Immunizations Flashcards
heb b vaccinations
series of 3 (0-2 months)
first dose before hospital discharge (monovalent or a combinations vaccine containing hep b)
second dose 1-2 months
3rd dose should be given at 6 months of later
monovalent
given by itself
if infants are born to hep b positive mothers
give 0.5 ml hep b immune globulin within 12 hours of life
then test HBsAG and antibody HBsAG after 3 or more doses of Hep B series
if infants are born to to mother’s of HBsAg unknown status
determine/check mothers status after birth
administer hep b within 12 hours of life
if mother test positive, HBIG should be given no later than 1 week of age
rotavirus vaccine can cause what?
intussusception can be see after 3 weeks of getting vaccine
rotavirus is a series of?
3 from 6 weeks to 32 weeks
must be completed by 32 weeks
do not administer after 32 weeks
DTap is a series of?
3 (2-4-6 months) and 2 boosters (15 months, 6 years)
is not indicated for children >7 years of age
what 3 vaccines do you not give after the age of 5
Hib, Pneumococcal, Rotavirus,
Tdap is a series of?
1 lifetime dose (11-12 years)
Td booster every 10 years
Hib is a series of?
3 (2-4-6 months) and 1 booster @ 12 months
Pneumococcal vaccine (PCV13 or PS23) is a series of?
PCV13- 3 (2-4-6 months) and 1 booster @ 12 months
PS23- is given to children ages 24-59 months that have completed the PCV13 series and are immune compromised should receive 1 dose at age 24 months
what is cosidered immune compromised?
hemoglobinopathies asplenia spenic dysfunction HIV congenital immunodeficiency renal failure nephrotic syndrome chronic cardiac disease chronic pulmonary disease DM Native Americans, African Americans, or Alaskan descent, or attending day care
polio vaccine is a series of?
4 (2-4-6 months and 6 years)
inactivated polio vaccine
oral (live virus) is discouraged but can be given only at number 3 and 4
contraindicated in those with hx of anaphylaxis to streptomycin
Influenza dose?
is given annually beginning at age 6 months
if 1st dose give 2 doses 1 month apart if less than 9 years
in children 6-35 months the dose is .25 ml IM
in children greater than or equal to 3 years .5 ml IM
MMR is a series of?
2 (1 year and 12 years)
if exposed can be given as early as 6 months but will need to continue primary series
do not give to pregnant or immunosuppressed
Varicella series?
2 (12 months and 12 years, min. 3 months apart)
prefer to separate by 1 month of MMR
do not give when pregnant or immunocompromised
contraindicated in persons with streptomycin allergy
Hep A series of?
2 (1year to 2 years, 6 months apart)
meningococcal series of?
2 (ages 11-12 and booster at 16)
if 1 st dose is at 16, no booster is necessary
HPV series?
3 (11 or 12, 2nd dose given 1 month after 1st, then 3rd dose is given 6 months after initial dose)
sit at least 15 minutes after receiving vaccine due to risk of labile syncope
catch up on vaccines
if there is a break resume vaccines according to the child’s are regardless of the vaccines missed
what 3 things need to be report with vaccines
anaphylaxis
encephalitis
death
