Immunizing Pharmacist Flashcards
FDA-DOH Advisory and PPhA Mull plan to authorize community pharmacists to administer Vaccines
2014-067
According to this law, the practice of pharmacy includes administration of adult vaccines as approved by the FDA
10918
Certification of Immunizing Pharmacist are issued by _____
institutions accredited by PRC
T/F: According to 10918, the safe administration of vaccines should be part of the higher education curriculum for pharmacists
True
Adult vaccines refer to
Cervical Cancer
Flue
Pneumococcal
Prophylactic Vaccines
Doctor’s prescription should not be more than _________ days old
seven days old
Immunizing pharmacists should submit a monthly vaccination report and AEFI report to
DOH
weakened form of the “wild” virus or bacteria
Live attenuated vaccines
must replicate to be effective
Live attenuated vaccines
immune response similar to natural infection
Live attenuated vaccines
usually effective with one dose
Live attenuated vaccines
severe reactions are possible
Live attenuated vaccines
interference from circulating antibody
Live attenuated vaccines
heat labile
Live attenuated vaccines
cannot replicate, and not live
Inactivated vaccines
minimal interference from circulating antibody
Inactivated vaccines
not as effective as live vaccines
Inactivated vaccines
require multiple (3 to 5) doses
Inactivated vaccines
antibody titer falls over time requiring booster doses
Inactivated vaccines
T/F: To optimize maximum benefit from vaccines, the recommended
schedules should be followed as closely as possible
True
For multi-dose vaccines, vaccine doses administered ____________ days prior to
the minimum interval are considered VALID. This is known as the
“grace period
≤4
Doses of any vaccine administered ≥5 days earlier than the minimum
interval or age are _________ and should be __________
INVALID; repeated
This vaccine is exempted in the ≤4 days prior rule
Rabies
T/F: Simultaneous administration of vaccines refers to the administration of more than one vaccine on the same clinic day,
at different anatomic sites and combined in the same syringe
False; not combined in the same syringe
Any ______________ vaccine can be administered either simultaneously
or at any time before or after a different inactivated or live vaccine.
inactivated
Two live vaccines should always be administered on ___________
the same day
If two live caccines are not administered on the same day, they should be atleast separated by
4 weeks
If two live vaccines separated by <4 weeks, the second vaccine administered becomes _______
and the dose should be repeated at least 4 weeks later.
INVALID
can be given <4 weeks after MMR or
univalent varicella vaccine
yellow fever
Recommended minimum interval bet. doses for antibody-containing products and inactivated antigen
simulataneously at diff sites
or at any time interval
Recommended minimum interval bet. doses for antibody-containing products and containing live antigen
should NOT be administered simultaenously
If unavoidable (MMR); administer at different site and revaccinate or test for seroconversion
For non simulatenous sched, what vacc requires no intervals
Antibody-Inactivated
Inactivated-Antibody
For non simulatenous sched, dose related
Antibody - MMRV
For non simulatenous sched, 2 weeks
MMRV-Antibody
Tdap can be give 1 dose at anytime for
Non-preggy
Male
Adults >65
Tdap is given to preggies at ________ dose at ________ weeks
1 dose at 27-36 weeks
Tdap is given to adolescents at
1 dose at 11-12 years old
Dtap is given to children and infants at _____ doses at ______
5 doses at
2,4,5 months
15-18 months
4-6 months
