred 27-36 weeks of gestation) -regardless of interval

37
Q

Interval: Tdap

A

Tdap can be given at any interval to Td dose

38
Q

DTP: AE

A

common: rxn on site

3-5% fever

Pertussis (rare) : high fever, febrile seizure, hypotonic hypo-responsive episode, persistant cry spells, encephalopathy with 7 days of vaccine

39
Q

DTP: contraincation

A

Severe allergy to components

Encophalophaty within 7 days of vaccine of Pertussis vaccine (rare)

40
Q

DTP: precaustions

A

uncontolled seizures (pertussis)

Chaning neruologi condtions

41
Q

LIve Atteunated vaccines

Mr.V.Z Mapsy”

A

Replicate normal infectoins

Measles/Mumps/Rubella
Rotavirus oral
Oral typhoid capsules
Varicella(chicken pox)
Herpes Zoster (shingles)
Yellow fever
42
Q

Recumbivent influenza: RIV3

A

Flublok

approved 18-64 years

43
Q

High dose influenza vaccinee

A

Fluozone ≧ 65 yr

44
Q

Live Attenuated Vaccine (LAIV)

A

Flu Mist

Cold adapted vaccine

Intranasel

45
Q

Inactivated and Live influenza: Adult and Children ≧ 9

A

one dose

46
Q

Inactivated and Live influenza: Childern < 9

A

use two doses the first year

who have not been vaccinated in past, given 4 wks apart

47
Q

IIV

A

inactivated

48
Q

LAIV

A

Live

49
Q

IIV influenza: Route

A

IM

50
Q

LAIV influenza: Route

A

Intranasal

51
Q

IIV influenza: age

A

≧ 6 months

52
Q

LAIV influenza: age

A

2-49 years

53
Q

IIV influenza: contraIND

A
  • -Egg Allergy (See section on Egg Allergy)

- History of Guillain­Barré Syndrome (GBS)

54
Q

LAIV influenza: contraIND

A

–Egg Allergy (See section on Egg Allergy)
- History of Guillain­Barré Syndrome (GBS
High risk condition
Children receving asprin
pregnant women,
immunosuppreed

55
Q

Egg allergy

A

O

PDC (6 decks)

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