Immunizations/Screenings Flashcards

1
Q

if history of severe egg allergy, can the person still have the influenza immunization ?

A

yes- but in a controlled setting

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2
Q

if history of severe anaphylaxis reaction to the flu shot, can the person still have the vaccine?

A

NO! contrindication

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3
Q

Treatment for anaphylaxis after immunizations

A

ABC’s , EPI , allbuterol, IVF, transfer

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4
Q

Where do you need to report reactions of immunizations

A

VAERS

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5
Q

What vaccines are contraindicated in pregnancy and immunocompromised patients ?

A

ALL LIVE

MMR, Varicella, FLU

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6
Q

at what age can a infant get flu

A

> 6 months

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7
Q

Can give live flu virus to what type of child

A

asthma
on aspirin
received antiviral medications in the last 48 hours

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8
Q

when to give: Hep A

A

2 doses separate by 6 months

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9
Q

when to give: Hep B

A

4 total
Start at birth within 24 hours
2m, 4m, 6m

if premature and mom is hep B - given one month later
if premature and mom is hep B + given right away

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10
Q

when to give: DT

A

2, 4, 6, 15-18m, & 4-6 years

has 4x the toxoid in it

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11
Q

when to give: Td

A

older than 10 years

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12
Q

when to give: Tdap

A

its a booster
11-12 years
& every pregnancy

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13
Q

what are rare reactions to Dtap

A

High fever 105
presisent crying >3 hours
**hyporesponsive - hypotonic episode aka like floppy baby (not a contrindication)*******
seizures

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14
Q

what are contraindication to Dtap

A
severe CNS reactions 
encephalopathy without cause within 7 days of vaccine
coma 
progloned LOC 
seizures
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15
Q

What do I do?

history of < 3 doses of Dtap, clean wound

A

give one dose of tetanus

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16
Q

What do I do?

history of < 3 doses of Dtap, dirty wound

A

give tetanus PLUS tetanus immunoglobulin

17
Q

What do I do?

history of 3 doses of Dtap, clean wound

A

give if > 10 years of series

18
Q

What do I do?

history of 3 doses of Dtap, dirty wound

A

give if > 5 years of series

19
Q

when to give: MMR

A

12-15months

booster 4-6years

20
Q

when to give: IPV

A

polio
2, 4, 6-18 & 4-6 years
dont give after 18 years old

21
Q

when to give: Hib

A

3 - 4 total depends on brand

2,4 & 12-15months

22
Q

when to give: Varicella - VAR

A

2 total

12-15months & 4-6 years

23
Q

when to give: Rotavirus

A

3 total
2, 4, 6 months
dont start if >15months and last dose before 8 months

24
Q

when to give: HPV

A

3 total
11 or 12 given at 2 and 6 months later
* if you start before 14 years only need 2 doses

25
Q

What is a special rule for catch-up vaccines for:

Rota virus

A

dont start after 15 weeks

26
Q

What is a special rule for catch-up vaccines for:

DTap

A

if dose #4 after 4 years

dont give the 5th dose

27
Q

What is a special rule for catch-up vaccines for:

IPV

A

if #3 is after 4 years

dont give the 4th dose

28
Q

What is a special rule for catch-up vaccines for:

* Hib

A

fewer doses are needed

dont start after age 4

29
Q

What is a special rule for catch-up vaccines for:

PCV13

A

fewer doses are needed

dont start after age 4

30
Q

What is a special rule for catch-up vaccines for:

MMR

A

2 doses must be seprated by 4 weeks

31
Q

What is a special rule for catch-up vaccines for:

VAR

A

2 doses total
if <13 years of age separate by 3 months
if >13 years of age 4 weeks

32
Q

What are adjuvants in vaccines for?

A

to help boost an immune response to antigen challenge