Immunizations MAIN

Question 1

Aluminum is present in which immunizations? (6)

Answer 1

1. Hep A
2. Hep B
3. DTaP and Tdap
4. Hib
5. HPV
6. Pneuomococcus

Question 2

Newborn Needle Length and Location

Answer 2

1st 28 days of life

5/8th inch needle at anterolateral thigh muscle

Question 3

Infant Needle Length and Location

Answer 3

1-12 months

1 inch needle at anterolateral thigh muscle

• Don’t use 5/8th inch needle after 4 months unless very skinny
• 1 inch if a lot of fat is present

Question 4

Toddler Needle Length and Location

Answer 4

1-2 years

Either 1-1 and 1/4th at anterolateral thigh muscle OR 5/8-1 inch at deltoid muscle of arm

Question 5

Children and teens needle length and location

Answer 5

3-18 years old

either 5/8-1 inch at deltoid muscle of arm OR 1 inch to 1 and 1/4th at anterolateral thigh muscle

Question 6

DTaP, Tdap Schedule (7)

Answer 6

• 4 dose priming series*
  1. Dose 1: 2 months old (DTaP)

2. Dose 2: 4 months old (DTaP)
3. Dose 3: 6 months old (DTaP)
4. Dose 4: 15-18 months old, at least 6 months after third dose (DTaP)

• Secondary series*
  5. Dose 5: If dose 4 occurs before 4th birthday, give dose 5 at 4-6 years old (DTaP)

6. Dose 6: 11-12 years old (Tdap)*
7. BOOSTER of Td EVERY 10 YEARS AFTER

Question 7

DTaP minimum age and minimum intervals

Answer 7

Minimum age: 6 weeks

Minimum intervals: 4 weeks between does 1-3 (i.e. 2-6 month doses) and then 6 months between the 3rd and 4th dose

Question 8

Pentacel (Make up, dosing schedule, pertinent info)

Answer 8

DTaP, IPV, Hib

Dose 1: 2 months
Dose 2: 4 months
Dose 3: 6 months
Dose 4: 15-18 months

• Doses 1-3 must be separated by 4 weeks, doses 3-4 must be separated by 6 months
• NOT approved for 5th DTaP dose or older than 4 years old (approved for 6 weeks through 4 years)

Question 9

Pediarix (make up and dosing schedule, pertinent info)

Answer 9

DTaP, IPV, Hep B

Dose 1: 2 months
Dose 2: 4 months
Dose 3: 6 months

• Not approved for doses 4 or 5 of DTaP
• Approved from ages 6 weeks to 7 years old
• Approved for infants whose mother’s are HepB positive
• Infant would have received HepB at birth

Question 10

Kinrix (4)

Answer 10

1. DTaP/IPV combination
2. Only approved for 2nd booster for children 4 through 6 years old
3. Approved for the 5th dose of DTaP and 4th dose of IPV
   (b/c 5th dose of DTaP is given at 4-6 and 4th dose of IPV is given at 4-6)
4. Prior DTaP vaccines must be Infanrix and/or Pediarix for first 3 doses and Infanrix for 4th dose
5. If Kinrix is inadvertently administered as an earlier dose in the series, the dose may be counted as valid and does not need to be repeated if the minimum age and minimum interval since the prior dose are met