Pediatric Immunizations Flashcards
leading cause of death among young people?
accidents
which immunizations can cause anaphylaxis?
MMR, varicella, influenza, hep B, meningococcal and tetanus
If mom is positive for Hep B what do you give baby?
immunoglobulin (HBIG)
Hep B is contraindicated in patients who have which allergies or indications?
Brewers yeast and/or mod-set ill
How is hep B given?
IM only
How do you have to store Hep B?
refrigerator
How is Dtap given?
IM only
How do you have to store Dtap?
refrigerator
When should pregnant women receive Tdap?
given with each pregnancy at 27-36 weeks
what does the Hib vaccine protect against? and what can it be in combo with?
Haemophilus influenzae type B vaccine and it can be given with Dtap
What does the IPV vaccine protect against?
inactivated polio
IPV vaccine is contraindicated in patients who have which allergies or indications?
neomycin, streptomycin, polymyxin B or mod severely ill
How is IPV vaccine given?
SC or IM .5cc
How do you store IPV vaccine?
refrigerator
If patient has a hx of intussusception which vaccine should be avoided?
Rotavirus
which weeks can’t you start rotavirus regime and after which weeks shouldn’t you give rotavirus?
don’t start after 12 weeks
don’t give after 32 weeks
which infants shouldn’t receive rotavirus?
premature
how do you store rotavirus?
refrigerator
If live viruses are not give at the same time, when should they be administered?
at least 28 days apart
what is a normal reaction of MMR after 7-10 days?
rash, fever, myalgia
MMR is contraindicated in which type of patients?
pregnant, immunodeficiency, recent blood of Igb, thrombocytopenia or allergic to neomycin or gelatin
How is MMR given?
SC 0.5cc
How is Varicella given?
SC 0.5cc
When is Varicella and MMR given?
12 months
How is Varicella stored?
freezer only
How is MMR stored?
refrigerator or freezer
Varicella is contraindicated in which type of patients?
pregnant, immunodeficiency, recent blood of Igb, or allergic to neomycin or gelatin or mod-severe illness
PCV13 (Prevnar 13) protects against?
pneumococcal conjugate
how is PCV13 (prevnar 13) given?
IM 0.5cc
if a child has no spleen, instead of the PCV13 (prevnar 13) what should you give instead?
PCV23
If PCV23 is indicated how many weeks should you give it after PCV13?
8 weeks
How is PCV13 stored?
refrigerator
PCV13 is contraindicated in which types of patients?
mod-severely ill
How is Hep A stored?
refrigerator only
How is Hep A given?
IM 0.5cc
when do you give Hep A?
2 doses starting at 12 months, then at 18 months
Human papilloma virus (Gardasil) is effective against?
70% cervical cancer and 90% genital warts
How isHuman papilloma virus (Gardasil) stored?
refrigerator
how old are kids when receivingHuman papilloma virus (Gardasil)?
9-12 years old, 9-45 years old approved
How isHuman papilloma virus (Gardasil) given?
IM
How is the N.Meningococcal disease given?
IM
Trumenba and Bexsero are which kinds of vaccines?
N.Meningococcal
when is BP taken in children at visits?
3 years and older
when does head circumference stopped at child visits?
2 years old
when is BMI % started at child visits?
3 years and older
