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PHAR358 > Special Populations > Flashcards

Special Populations Flashcards

1
Q

What is done for adults who did not receive childhood immunizations?

A

when there is a delay in initiating or completing the vaccine series, use the recommended minimum interval in the SIM
doses administered when younger count toward doses required in this schedule

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2
Q

What is done for individuals with an unknown or uncertain immunization status?

A

attempt to obtain an individuals immunization records
immunity can be determined by documented serological confirmation but this is not routinely done
18 yrs or older who were born/spent childhood in Canada:
-if documented immunizations records are unavailable, assume the client is unimmunized and offer immunizations without concern about prior receipt

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3
Q

How long should conception be delayed after administration of live vaccine?

A

1 month
-live, attenuated vaccines pose a theoretical risk to the developing fetus and are generally CI during pregnancy

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4
Q

Which vaccines are recommended in pregnancy?

A

Tdap (pertussis)
influenza
COVID
Abrysvo (RSV)

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5
Q

When is it recommended to give Tdap in pregnancy?

A

ideally 27-32 weeks
-maternal Ab transfer is highest in 3rd trimester
Tdap in each pregnancy regardless of Tdap immunization history

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6
Q

When is it recommended to give the influenza vaccine in pregnancy?

A

any trimester (each flu season)

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7
Q

Which influenza vaccine should be given in pregnancy?

A

inactivated vaccine
-CI: live, attenuated vaccine

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8
Q

When is it recommended to give COVID vaccine in pregnancy?

A

primary series and booster (regardless of trimester)

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9
Q

Which type of COVID vaccines are preferred in pregnancy?

A

mRNA (safety data)

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10
Q

When is vaccination not recommended during breastfeeding?

A

very few instances
-mpox vaccine
-some travel vaccine (e.g. yellow fever)

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11
Q

What should be done regarding vaccinations pre-pregnancy?

A

update as required

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12
Q

Which vaccines are recommended for SUD?

A

HA
HB
PCV20
others: influenza, COVID, Td q10yrs, Tdap once adulthood, Shingrix? RSV?

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13
Q

Which vaccines are recommended for MSM?

A

HA
HB
mpox - refer to SIM
others: influenza, COVID, Td q10yrs, Tdap once adulthood, Shingrix? RSV?

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14
Q

Which vaccines are recommended for cardiac disease?

A

PCV-20 (except HTN and dysrhythmias)
others: influenza, COVID, Td q10yrs, Tdap once adulthood, Shingrix? RSV?

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15
Q

Which vaccines are recommended for diabetes?

A

PCV-20
others: influenza, COVID, Td q10yrs, Tdap once adulthood, Shingrix? RSV?

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16
Q

Which vaccines are recommended for lung disease?

A

PCV-20
-excluding asthma unless high dose steroids
others: influenza, COVID, Td q10yrs, Tdap once adulthood, Shingrix? RSV?

17
Q

Which vaccines are recommended for liver disease?

A

PCV-20
HA
HB

18
Q

Which vaccines are recommended for renal disease?

A

PCV-20
HB

PHAR358 (20 decks)

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