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Pediatrics > Recommendations, Immunizations > Flashcards

Recommendations, Immunizations Flashcards

1
Q

When give fluoride and iron fortified foods?

A

Fluoride - after 6 mo

Iron - 4-6 mo

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2
Q

Vit D supplement

A

Formula:
Only if formula has no vit D

Baby low birth weight

Poor milk intake

Breastfeeding:
Inadequate Vit D intake in mom’s diet, no sun exposure

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3
Q

Introduce solids at

A

4-6 mo age

Risk of atopy before this

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4
Q

How long avoid honey for?

A

1st year life

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5
Q

Live attenuated vaccines

A

Viral

  • MMR
  • varicella
  • yellow fever

Bacteria

  • BCG
  • oral typhoid
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6
Q

Inactivated vaccines

A

Virus

  • polio
  • rabies
  • hepatitis A

Protein based/toxoid

  • hep B
  • influenza
  • pertussis
  • diptheria
  • tetanus

Polysaccharide based

  • pneumococcal
  • HIb
  • meningococcal
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7
Q

Simultaneous admin of vaccines

A

OK for inactivated vaccines at separate sites except:

  • cholera
  • typhoid
  • plague

Live viruses should be administered 1 month apart

Pneumococcal and whole virus flu can be given together at diff sites

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8
Q

Vaccine hypersensitivities 2/2 to..

A

Egg

Neomycin

Streptomycin

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9
Q

When are you permanently contraindicated to vaccines?

A

Severe allergy to prior admin

Encephalopathy after pertussis vaccine

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10
Q

OK to immunize preterm infants at chronologic age?

A

Yes!

And don’t reduce dosage

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11
Q

General rules for catch up

A

For lapsed vaccines
- resume schedule as if usual interval has elapsed - don’t repeat doses

  • 2nd dose HiB only if 1st dose > 15 mo old
  • 2nd dose PCV7 only if child < 2 yo
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12
Q

When is Hib 2 dosing needed and when is it not?

A

If had HiB disease < 2 yo - no immunity conferred

Don’t need 2 dose if give vaccine > 15 mo age

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13
Q

If mom is Hep B +, what do you do for neonate?

A

Begin prevention within 12 h birth

HBV and HBIG at DIFFERENT sites

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14
Q

Vaccinations at birth

A

Hep B #1

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15
Q

Vaccinations at 2 months

A

6 vaccines

(Pentacel)
DTaP #1
Polio #1
Hib #1

Pneumococcal #1 (Prevnar)

Rota #1

Hep B #2

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16
Q

Vaccinations at 4 months

A

5 vaccines

(Pentacel)
DTaP #2
Polio #2
Hib #2

Pneumococcal #2
(Prevnar)

Rota #2

17
Q

Vaccinations at 6 months

A

6 vaccines

(Pentacel)
DTaP #3
Polio #3
Hib #3

Pneumococcal #3 (Prevnar)

Rota #3

Hep B #3

18
Q

Vaccinations at 9 months

A

No vaccines, catch up on missed doses

19
Q

Vaccinations at 12 months

A

3 vaccines

MMR #1

Varicella #1

Hep A #1

20
Q

Vaccinations at 15 months

A

DTaP #4

Pneumococcal #4
(Prevnar)

Hib #4

21
Q

Vaccinations at 18 months

A

Hep A #2

22
Q

Vaccinations at 4-6 years

A

DTaP #5

Polio #4

MMR #2

Varicella #2

23
Q

Vaccinations at 11-17 years

A

Tdap (only for kids s> 7 yo)

Meningococcal

24
Q

Vaccinations at 9-17 years

A

HPV

  • minimum 9 yo
  • dose at 0, 2, 6 months
25
Q

Dtap vs Tdap

A

DTap only for kids < 7 yo

Tdap only for kids > 7 yo

26
Q

Screening labs at 12 months

A

CBC

lead

27
Q

1 contraindication for intranasal flu vaccine

A

Asthma

28
Q

Tdap vs DTap

A

Tdap for adults > 7

DTap for kids < 7

29
Q

Contraindications vs precautions for diptheria/tetanus vaccine

A

Contraindication
- anaphylaxis

Precautions

  • mod - severe acute illness
  • Guillain-Barre within 6 wks of vaccine
  • arthus-type hypersensitviity rxn
30
Q

Contraindications vs precautions for pertussis vaccine

A

Contraindications

  • anaphylaxis
  • progressive neuro d/o (uncontrolled epilepsy, infantile spasms)
  • Encaephaloathy w/in 1 week of prev vaccine dose

Precautions

  • mod - severe acute illness
  • seizure w/in 3 days
  • temp > 105 within 2 days
  • hypotonic-hyporesponsive episode within 2 days
  • inconsolable, persistent crying within 2 days
31
Q

DTaP is only available combo usuall. When do you give just the diptheria and tetanus toxoids wthout pertussis?

A

Encephalopathy within 1 week., progressive neuro d/o

Anaphylaxis to DTaP in past is a contraindication to avoid all components!

32
Q

Contraindications to rotavirus vaccine

A

Anaphylaxis to ingredients

Hx of intussusception

Hx uncorrected congenital malformation of GI tract (eg Meckel)

SCID

Pediatrics (17 decks)

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