Peds Flashcards
At what age can a child transfer a cube from one hand to the other
6 months
At what age can a child walk upstairs with hand held and climbs and sits into a chair. Can feed themselves but are messy.
18 months
What age does a child stack 2-3 cubes, 4-6 and 8+
18 months, 2 years, 3 years
At what age can a child walk up stairs alternating feet, ride a tricycle and hop
3 years
What can 4 year olds do
Count to 4, 4 word sentences with speech fully understandable, identify 4 primary colors, draw a 4 part person, build a gate out of blocks
Can draw a square at what age
5
Can draw a triangle at what age
6
Can draw a diamond at what age
7
Contraindications for dtap/tdap
Serious allergic reaction
Encephalopathy within 7 days of receiving pertussis containing vaccine
When should serologic testing be done for Hep b
Infants born to mothers that are positive after vaccines at 9-12 months
Immunocompromised patients
Hemodialysis patients
Healthcare workers and prostitutes
If an infant weighs less than 2kg when received Hep b vaccine. What to do
Will need an additional dose because it doesn’t count
Contraindications for Hep a
Allergic reaction to vaccine components including aluminum hydroxide and phenoxyethanol
Hep A endemic area travel recommendations
If < 1 yr - passive immunization with immune globulin
If over 1 yr give vaccine
Special considerations for meningococcal vaccination MCV4
Children with HIV > 2yrs
Children 2-10yrs with terminal complement deficiency, asplenia, traveling to prevalent regions
3 yrs after receiving MPSV4
Exposure to measles for not immunized
If within 72 hrs give vaccine as young as 6 months
If after 72 hrs but less than 6 days give measles immunoglobulin
Contraindications to MMR
Severe allergic reaction to vaccine component neomycin or gelatin
Pregnancy
Severely immunocompromised (chemotherapy, aids)
Mmrv is contraindicated in kids with hiv
Who requires post exposure prophylaxis for varicella
Immunocompromised children
Pregnant women
Hospitalized premie 28wks or more if mom lacks immunity
Hospitalized premie less than 28wks regardless of maternal immunity
Newborn infant if mom had 5 days before or 2 days after
Who gets an additional dose of pcv13 AND ppsv23
Immunocompromised (functional asplenia, sickle cell, HIV, malignancy, transplant recipient, congenital immunodeficiency)
CSF leaks, cochlear implants
Given at 6-18 yrs and the 23 is given 8 wks after the 13
Who received PPSV23
Chronic heart and lung disease, diabetes mellitus
After 2 years of age
Who received PPSV24 booster
Immunocompromised
5 yrs after initial dose
Contraindications to rotavirus
Severe allergy to precious doses
SCID and Hx of intussusception
Which vaccines do you need to avoid if egg allergy
Yellow fever
Influenza only if severe anaphylactic reaction to eggs
By what percentage do bicycle helmets reduce injury
85
What percentage of death in bicycles are due to head injuries
75
