Lecture 7 done

Question 1

What is a precaution?

Answer 1

a condition in a vaccine recipient which may result in an unwanted effect

Question 2

Describe risks and benefits in pregnancy

Answer 2

risk cannot be ruled out, but benefit may justify the risk

Question 3

Can pregnant women get rubella vaccine?

Answer 3

no, can cause birth defects. Avoid pregnacy for 1 month following vaccination

Question 4

What should you do if yiou have a pregnant patient?

Answer 4

refer for prenatal care, avoid live vaccines, Tdap in late pregnacy, defer HPV immunization, other vaccines as indicated

Question 5

Influenza vaccine in pregnancy

Answer 5

pregnant individuals should get influenza vaccine because of increased risk of morbitity

Question 6

What vaccines are given at post-partum immunization?

Answer 6

rubella and/or varicella, tdap if unimmunized, flu (maybe)

Question 7

What are the risks of vaccinating immunosuppressed?

Answer 7

vaccine induced morbitity/mortality, poor host response to vaccination

Question 8

What are imunosuppressing diseases?

Answer 8

congenital imunodefficiency, HIV, leukemia, lymphoma, generalized malignancy

Question 9

What are some immunosuppressing drugs?

Answer 9

alkylating agents, antimetabolites, radiation, corticosteriods, biologics, transplant medications

Question 10

What vaccines should the immunocompromised NOT receive?

Answer 10

no live vaccines, no OPV, LAIV, and smallpox for household contacts

Question 11

What vaccines should an immunocopromised individual receive?

Answer 11

zoster, pneumococcal

Question 12

WHat vaccines should be given to thse with Asplenia?

Answer 12

Hib, annual flu, neumococcal and menigococcal(if older than 2 years)

Question 13

What vaccines should be given to those with liver disease?

Answer 13

hep A, Hep B, annual flu, pneumococcal

Question 14

What vaccine for HIV?

Answer 14

pneumococcal, menACWY, inactivated flu, Tdap, Hep B

Question 15

What vaccines should be avoided in HIV infection?

Answer 15

live vaccines, mmr okay for those who are not severly immunocopromised, mmr for children on normal schedule, varicella on usual childhood schedule

Question 16

When should cancer patients be immunized?

Answer 16

2 weeks before chemotherapy or inbetween cycles

Question 17

When should transplant patients be vaccinated?

Answer 17

while waiting for organ transplant

Question 18

What vaccine should a transplant patient get?

Answer 18

inactivated influenza, pneumococcal, Tdap, Hep B(may need boosters)

Question 19

How should vaccines be given to anticoagulated patients?

Answer 19

IM, immunize when at or below INR,maintain pressure for at least one minute

Question 20

WHat are high risk medical conditions?

Answer 20

diabetes and renal failure

Question 21

What vaccines should be used in high risk medical conditions?

Answer 21

Hep B, pneumococcal, inactivated flu, Tdap(renal failure)

Question 22

What vaccines should healthcare worker get?

Answer 22

two doses mmr, varicella, Hep B, pertussis, annual flu

Question 23

True or false: vaccines should not be given of there is a concurrent illness.

Answer 23

false. vaccination during mild illness is okay. postpone if moderate to severe illness

Question 24

When should mmr be given?

Answer 24

when reccomended by ACIP, should be considered for HIV infection, not given to immunocoprimised

Question 25

Should varicella be used in children with HIV?

Answer 25

only asymtomatic or mildly symtomatic

Question 26

When should the immunosuppressed get the Zoster vaccine?

Answer 26

19 years or older, immunocompetent 50 years older, anyone who had ZVL

Question 27

Why are some populations hard to vaccinate?

Answer 27

disrust, religious beleifs, lack of awarness of benefits, overty or low SES, lack of time, gender discrimination

Question 28

What drives vaccine hesitency?

Answer 28

complacency, concenience, confidence