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NAPLEX!!!!! > Immunizations > Flashcards

Immunizations Flashcards

1
Q

How much time must elapse before giving a live vaccine to a patient who received a product containing antibodies

A

wait 3 months or longer before giving vaccine - MMR and varicella containing vaccine (except zoster) consult pink book for blood product/vaccine timeline

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2
Q

How much time must elapse before giving antibody containing products after a live vaccine is given

A

wait 2 weeks before giving antibody

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3
Q

Which vaccines( polysaccharide or conjugate) do not consistently produce an effective immune response in children under 2

A

polysaccharide

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4
Q

Live vaccines are withheld until what age

A

12 months of age - due to mother’s antibodies

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5
Q

Age at which inactivated vaccines can be started and exception

A

2 months (except Hepatitis B - at birth)

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6
Q

Which diseases is simultaneous administration of antibody and vaccine recommended as post exposure prophylaxis

A

hepatitis A, hepatitis B, rabies, tetanus

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7
Q

Which vaccines shouldn’t be administered simultaneously?

A

PCV 13 and Menactra (meningococcal conjugate) - seperated by at least 4 weeks

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8
Q

If live vaccines are not given together, how far should they be seperated?

A

at least 4 weeks

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9
Q

Which vaccines are Live vaccines

A

MMR, MMRV, varicella, zoster, yellow fever, LAIV

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10
Q

Effect of increasing the dosing interval in a vaccination series

A

delayed protection - no decrease in effectiveness

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11
Q

effect of decreasing the dosing interval in a vaccination series

A

may decrease effectiveness

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12
Q

Live vaccines and PPD timeline

A

give on the same day or if vaccine given first wait 4 weeks before placing PPD, if PPD given first wait until after reading to give vaccine

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13
Q

Most common vaccine adverse reactions

A

local reactions - pain, sweling, and redness of injection site - up to 80%, most common with inactive vaccines

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14
Q

Systemic adverse reactions to vaccines

A

fever, malaise, myalgias, headache, loss of appetite, mild manifestations of the disease being protected against, - mild and occurring within 7-21 days of the vaccine

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15
Q

Are minor allergic reactions a contraindication to repeat vaccination

A

no

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16
Q

When do anaphylactic allergies occur after a vaccine (timeframe)

A

minutes to hours

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17
Q

S/s of anaphylactic reaction

A

urticaria, swelling of the mouth and throat, difficulty breathing, wheezing, abdominal cramping, hypotension, shock

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18
Q

Amount of corticosteroids to get systemic steroid induced immunosuppression

A

20+ mg/day prednisone x 14+ days, 2+mg/kg/day prednisone x 14+ days

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19
Q

Contraindications to live vaccines

A

pregnancy, immunosuppression

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20
Q

How long after chemotherapy to be able to give live vaccines

A

at least 3 months after discontinuation of chemo

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21
Q

Which vaccines are contraindicated in HIV with a CD4 count

A

MMR, Varicella

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22
Q

Asplenic patients should received which vaccines

A

PCV13 AND PPSV23. can receive live vaccines if indicated

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23
Q

optimum time for Tdap vaccination during pregnancy

A

27 and 36 weeks

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24
Q

Which vaccines are recommended for health care professionals

A

Hepatitis B, Flu, MMR, Varicella, Tdap

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25
Q

DTaP brand names

A

Daptacel, Infanrix

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26
Q

DTaP-IPV brand name

A

Kinrix

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27
Q

DTaP - HepB-IPV brand name

A

Pediarix

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28
Q

DTaP-IPV/Hib brand name

A

Pentacel

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29
Q

DTap series given to who

A

children

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30
Q

DTaP dosing

A

5 doses at age 2, 4, 6, 12-18 months and 4-6 years. followed by Tdap at 11-12 years

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31
Q

Hib vaccine brand names

A

ActHIB, Hiberix, PedvaxHIB

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32
Q

MenCY-Hib vaccine brand names

A

Menhibrix (Meningococcal serogroups C and Y - Hib)

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33
Q

When is Hib vaccination given

A

children, sometimes adults after splenectomy Menhibrix - high risk infants 6 weeks - 18 months

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34
Q

Hep A vaccine brand names

A

Havrix, Vaqta

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35
Q

Hep B vaccine brand names

A

Engerix B, Recombivax HB

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36
Q

Hep A / Hep B vaccine brand name

A

Twinrix

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37
Q

Who gets Hep A vaccination

A

children at 1 year of age (2 doses); adults: men who have sex with men, IVDU, chronic disease, travelers to countries with high incidence

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38
Q

Who gets Hep B vaccination

A

3 dose series at 0, 1, and 6 months for all children and adolescents and adults (HCP, men who have sex with men, sex with multiple partners, IVDU, ESRD, chronic liver disease, diabetics between 19-59)

39
Q

HPV2 vaccine brand name

A

Cervarix (female only)

40
Q

HPV4 vaccine brand name

A

Gardasil

41
Q

HPV9 vaccine brand name

A

Gardasil

42
Q

Who gets HPV vaccination

A

females 9-26 years old. starting 11-12 or age 9, catch up 13-26 years old. males 9-26 years old. 3 doses (0, 1-2, and 6 months)

43
Q

LAIV brand name

A

Quadrivalent nasal spray FluMist

44
Q

Flustmist indication

A

healthy people age 2-49

45
Q

Quadrivalent IIV grown in eggs brand names

A

Fluarix, Flulaval, Fluzone

46
Q

Trivalent IIV grown in eggs brand names (IIV3)

A

Afluria, Fluarix, Flulaval, Fluvirin, Fluzone

47
Q

Trivalent IIV grown in cell culture brand names (ccIIV3)

A

Flucelvax

48
Q

Trivalent high dose IIV grown in eggs brand name

A

Fluzone high dose

49
Q

Age range for fluzone high dose

A

65+

50
Q

Trivalent, recombinant egg free IIV brand name

A

Flublok

51
Q

Precautions to flu vaccinations:

A

Defer if moderate-severe acute illness; Guillain-Barre within 6 weeks of a prior flu vaccine;

52
Q

Management of influenza vaccine and egg alllergy

A

if pt can tolerate lightly cooked eggs or only gets hives - give vaccine and monitor for 30 minutes.

53
Q

MMRV brand name

A

ProQuad; 12 months to 12 years of age

54
Q

Who gets MMR vaccine

A

children and non-immune adults;

55
Q

MMRV storage

A

freezer, diluents in refrigerator

56
Q

MCV4 brand name

A

Menactra, Menveo

57
Q

MPSV4 brand name

A

Menomune

58
Q

who is high risk for meningococcal revaccination

A

HIV, asplenia, complement component deficiencies (MCV4 preferred)

59
Q

MenB-4c vaccine brand name and age range

A

Bexsero 10-25 years

60
Q

MenB-FHbp brand name and age range

A

Trumenba 10-25 year

61
Q

who gets meningococcal vaccines

A

1 dose @ 11-12 years, booster at 16-18; 2-55 if high risk

62
Q

who is high risk to receive meningococcal vaccine

A

college freshman, asplenia, sickle cell, military service, immunodeficiencies, high risk countries, lab workers with N. meningitidis exposure

63
Q

Which meningococcal vaccines cover group b strain and must be used in addition to one of the other vaccines

A

Bexsero or trumenba

64
Q

PCV13 vaccine brand name

A

Prevnar 13

65
Q

Who gets PCV13

A

children 64. minimum age 6 weeks

66
Q

PPSV23 brand name

A

Pneumovax 23

67
Q

Who gets PPSV23

A

all adults >64 and some children and adults 2-64. minimum age 2 years.

68
Q

max lifetime doses of PCV13

A

1

69
Q

Max lifetime doses of PPSV23

A

3; 2 prior to age 65 spaced at least 5 years apart and 1 post 65

70
Q

Pneumonia vaccination recommendation for all children age 2-15 months

A

PCV13 - 4 doses ( 2, 4, 6, 12-15 months)

71
Q

Who gets polio vaccination

A

ALL children

72
Q

IPV vaccine brand name

A

IPOL

73
Q

RV1 vaccine brand name

A

Rotarix

74
Q

RV5 vaccine brand name

A

RoTeq

75
Q

Who gets rotavirus vaccine

A

All infants. do not initiate series after 15 weeks

76
Q

Td vaccine brand name

A

Tenivac

77
Q

DT vaccine brand name

A

Diptheria and Tetanus Toxoid

78
Q

Tdap vaccine brand names

A

Adacel, Boostrix

79
Q

VAR vaccine brand name

A

Varivax

80
Q

ZOS vaccine brand name

A

Zostavax

81
Q

Who gets varicella vaccine

A

children @ 12 months and 4-6 years. adults without immunity 2 doses at least 4 weeks apart. zostavax for 50/60+

82
Q

Which vaccine cannot be given if allergy to gelatin or neomycin

A

varicella containing vaccines

83
Q

Rabies vaccine brand names

A

RabAvert, Imovax

84
Q

Who gets rabies vaccine

A

high risk prophylaxis or post exposure (with rabies IG)

85
Q

Typhoid vaccine oral capsules brand name

A

Vivotif Berna (refrigerated)

86
Q

Live attenuated typhoid brand name

A

Typhim Vi

87
Q

Who gets typhoid vaccine

A

travelers to asia, africa, and latin america at risk

88
Q

Japanese Encephalitis vaccine brand name

A

Ixiaro

89
Q

Who gets japanese encephalitis vaccine

A

those spending 1+ month in endemic areas during transmission season

90
Q

Who gets BCG vaccine

A

infants and small children in countries with higher TB incidence.

91
Q

When is yellow fever vaccination contraindicated

A

severe egg or gelatin allergy, immunosuppression, breastfeeding

92
Q

Length of needle for an IM vaccination

A

1” 22-25 G

93
Q

Length of needle for SC vaccination

A

5/8” 23-25 G

NAPLEX!!!!! (8 decks)

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