Immunizations/Screenings Flashcards
if history of severe egg allergy, can the person still have the influenza immunization ?
yes- but in a controlled setting
if history of severe anaphylaxis reaction to the flu shot, can the person still have the vaccine?
NO! contrindication
Treatment for anaphylaxis after immunizations
ABC’s , EPI , allbuterol, IVF, transfer
Where do you need to report reactions of immunizations
VAERS
What vaccines are contraindicated in pregnancy and immunocompromised patients ?
ALL LIVE
MMR, Varicella, FLU
at what age can a infant get flu
> 6 months
Can give live flu virus to what type of child
asthma
on aspirin
received antiviral medications in the last 48 hours
when to give: Hep A
2 doses separate by 6 months
when to give: Hep B
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
when to give: DT
2, 4, 6, 15-18m, & 4-6 years
has 4x the toxoid in it
when to give: Td
older than 10 years
when to give: Tdap
its a booster
11-12 years
& every pregnancy
what are rare reactions to Dtap
High fever 105
presisent crying >3 hours
**hyporesponsive - hypotonic episode aka like floppy baby (not a contrindication)*******
seizures
what are contraindication to Dtap
severe CNS reactions encephalopathy without cause within 7 days of vaccine coma progloned LOC seizures
What do I do?
history of < 3 doses of Dtap, clean wound
give one dose of tetanus
What do I do?
history of < 3 doses of Dtap, dirty wound
give tetanus PLUS tetanus immunoglobulin
What do I do?
history of 3 doses of Dtap, clean wound
give if > 10 years of series
What do I do?
history of 3 doses of Dtap, dirty wound
give if > 5 years of series
when to give: MMR
12-15months
booster 4-6years
when to give: IPV
polio
2, 4, 6-18 & 4-6 years
dont give after 18 years old
when to give: Hib
3 - 4 total depends on brand
2,4 & 12-15months
when to give: Varicella - VAR
2 total
12-15months & 4-6 years
when to give: Rotavirus
3 total
2, 4, 6 months
dont start if >15months and last dose before 8 months
when to give: HPV
3 total
11 or 12 given at 2 and 6 months later
* if you start before 14 years only need 2 doses
What is a special rule for catch-up vaccines for:
Rota virus
dont start after 15 weeks
What is a special rule for catch-up vaccines for:
DTap
if dose #4 after 4 years
dont give the 5th dose
What is a special rule for catch-up vaccines for:
IPV
if #3 is after 4 years
dont give the 4th dose
What is a special rule for catch-up vaccines for:
* Hib
fewer doses are needed
dont start after age 4
What is a special rule for catch-up vaccines for:
PCV13
fewer doses are needed
dont start after age 4
What is a special rule for catch-up vaccines for:
MMR
2 doses must be seprated by 4 weeks
What is a special rule for catch-up vaccines for:
VAR
2 doses total
if <13 years of age separate by 3 months
if >13 years of age 4 weeks
What are adjuvants in vaccines for?
to help boost an immune response to antigen challenge
