Vaccinations

Question 1

Which vaccines are LIVE vacines?

Answer 1

MICRO-VY

MMR
Inhaled influenza
Cholera
Rotavirus
Oral Typhoid
Varicella
Yellow Fever

Question 2

What vaccines need to be separated by antibody-containing products?

Answer 2

Varicella and MMR

AntiB product - wait 3 months to give vaccine

Vaccine - wait 2 weeks to give AntiB product

Question 3

A 27 yo female patient has a history of depression and anxiety. She comes in to your pharmacy to get an intranasal influenza vaccine. What questions should you ask before administering this vaccine?

Answer 3

Are you immunocompromised (HIV, cancer, etc.)?

Are you pregnant or possiblilty of being pregnant?

Are you sick today?

Do you have allergies to medications or vaccine component?

Have you ever had a serious reaction to vaccines?

Are you taking any chronic steroids (prednisone) or anticancer treatment?

Question 4

A 35 yo patients comes in her appointment for diabetes. You see she has received her yearly inflenza vaccine, but there is no other history of immunizations. What vaccinations would you recommend?

Answer 4

Hep B
Pneumococcal
- PCV20
- PCV15 then PPSV23

Question 5

What vaccines would you recommend for a pregnant patient?

Answer 5

Influenza (inactivated)
Tdap x1 for each pregnancy

Question 6

What vaccines should all healthcare professionals receive?

Answer 6

MMR
Varcilla
Hep B
Influenza
Tdap

Question 7

When do you start administering live vaccines in infants?

Answer 7

12 months or older

Question 8

A 67 year old patient walks into your pharmacy. What vaccines could you recommend to this older adult?

Answer 8

Shingrix (herpes Zoster)
Pneumoccal Vaccine
- PCV20
-PCV15 then PPSV23

Question 9

When should a hepatitis A be recommended for a patient?

Answer 9

HIV positive
Traveling to an undeveloped country

Question 10

When should the pneumococcal vaccine be recommended?

Answer 10

19-64 years if specific conditions (diabetes, smoker, CKD, HF, HIV, cancer, taking lond term steroid)

or
>/= 65 years old

Question 11

When can you start giving infants influenza vaccines?

Answer 11

> /= 6 months

Question 12

What is the only vaccines that guards againt cancer?

Answer 12

Gardasil (HPV)
cervical cancer

Question 13

What vaccines must you store in the freezer -50 C to -15 C?

Answer 13

Varicella
MMRV (contains varicella)
Cholera

***MMR can be stored in the freezer, but does not have to be

Question 14

What vaccines are administery SC only?

Answer 14

MMR
MMRV
Varicella
Yellow Fever

Question 15

What vaccines are oral?

Answer 15

Typhoid
Rotavirus

Question 16

A patient (145 lbs) is receiving a Yellow Fever vaccine before traveling to Africa. What needle should be used to inject this vaccine?

Answer 16

5/8” needle since it is a SC vaccine

Question 17

A female patient (215 lbs) is receiving a Hep A vaccine. What needle should be used to inject?

Answer 17

1 1/2” needle

male > 260 lbs
female > 200 lbs

Question 18

A female patient (145 lbs) is receiving a pneumococcal vaccine. What needle should be used to inject?

Answer 18

1”

Question 19

A female patient (120 lbs) is receiving a Shingrix vaccine. What needle should be used to inject?

Answer 19

5/8”