Module 8 - Administration of Immunizing Agents

Question 1

Vaccination in canada is a _______ procedure

Answer 1

voluntary

Question 2

Is a mild illness a CI to vaccination?

Answer 2

not to most vaccines

Question 3

Is a patient taking antibiotics a CI to vaccination?

Answer 3

No

Question 4

T or F: an allergic reaction to a vaccine is a CI to every other vaccine

Answer 4

False - only a CI to further doses of the vaccine that caused the allergic reaction, not to any other vaccines.

Question 5

For live vaccines, ask if they’ve received a blood transfusion in the last _____

Answer 5

year

Question 6

_____ _______ vaccines can cause symptoms such as fever or a rash. These symptoms result from viral replication and are similar to a mild form of the natural disease

Answer 6

Live attenuated

Question 7

When should you add the diluent?

Answer 7

immediately prior to immunization

Question 8

Limit the time _____ virus vaccines are exposed to light

Answer 8

live

Question 9

For multi-dose vials, what do you need to record when reconstituting?

Answer 9

date and time of reconstitution

Question 10

List the 3 times that the expiration date should be checked

Answer 10

1) when removing it from the vaccine storage unit
2) when drawing up or reconstituting
3) just prior to administration

Question 11

Should we pre load syringes with vaccines?

Answer 11

No, because:

• uncertainty of vaccine stability in syringes
• risk of contamination
• increased potential for vaccine administration errors
• increased risk of vaccine wastage

Question 12

What size of needle is recommended for SC injections?

Answer 12

25 G, 1.6 cm (5/8’) needle

Question 13

What size of needle is recommended for IM injections?

Answer 13

22-25 G needle that is long enough to reach muscle is recommended:

• 2.2 cm (7/8”) to 2.5 cm (1”) for infants, toddlers and older children
• 2.5 cm (1”) to 3.8 cm (1.5”) for adolescents and adults

Question 14

What is an easy way to determine an estimated needle length?

Answer 14

wrap your hand around muscle tissue, one half the distance between thumb and index finger will be the approximate length of needle required to penetrate the muscle

Question 15

SC injections are usually given at a ____ angel into SC tissue of the upper triceps area of the arm

Answer 15

45 degree

Question 16

IM injections are administered at a ____ degree angle

Answer 16

90

Question 17

Where are IM injections given in infants < 1 year old

Answer 17

vastus lateralis muscle (anterolateral thigh)

Question 18

Where are IM injections given in anyone > 1 year old

Answer 18

deltoid muscle (unless muscle mass is not adequate)

Question 19

T or F: Separate limbs should be used if two IM injections are required.

Answer 19

true

Question 20

If needed, more than 2 injections can be given in the same limb, but should be separated by at least ________

Answer 20

2.5 cm (1”)

Question 21

All immunization providers should have completed a full serious of ______ vaccine.

Answer 21

hep B