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Pediatrics (Lauren) > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Who should get Tdap shots?

A

Kids 11-12 yrs old

EVERY SINGLE pregnancy 27-36 weeks

Booster for 19yo+ who never got it before

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2
Q

For whom is HPV vaccine recommended (and insurance usually pays for it)

A

9-26 year old females
9-21 year old males
(+men 22-26 who have sex with men, or are immunocompromised)

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3
Q

Contraindications to DTaP

A

Encephalopathy (coma, LOC, or seizures) within 7 days of a DTaP dose

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4
Q

What was the leading cause of bacterial meningitis in kids under 5 before 1977?

A

Hib (Haemophilus influenzae B)

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5
Q

How many doses of Varicella are given?

A

2

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6
Q

When is first dose of Hib given?

A

2 months

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7
Q

When is first dose of varicella?

Second?

A

First: 12-15 Months
Second: 4-6 years
(Same as MMR)

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8
Q

Contraindications to IPV vaccine?

A

Anaphylactic reaction to neomycin/streptomycin/polymyxin B

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9
Q

What are the contraindications to MMR?

A

PREGNANCY (it’s live!)
Anaphylaxis to neomycin or gelatin
Immunosuppression

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10
Q

Can babies younger than 6 months get flu shot

A

NOpe

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11
Q

How many doses of HAV are given?

A

2 doses separated by 6-18 months!!!

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12
Q

How many types of HPV does Gardasil protect against?

A

9!

6, 11, 16, 18 + 31, 33, 45, 52, 58

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13
Q

What are the two contraindications for EVERY vaccine, live or otherwise?

A

Severe allergic reaction to the vaccine or any component of it

Moderate or Severe illness that day regardless of fever (mild illness ok)

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14
Q

When is the first dose of Hep B given?

A

Birth

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15
Q

When is the first dose of DTaP given?

A

2 months

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16
Q

How many doses of Hib are given?

A

2 or 3 for primary series plus a booster dose

…so 3 or 4 total

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17
Q

What are some uncommon vaccine reactions?

A

-ANAPHYLAXIS (that vaccine is ALWAYS contraindicated for you forever if this happens)

  • seizures
  • inconsolable crying >3hrs
  • Fever higher than 105
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18
Q

How many doses of DTaP are given?

A

5

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19
Q

How many doses of PCV13 are given?

A

4

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20
Q

Can pregnant lady get HPV vacccine?

A

Not recommended

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21
Q

How many doses of rotavirus are given?

A

Rotarix-2

RotaTeq-3

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22
Q

Is it ok to get a vaccine if you have a mild illness and/or low grade fever?

A

YEP

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23
Q

When is the first dose of HAV (Hepatitis A Vaccine)

A

12-23 months

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24
Q

When is first dose of pneumococcal conjugate (PCV13) given?

A

2 months

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25
When is first dose of Quadrivalent Meningococcal Polysaccharide Vaccine given? Booster?
First: 11-12 Years old Booster: 16 years
26
What is cocooning?
Giving a Tdap shot to a kid around 11-12 yrs old who already finished all 5 DTaP shots
27
When is first dose of IPV (inactivated poliovirus)
2 months
28
Who is at high risk for meningitis and should get Quadrivalent meningococcal vaccine before 11yrs or after 18?
- no/dysfunctional spleen(sickle cell) - community outbreak - college kids in dorms -military, microbiologists, travel to Africa
29
Who would get PPSV23 (pneumococcal polysaccharide) in addition to PCV13?
High risk kids over 2
30
How is Rotavirus given
ORALLY (doesn’t matter if baby throws up after! 👍)
31
What are the contraindications to Hep B shot?
Life threatening allergy to yeast (vaccine is produced in yeast cells)
32
What are the names of the Quadrivalent meningococcal polysaccharide vaccines?
Menactra | Menveo
33
Which HPV strains are the worst
16 and 18
34
What ages can get the live flu vaccine (FluMist)?
Over 2 years, under 49
35
Premature babies follow the same vaccine schedule as other babies except for what vaccine and why?
Hepatitis B because they have to weigh at least 2kg (4.4lbs)
36
What are the contraindications to flu shot
- severe allergy to shot or its components (antibiotics, latex, gelatin) - Guillain Barre syndrome within 6 wks of vaccination (just a precaution, not contraindication)
37
When is HPV given?
11-12 years old (boys and girls)
38
Why didn’t we give FluMist in 2016 and 2017?
Reduced efficacy
39
What are the contraindications to Varicella vaccine?
🤰 PREGNANCY (its live!!) Anaphylaxis to neomycin or gelatin Immunosuppression (Exact same as MMR)
40
When is first dose of MMR? | Second dose?
First: 12-15 months Second: 4-6 years
41
Is an egg allergy a contraindication for flu shot?
Nope | If they have a REALLY bad egg allergy, just keep them in the office and watch them afterwards
42
Who is recommended to get a flu shot
everyone over 6 months should get one annually
43
What are the contraindications to HAV?
Severe allergy to the first dose or vaccine additives
44
What is the minimum interval between live vaccines?
28 days
45
What is MMRV vaccine
MMR+Varicella together Same schedule and contraindications as MMR + Varicella separately (Associated w more side effects)
46
Are we giving FluMist in 2018
Yea
47
How many doses of MMR do you get
2
48
Which vaccines are live-attenuated?
MMR FluMist Varicella Rotavirus
49
How many Hep B shots do you get?
3
50
What are some mild vaccine reactions?
``` Fussiness (<3 hrs, consolable) Malaise Low grade fever (<101.5) Pain,redness,swelling @ site Headache Loss of appetite Myalgia (muscle pain) ```
51
Who NEVER gets live vaccines?
Pregnant women | Severely immunocompromised
52
What are the contraindications of Rotavirus vaccine?
- HISTORY OF INTUSSUSCEPTION (telescoping intestines) - Latex allergy (rotarix) - Immunodeficiency (it’s live) - Moderate-Severe gastroenteritis that day
53
Who should get vaccinated for serogroup B Meningitis?
People over 10 at increased risk: asplenia College campuses with outbreaks -microbiologists, ppl w complement deficiencies
54
What are contraindications to Hib vaccine
Severe allergy to latex (stoppers in vials have latex) Younger than 6 wks (first dose usually isn’t even given until 2 months??🤔)
55
How many doses of IPV are given? (Inactivated Polio)
4
56
How many doses of HPV are given?
Usually 2, but if they’re over 15 years old, they get 3. (Or if they’re immunocompromised)
57
When is first dose of Rotavirus?
2 months
58
Can pregnant lady get FluMist
Nope it is LIVE
59
What virus does AZ have a higher risk of?
``` Hepatitis A (Maricopa kids must get 1st dose within 15 days of starting daycare or school) ```
60
Kids up to 8 years old require how many doses of flu shot the first year they get one?
2 doses (more than 4 wks apart)
61
For whom is it realty important to get flu shots?
Children 6-59 months (almost 5yo) Pregnant lady Chronic disease (asthma, DM) Immunosuppressed ppl
62
What is the leading cause of bacterial meningitis in America now?
Streptococcus pneumoniae | Prevented by PCV13

Pediatrics (Lauren) (4 decks)

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