Immunizations Flashcards
What types of HPV does the HPV quadrivalent (Gardasil) cover?
types 6, 11, 16, and 18
What is the timing of the HPV vaccine series?
What does it prevent?
Special recommendation for administration?
- Series of 3 (at 11-12 years, then 1 month after first dose, then 6 months after initial dose)
- Prevents HPV and associated cancer
- Monitor for 15 minutes after giving the vaccine
What is the timing of the Meningococcal vaccine (MCV4) series?
- Series of 2 (age 11-12, booster at age 16)
What is the timing of the Hep A vaccine series?
- Series of 2 (1-2 years, 6 months apart)
What is the timing of the Varicella vaccine series?
Special considerations?
- Series of 2 (12mo-12yr, 3 months apart minimum)
- Prefer to separate by 1 months from MMR
What is the timing of the MMR vaccine?
Recommendations for early administration?
Special considerations?
- Series of 2 (1 year and by 12 years)
- Can give as young as 6 months, but must restart series at one year
- postpone PPD testing for 4-6 weeks
What is the timing of Influenza vaccine administration?
What is the dosing?
When is it okay to give LAIV?
- 6 months to 9 years old: 2 doses 1 month apart every year
- Older than 9 years old: 1 dose yearly
- DOSE: 0.25mL IM (6-35 months), 0.5mL IM (greater than 36 months)
- LAIV (Flumist): okay for health nonpregnant 2-49yo
Timing of the IPV vaccine series?
Recommendations for oral vaccine?
- Series of 4 (2, 4, 6 months, and 6 years)
- oral vaccine exists for 3rd and 4th doses only
Recommendations for PCV23 (Pneumovax)(23PS)
≥ 2 years old if immunocompromised and everyone ≥ 65 years old
What is the timing of the PCV13 (Prevnar) series?
What age to stop giving?
- Series of 3 (2, 4, 6 months) and booster at 12 months
- Stop at 5 years old
What is the timing of the Hib vaccine series?
What types of infections has it decreased?
When to stop giving?
- Series of 3 (2, 4, 6 months) and booster at 12 months
- Has decreased amount of pneumonia and ear infections
- Stop at 5 years old
What is the timing of Tdap?
- Series of 1 (11 or 12 years old), with boosters every 10 years of Td
What is the timing of DTaP series? Special considerations?
- Series of 3 (2, 4, 6 months) then 2 boosters, at 15 months and 6 years
- Not indicated over age 7 (use Tdap for kids older)
What is the timing of the Rotavirus vaccine series?
When to stop giving?
What is a rare but serious adverse effect?
- Series of 3 (6 weeks to 32 weeks)
- Must complete series before 32 weeks (8 months)
- Can lead to intussusception at 3 weeks in rare cases
Recommendations to infants born to mother with HBsAg (hepatitis B antigen) status unknown
- Determine/check status immediately at birth
- Hep B vaccine within 12 hours of birth
- If mom tests positive, give HBIG no later than 1 week of age
