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Pediatrics I, exam 1 > immunizations > Flashcards

immunizations Flashcards

1
Q

contraindications to live vaccines

A

pregnancy; severely immunocompromised

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2
Q

recommended minimum interval between doses of two or more live vaccines

A

28 day minimum, if not administered simultaneously

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3
Q

Hepatitis B

  • total # of doses
  • when 1st dose is given
A
  • series of 3 vaccines

- routine: birth

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4
Q

contraindications of Hep B

A

life threatening allergy to yeast

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5
Q

common contraindications for all vaccines

A

1) severe allergic rxn to vaccine or vaccine component

2) moderate or severe illness REGARDLESS of fever

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6
Q

DTaP

  • total # of doses
  • when is 1st dose given
A
  • series of 5 vaccines

- 2 months

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7
Q

contraindications of DTaP

A
  • encephalopathy not attributable to another identifiable cause within 7 days after prior dose of DTaP
  • deferred in individuals with progressive neurologic disorders until neurologic status is clarified and stabilized
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8
Q

When is Tdap recommended

A
  • single dose recommended for adolescents 11-12 years

- pregnancy

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9
Q

When is DT recommended

A
  • does not contain pertussis; used in children less than 7
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10
Q

When is Td recommended

A

tetatnus-diphtheria vaccine given as booster shot every 10 years or when trauma requires

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11
Q

Haemophilus influenzae type B (Hib)

  • total number of doses
  • when is 1st dose given
A
  • 2 or 3 doses Hib primary series and a booster dose

- 2 months

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12
Q

What does Hib cause

A

prior to vaccine, Hib disease was the leading cause of bacterial meningitis in children under 5

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13
Q

contraindications of Hib vaccine

A
  • age less than 6 months
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14
Q

inactivated poliovirus (IPV)

  • total # in series
  • age of first dose
A
  • series of 4 vaccines

- 2 months

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15
Q

contraindications to administering IPV

A

anaphylactic rxn to neomycin; streptomycin; polymyxin B

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16
Q

pneumococcal conjugate PCV 13

  • total # in series
  • age of first dose
A
  • series of 4

- 2 months

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17
Q

when is pneumococcal polysaccharide (PPSV23) given

A

high risk kids ages > 2

  • PCV13 + PPSV 23
  • protects against 23 types of pneumococcal bacteria
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18
Q

streptococcus pneumoniae is the leading cause of what

A

bacterial meningitis; hits children under age 1 the hardest

19
Q

What vaccines are given as live-attenuated

A

MMR; Rotavirus; varicella; MMRV; FluMist

20
Q

Rotavirus

  • total # of doses
  • age of first dose
A
  • series of 2 (Rotarix) or 3 (RotaTeq)

- 2 months

21
Q

what is the difference between Rotarix and RotaTeq

A

Rotarix contains latex and those with severe latex reaction can’t take it

22
Q

contraindications of Rotavirus

A
  • SCID (severe combined immunodeficiency)
  • severe latex allergy (Rotarix)
  • h/o of intussusception
  • acute moderate to severe gastroenteritis
  • altered immunocompetence
23
Q

hepatitis A vaccine (HAV)

  • total # of doses
  • When is 1st dose given
A
  • 2 dose series

- initiate at 12-23 months

24
Q

HAV series is seperated by how many months

A

6-18 months

25
Q

contraindications to administer HAV

A

severe allergy to latex

26
Q

MMR (measels, mumps, rubella)

  • total # of doses
  • when is 1st dose given; when is the final dose given
A
  • 2 dose series (live vaccine)
  • 12-15 months
  • 4-6 years
27
Q

contraindications to MMR and Varicella and MMRV

A
  • pregnancy

- anaphylactic rxn to neomycin or gelatin

28
Q

Varicella

  • total # of doses
  • When is 1st dose given; when is the final dose given
A
  • 2 dose series
  • 12-15 months
  • 4-6 yrs
29
Q

MMRV vaccine

  • total # of doses
  • when is the 1st and final dose given
A
  • 2 dose series (live)
  • 12-15 months
  • 4-6 years
30
Q

Meningococcal vaccines (Menactra)

  • total # of doses
  • When is the first dose given
  • when is the booster dose given
A
  • 2 dose
  • first dose: 11-12 yrs
  • booster: 16 yrs old
31
Q

who is high risk for meningococcal disease? when can they get the menactra vaccine

A

functional or anatomic asplenia, travelers to countries where meningococcal disease is epidemic; community outbreak; first year college students

2 months - 10 years

32
Q

Serogroup B meningococaal (Men B)

  • total # of doses
  • indications:
A
  • 2 or 3 dose series
  • greater or equal to 10 yrs old who are at increased risk of Serogroup B (complement dificiencies; asplenia; disease outbreak)
33
Q

contraindications: meningococcal vaccines

A
  • hx of severe allergic rxn to any component of vaccine including diphtheria or tetanus toxoid
  • latex allergy
34
Q

HPV vaccine is broken down into 2 vaccines: name them and the serotypes they cover

A

Cervarix (2vHPV): serotypes 16 and 18

Gardasil (4vHPV and 9vHPV*): serotypes 6, 11, 16 and 18 + 5 more

35
Q

HPV

  • total # of doses
  • age when 1st dose is given
A
  • series of 3

- 11-12 years of age

36
Q

contraindications to HPV

A

pregnancy

37
Q

inactivated influenza vaccine (IIV)

- indications

A
  • annually for everyone age > or = 6 months
38
Q

children aged 6 months - 8 years require how many doses of flu vaccine during thier first season of vaccination?

A

2 doses ( > or = to 4 weeks apart)

39
Q

list those who should definitely get IIV

A
  • children 6-59 months
  • pregnancy
  • chronic disease
  • immunosuppression
  • household contacts of very young or very old
40
Q

contraindications and precautins to IIV

A
  • severe allergy to vaccine component (abx; gelatin; latex)
  • Guillain Barre Syndrome (precautin)
  • hx of egg allergy *
41
Q

Live intranasal influenza vaccine (fluMist)

- age of first dose

A

> 2 yrs or less than 49 years

42
Q

contraindications to FluMist

A
  • hx of hypersensitivity to egg/egg protein
  • ages 2-4 who have asthma, wheezing episode within the past 12 months
  • ages 2-17 on ASA
  • pregnant
43
Q

uncommon/very rare adverse rxns to vaccines

A
  • anaphylaxis - sz - inconsolable crying for > 3 hrs - fever > 105

Pediatrics I, exam 1 (4 decks)

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