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joy's deck for FNP > immunizations > Flashcards

immunizations Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

hep B

how many doses, when to give?

A

3 dose

birth
1-2 months
6-18months

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2
Q

hep B

how many doses, when to give?

A

3 dose

birth
1-2 months
6-18months

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3
Q

hep B + mothers

when to vaccine newborn

A

12 hours (hep B and HBIG), follow up 1-2 months

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4
Q

hep B catch up for older children

A

2 dose (4 months apart) of Recombivax HB is ok for children 11-15 yo.

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5
Q

rotavirus (rotateq vs rotarix)

A

3 dose for Rotateq
2, 4, 6, months (rotateq)

2 dose for Rotarix
2, 4 months

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6
Q

dtap

A
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7
Q

hep B + mothers

when to vaccine newborn

A

12 hours (hep B and HBIG), follow up 1-2 months

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8
Q

hep B catch up for older children

A

2 dose (4 months apart) of Recombivax HB is ok for children 11-15 yo.

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9
Q

rotavirus (rotateq vs rotarix)

A

3 dose for Rotateq
2, 4, 6, months (rotateq)

2 dose for Rotarix
2, 4 months

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10
Q

IPV

A

4 dose

2 months
4 months
6-18 months
4-6 yo

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11
Q

tdap

A

1 dose to ALL adolesents 11-12 year old
(regardless of last td injection)

then td booster every 10 years

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12
Q

Hib (haemophilus influenzae type B)

A

4 dose
2, 4, 6, months
12-15 months

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13
Q

pneumococcal PCV 13

A

Prevnar
4 dose
2, 4, 6, months
12-15 momths

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14
Q

pneumovax

A

> 65 yo one time dose

or

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15
Q

IPV

A 
4 dose
2 months
4 months
6-18 months
4-6 y
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16
Q

mmr

A

live virus
2 dose

12-15months
4-6 yo

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17
Q

varicella

A

live virus
2 dose

12-15 months
4-6 yo

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18
Q

hep A

A

2 dose
12-23 months
4-6 yo

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19
Q

hpv

A

3 dose

11-12 yo
hpv4 (gardisil) or hpv2 (cervarix) for femals
ONly hpv4 (Gardisil) for boys

0, 1-2 months, 6 months

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20
Q

meningococcal

A

2 dose

11-12 yo
booster at 16 yo

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21
Q

varicella

evidence of immunity

A 
2 dose (4-8 wks apart)
unless evidence of immunity

born before 1980, except healthcare worker or pregnant
hx of varicella
hx of zoster
laboratory of evidence of immunity

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22
Q

zoster

A

everyone age 60 years or older

single dose

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23
Q

MMR adults immune if born before

A

if born before 1957

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24
Q

when to give hpv vaccine series

how many in series?

A

9-26 yo
3 dose
reduce likelihood of general warts

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25
Q

gardasil protects agains which types

A

cancer PLUS warts

type 6, 11, 16, 18

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26
Q

ceravix is which types?

A

16, 18

cancer only

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27
Q

who requires 2 doses of influenza vaccine, and how far apart?

A

6months - 8 years, >1 month apart during their first season of vaccination

FIRST TIMERS

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28
Q

live virus

A

mmr
varicella
flu mist
zoster

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29
Q

rotavirus protocol

A

give within 6 months of age
oral form only to infants
harmless shed through stool, standard care

30
Q

what ages is LAIV flu mist recommended

A

2-8 yo

31
Q

who should NOT receive LAIV

A

49 yo
2-17 yo receiving aspirin therapy
pregnant, immunocompromised, ashtma

32
Q

what to give to someone who experienced only HIVES from eggs

A

give IIV (egg or cell culture based) or RIV3 trivalent recombinant influenza vaccine.

** MUST wait 30 minutes after to observe patient

33
Q

when to give at 12-15 months

A 
(9)
*hep a
hep B (prn)
hib- 4th dose 
ipv (prn)
influenza (IIV only, no live until 2 yo)

pvc13 (prevnar)- 4th dose
dtap (15-18 months)
*mmr
*varicella

34
Q

when to start TDAP

A

> 7 yo

35
Q

dtap

A
36
Q

2, 4, 6 months immunizations

A

H H D Rip (6)

hep B
h, influenza b
dtap
rotavirus
IPV
Pcv13 (prevnar)
37
Q

when to give at 12-15 months

A

(9)

hep B (prn)
hib
ipv (prn)
influenza (IIV only, no live until 2 yo)
dtap (15-18 months)
*mmr
*varicella
hep a
38
Q

4-6 yo

A

IDMV

IPV
Dtap
MMR
Varicella

39
Q

prevnar (PVC13)

A

4 dose
2, 4, 6, months
12-18 months

40
Q

when is rotavirus contraindicated

A

infants with severe combined immunodeficiency (SCID)

41
Q

doses administered ____days before minimum interval considered valid

A

4 days

42
Q

pneumoccal

A

ALL adults age 65 yo older ONE TIME

43
Q

pneumococcal for immunocompromised

A

19-64 yo
2 dose

pcv 13, pps23 8 weeks apart

44
Q

when to revaccinate with pneumococcal

A

ONE TIME revaccinations 5 years aftr ppsv 23 if 19-64 yo with chronic renal failture, asplenia (sickle cell/splencetomy) or immunocompromised

OR

if last dose was >5 years ago and was given

45
Q

MMR for young adults who have not be immunized

A

2 doses 1 month apart

46
Q

pneumococcal for HIV

A

HVC 13, PPSV23 8 wks later, 2nd PPSV23 in 5 years, and another at 65 (if was younger than 65 yo at time of dsg)v

47
Q

who is pneumococcal PPSV23 indicated for?

A

> 65
No additional dose of PPSV23 is indicated for adults vaccinated with PPSV23 at or after age 65 years.

50-65 american indians, alaska natives
asthma, DM, liver disease
cigarette smokers age 19 years or older 
cochlear imlants
serebrospinal fluid leaks
nursing homes
48
Q

PPSV23 not used for children under ____ yo

A

2

49
Q

pneumococcal protects against what?

A

meningitis and septicemia associated with S. pneumonia

50
Q

pneumococcal for HIV

A

HVC 13, then PPSV23 8 wks later

51
Q

who is pneumococcal PPSV23 indicated for?

A

> 65
No additional dose of PPSV23 is indicated for adults vaccinated with PPSV23 at or after age 65 years.

50-65 american indians, alaska natives
asthma, DM, liver disease
cigarette smokers age 19 years or older 
cochlear imlants
serebrospinal fluid leaks
nursing homes
52
Q

Adults aged 65 years or older who

have not received PCV13 or PPSV23:

A

Administer PCV13 followed by PPSV23 in 6 to 12 months.

53
Q

Have not received PCV13 but have received a dose of PPSV23 at age 65 years or older

A

Administer PCV13 at least 1 year after the dose of PPSV23 received at age 65 years or older.

54
Q

Have not received PCV13 but have received 1 or more doses of PPSV23 BEFORE age 65

A

Administer PCV13 at least 1 year after the most recent dose of PPSV23
administer a dose of PPSV23 6 to 12 months after PCV13, or as soon as possible if this time window has passed, and at least 5 years after the most recent dose of PPSV23.

55
Q

Adults aged 19 through 64 years with immunocompromising conditions or anatomical or functional asplenia who have not received pneumococcal

A

1 dose pcv13, 8 weeks after ppsv23, 2nd dose 5 years after ppsv23

Administer PCV13 followed by PPSV23 at least 8 weeks after PCV13
administer a SECOND dose of PPSV23 at least 5 years after the first dose of PPSV23.

56
Q

who is candidate for revaccination 5 years after ppsv23

A

ONE TIME revaccination 19-64 yo chronic renal failure, asplenia (sickle cell or splenecomty), immunocompromised

if they had ppsv23 BEFORE 65 years old if 5 years have passed.

57
Q

who should receive hep b booster

A

pts on dialysis or pts ( HIV/stem cell transplant) anti-HB levels decline

58
Q

post exposure prophylaxis hep b

A

give a single vaccine booster prn if has complete series

if has NOT had series, provide series PLUS hbig

59
Q

hep b vaccine contraindication ( allergy)

A

baker’s yeast (bread)

60
Q

small pox

A

serious contagious disease caused by the variola virus. lesions are ALL the same stage during eruptive stage (varicella is different stages). Small pox vaccine contains LIVE vaccinia virus. Until scab comes off, recipient can shed the vaccinia virus ( not small pox) but can cause illness.

s/s: red spots on the tongue that spread into the mouth and throat. Very contagious at the time. Rash appears on the skin, spreads to all body parts within 24 hours.

61
Q

evidence of immunity to varicella

A

born before 1980 in the US
documentation of vxv vaccine
lab evidence of immunity or confirmation of disease
dsg or verification of varicella disease or herpes zoster

62
Q

hep A schedule adults

A

2 dose (11-12 yo)

havrix: 0, 6-12 months
vaqta: 0, 6-18months

twinrix (hep A and B): 3 doses 0, 1, 6 months
or 4 dose at 0, 7, 21-30 days, booster at 12moths)

63
Q

varicella vaccine for adults

A

2 doses, 4-8 wks apart ( with NO hx of varicella infection of immunization)

64
Q

post exposure varicella

A

give within 3 days if possible

VZIG is a pooled blood product6

65
Q

tdap adults, never had immunization

A

needs 3 doses
For unvaccinated adults, administer the first 2 doses at least 4 weeks apart and the third dose 6 to 12 months after the second.

tdap > 7 yo

66
Q

hep A schedule adults

A

3 dose (11-12 yo)

67
Q

hep A when traveling

A

4-6 wks before travel.

68
Q

hep A post exposure

A

give within 2 weeks
immune globulin or HAV vaccine
tx: supportive measures

69
Q

poliovirus is spread by

A

fecal-oral route

70
Q

medications to stop smoking

A

nicotine replacement
buproprion (Wellbutrin, zyban)
varenicline (Chantix)

71
Q

what to monitor on varenicline (Chantix)

A

mood changes (suicide risk)

joy's deck for FNP (24 decks)

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