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Exam2 ECG/Basic Labs/Pharm > Peds vaccine > Flashcards

Peds vaccine Flashcards

1
Q

Vaccines that are live

A
  • Rotavirus
  • Influenza = Nasal (flu mist)
  • Measles-Mumps-Rubella
  • Varicella
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2
Q

Contraindications of Influenza

A
  • anaphylaxis with egg
  • pregnancy
  • immunodeficiency
  • chronic disease (asthma, renal, cardiac)
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3
Q

Contraindications of MMR

A
  • pregnancy

- immunodeficiency

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4
Q

Contraindications of Varicella

A
  • pregnancy

- immunodeficiency

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5
Q

Common side effects of Influenza

A
  • 5% myalgia, malaise, fever

- Guillain-Barre Syndrome

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6
Q

Guillain-Barre Syndrome

A
  • rate 1 case: 1 million adult vaccinations

- rate 4-7 cases: 100,000 adults with influenza

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7
Q

Measles-Mumps-Rubella Vaccine Common Side Effects

A 
-none in >80%
most common 
-local swelling/tenderness
-mild fever/rash
-joint discomfort
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8
Q

Common side effects of Varicella

A

chicken-pox like lesions at injection site or elsewhere 1 to 3 weeks after dose

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9
Q

Common side effects of HPV

A

local pain and dizziness

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10
Q

Which vaccine has the side effect of hypotonia

A

pertussis

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11
Q

Most common reactions associated with vaccine administration

A

erythema, tenderness at injection site, low-grade fever, fussiness

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12
Q

How do you administer multiple vaccines and what accommodations to provide for multiple vaccines

A
  • inject in different sides of the body

- use combination vaccines when you can

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13
Q

Common administration sites for children less than 3 years old

A
  • intramuscular in thigh

- subcutaneous shot in upper arm or fatty area of thigh

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14
Q

Common administration sites for children greater than 3 years old

A
  • intramuscular in deltoid muscle

- subcutaneous shot on the back of the upper arm

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15
Q

Influenza vaccination preferred doses and times

A

Inactivated influenza vaccine
-greater than 6 months
Live attenuated influenza vaccine
-between ages 2 and 50 years

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16
Q

Guidelines for catch up and contraindications to these

A
  • older children may receive fewer vaccine doses than if they had started at birth
  • when available, use combination vaccines
17
Q

Possible complications of injections

A 
Anaphylaxis 
Medication errors
"Right" stuff
Infection or abscess
Lipodystrophy or atrophy
Injection site pain
18
Q

Possible complications of IV injections specifically

A 
Infiltration
Hematoma
Embolism
Catheter Shear
Thrombosis 
Endarteritis
19
Q

Basic anatomy of a syringe and needle

A 
Plunger
Barrel
Hub
Needle - smaller gauge number = larger needle bore diameter
Bevel - ALWAYS UP
20
Q

What is/are the site of intradermal injections?

A

Forearm

21
Q

What gauge needle is used with intradermal injections?

A

26 or 27

22
Q

How far under the skin should the needle be inserted with intradermal injections?

A

1/8 inch

23
Q

What is/are the site of subcutaneous injections?

A

Infants - thigh
Children - deltoid
Adults - anterior/posterior upper arm, anterior/posterior lower abdomen, anterior upper thigh

24
Q

What gauge needle is used with subcutaneous injections?

A

24-26

25
Q

What size needle should be used with subcutaneous injections?

A

3/8 to 1 inch

26
Q

What size syringe should be used with subcutaneous injections?

A

2-3cc

27
Q

What is/are the site of intramuscular injections?

A

Infants and Children - anteriolateral thigh and deltoid (NEVER use gluteal muscles in children less than 3 years old or children who started walking less than a year prior to injection)
Adults - deltoid, ventrogluteal (careful b/c of sciatic nerve), dorsogluteal, vastus lateralis

28
Q

What gauge needle is used with intramuscular injections?

A

18-23

29
Q

What size needle should be used with intramuscular injections?

A

1-2 inch

30
Q

What size syringe should be used with intramuscular injections?

A

2-5mL

31
Q

What injection type do you use the Z-track method with?

A

Intramuscular

32
Q

What injection type do you insert until “flash back” appears?

A

Intravenous

33
Q

What does a smaller gauge number indicate?

A

Larger needle bore diameter

Exam2 ECG/Basic Labs/Pharm (5 decks)

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