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PassNaplexNow - NAPLEX review prep > Vaccinations - Brand/Generic > Flashcards

Vaccinations - Brand/Generic Flashcards

1
Q

Influenza Virus

- Brand name

A
  • Afluria
  • Fluarix
  • FluLaval
  • Fluvirin
  • Fluzone
  • Flublok
  • FluMist
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2
Q

Thimerosal -free

Thimerosal contained preservative

A

Thimerosal free

  • Fluzone
  • FluMist (also preservative free)

Thimerosal contained preservative (THIM)

  • Td
  • Hep B
  • Influenza
  • Meningococcal
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3
Q

Flu Vaccines

  • Quadrivalent, live and given via nasal spray
  • Age:
A
  • FluMist

- Age: 2-49 y.o

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4
Q

Fluzone HD

  • Indication
  • Contain
A
  • For senior > 65 y.o

- Contains 4x as much antigen as the standard adult vaccine to help boost immunity

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5
Q

Fluzone Intradermal

  • Age
  • Contain
  • Why give ID
A
  • Age: 18-64
  • Contain 1/2 of IM dose but give same response
  • ID to avoid muscle pain.
  • ID cause more redness and swelling
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6
Q

Ped

- Give which flu vaccines

A

Fluzone

  • Age 6-35M: 0.25mL IM repeat in 4W
  • Age 3-8 y.o: 0.5mL IM repeat in 4W
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7
Q

FluMist

  • Avoid in
  • Age:
A
  • It’s a live vaccine
  • Avoid in asthmatics, pregnant, and immuno-compromised
  • Age: 2-49 y.o
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8
Q

Influenza

  • Who should get it
  • Avoid in
  • Which has no egg
  • Adm during which months
A

Get it

  • > 50 y.o
  • Nursing home
  • Chronic respiratory, CVD, renal dysfunction, immumocompromised
  • Health care workers
  • All children age 6M to 18y.o

Avoid in

  • Guillian-Barre Syndrome
  • Allergy to chicken eggs & thimerosal

No egg
- Flublok

Adm
- Oct - Nov

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9
Q

Pneumovax

  • Indication
  • Who should get it
A
  • 23-valent vaccine given IM/SC
  • Adult pneumococcal vaccine

Who should receive the vaccine

  • > 65 y.o - 5 yrs since last dose
  • Who smoke > 18y.o
  • Asthma
  • Chronic disease
  • Immunocompromised
  • Pregnant Women with high risk conditions
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10
Q

Prevnar

  • Indication
  • Total dose given
  • What to do b/4 give it
A
  • Pneumococcal 13-valent conjugated pneumococcal vaccine

Indication

  • Peds: 6wks - 5 y.o & > 50y.o
  • Give total of 4 doses to ped
  • Shake susp vigorously prior to adm
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11
Q

Hep B

  • Brand
  • Who should get it
  • CI
  • Infant born of Hep B + Mom
  • If diagnosed, what to do
A
  • Engerix-B, Recombivax HB
  • 3 Doses total. Refrigerate

Who should get it

  • Health care workers/Public safety workers
  • IV drug users
  • Sexually actives
  • Hemodialysis pts
  • Inmates
  • Adults w/ DM
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12
Q

Hepatitis A

  • Brand
  • Total of doses
  • Who should get it
A
  • Havrix, Vaqta
  • Total: 2 doses at least 6M b/w

Who should get it

  • All toddlers: age of 12 to 23M
  • Travel outside of U.S
  • Chronic liver disease
  • IVDA
  • Food handlers
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13
Q

Refrigerate

Freezer

Live Vaccines

Neomycin allergy

Gelatin allergy

Asplenia

Protect from light

Egg allergy

A

Refrigeration

  • All influenza vaccines
  • Hep B: Engerix-B, Recombivax HB
  • MMR
  • GARDASIL (also protect from light)
  • Rotavirus vaccine: RotaTeq, Rotarix
  • Typhoid fever: Vivotif Berna

Freezer

  • ProQuad
  • Varivax - Varicella
  • Zostavax

Live Vaccines - Give SQ

  • MMR
  • Varivax - Varicella
  • Zostavax
  • Rotavirus vaccine: RotaTeq & Rotarix
  • Typhoid fever: Vivotif Berna

Neomycin allergy

  • Varicella /Zostavax
  • MMR
  • ProQuad
  • IPOL (also contains: Streptomycin, Polymyxin B)

Gelatin allergy

  • Varicella
  • Zostavax
Asplenia
- Pneumococcal vaccine
- Meningococcal Vaccine

Protect frm light
- GARDASIL (also protect from light)

Egg

  • Flu vaccines except Flublok
  • Yellow fever vaccine
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14
Q

DTaP

  • Brand
  • Age given
  • Total of doses

Which bacteria

  • Tetanus
  • Diphtheria
  • Pertussis
A

Daptacel

  • Kids: 6W - 6y.o (prior to 7th BD)
  • Total of 5 doses
Bacteria covers
- Tetanus: Clostridium tetani
   Rusty nail, locked jaw
- Diphtheria: corneybacteria diphtheriae
- Pertussis: Bordetella pertussis
  Whooping cough - high pitch
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15
Q

Tdap

  • Brand
  • Indication
A
  • Adacel: Adult age 11-64 y.o

- Boostrix: Adult > 65y.o if close contact w/ children

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16
Q

DTaP CI in kids with history of

A
  • Encephalophathy with prior DTaP
  • Unstable neurologic problems
  • Hz of sz
    => can use Tylenol or ibuprofen to min fever
  • Thimerosal allergy
17
Q

MMR

  • Total dose
  • Age:
  • Give to:
  • CI
  • Strorage
A
  • 2 doses
  • Age: 12-15M and 4-6y.o SC

Should receive

  • Health care workers, college students, international travelers
  • All women of child bearing age but not during pregnancy

CI

  • Pregnancy => rubella may cause abortion
  • Immunocompromised: Live vaccine
  • Neomycin allergy => Rubella
  • Severe thrombocytopenia => Measles

Storage
- Refrigerate

18
Q

ProQuad

  • What is
  • Storage
  • Diluent
A
  • MMR + varicella
  • Storage: freezer up to 18M
  • Refrigerator up to 72H b/4 reconstitution
  • Diluent: store at RT or fridge
19
Q

Varivax

  • Generic
  • Total dose
  • Storage
  • CI
A
  • Vericella
  • Give 2 doses
  • Storage in freezer

CI

  • Pregnant
  • Immunocompromised
  • Neomycin allergy
  • Gelatin allergy

=> Salicylates should AVOIDED 6WKS after varicella due to Reye’s syndrome

20
Q

Varizag

A
  • Vericella zoster immune globin

- Give to decrease the severity of chicken pox when give within four days after exposure

21
Q

IPOL

  • What is
  • Indication
  • Storage
  • Total doses
  • Contain
A
  • Polio vaccine => not a live virus
    => OPV: live virus: no longer available in U.S
  • I: Routine use in infants & children mainly. For adult only if travel to endemic area
  • S: refrigerator
  • Total doses: 4

Contain

  • Streptomycin
  • Neomycin
  • Polymyxin B
22
Q

Hib

  • Brands
  • Total doses
  • Not give after ? age
  • Give as young as ? age
A
  • ActiHIB, HibTITER, PedvaxHIB
  • 4 doses total
  • Not give after 5 y.o
  • Give as young as 2M
23
Q

Gardasil

  • What is?
  • Indication
  • Gender
  • Age
  • Cover against HPV?
  • Which is genital & cervical cancer
  • How to give
  • Storage
A
  • GARDASIL is a recombinant Quadrivalent give IM
  • Indication: genital warts, anal cancer, cervical cancer
  • For men and women
  • Age: 9-26 y.o
  • Cover: 6, 11, 16, and 18
  • Genital: 6 and 11
  • Cervical: 16 and 18

Give

  • Total of 3 doses IM in deltoid
  • 1st dose: select a date
  • 2nd dose: 2M from 1st dose
  • 3rd dose: 6M from 1st dose

Storage

  • Refrigerate
  • Protect from light
24
Q

Cervarix

  • What is?
  • Gender/Indication
  • Age
  • How to give
A
  • For HPV bivalent type 16 and 18
  • Prevention of cervical cancer in females
  • Age 10-25 y.o

Give

  • Total of 3 doses
  • 1st dose: select a date
  • 2nd dose: 2M from 1st dose
  • 3rd dose: 6M from 1st dose
25
Q

Rotavirus vaccine

  • How it’s given
  • # s of doses
  • Must give by what age?
  • Indication
  • Storage
A

RotaTeq
- PO - Live vaccine squeeze ready to use tubes into infants inner cheek. If spits it out, replacement dose is not rec.

  • Total 3 doses: 2, 4, and 6M.

Rotarix

  • PO - Live vaccine
  • Total 2 doses: Start 6W then 2nd dose 1M later.

=> MUST give by 6M

  • Indication: prevent gastroenteritis in young children
  • Storage: fridge
26
Q

Ixiaro/JE-Vax

  • What is
  • How to give
A
  • Japanese encephalitis vaccine
  • 2 doses IM 28 days apart
  • Age > 1y.o
27
Q

Typhoid vaccines

  • Brand
  • Inactivate/activate
  • Age
  • Revaccine
  • When to give
  • How to give
  • Storage
  • Cause by
A

Typhim Vi

  • Inactivated IM
  • 2 years old or older
  • Revaccine Q2Y
  • Give 2W prior to exposure
  • IM
  • Storage: RT

Vivotif Berna - LIVE

  • Activated give PO
  • 6 yrs or older
  • Revaccine Q5Y
  • Give 1W prior to exposure
  • PO: 4 doses QOD 1H prior to meal with cold/warm drink
  • Refrigerator => Capsules should be in the foil blister pack in the refrigerator until pt is ready to take them
  • Caused by: Salmonella Typhi
28
Q

Yellow Fever

  • Type of vaccine: live/inactivate
  • Route of given
  • Age to give
  • CI
A

=> to prevent from mosquitoes

  • Live
  • SC
  • Age: >/= 9M

CI

  • Age
  • Pregnant
  • Thymus disease or removal
29
Q

Rabies vaccines

  • Brands
  • Post-exposure prophylaxis
A
  • RabAvert, Imovax rabies, BioRab

Post exposure prophylaxis

  • 1st Give human rabies immunoglobulin: HRIG on the day of the bite
  • Then give IM vaccines on day 0, 3, 7, 17, and 28
  • Total of 5 doses
30
Q

Comvax

A
  • Haemophilus b + Hepatitis B
31
Q

TriHibit

A
  • Haemophilus b + DTaP

- only use for the 4th dose

32
Q

TwinRix

A

Hepatitis A inactivated + Hepatitis B recombinant

33
Q

Menhibrix

A
  • Neisseria meningitidis serogroups C & Y
  • Haemophilus influenzae type B

4 doses

34
Q

Menactra/Menveo

  • Age
A

Meningococcal vaccine conjugate vaccine IM

  • Age: 2-55 y.o
35
Q

Menomune

  • Age
A

Meningococcal vaccine conjugate vaccine IM

  • Age: > 9mo can use> 55 y.o
  • Suitable for short term protection. Not as booster
36
Q

Meningococcal polysaccharide vaccine

- Who should receive it

A
  • College freshmen living in dorms
  • Lab personnel who are exposed
  • U.S military
  • Anyone traveling to endemic area
  • Damaged sleen or splenectomy
  • Ppl who might have been exposed to meningitis during an outbreak
  • Preg Cat C
  • Avoid in thimerosal allergy
37
Q

Zostavax

  • Indication
  • Storage
A

Zoster live vaccine

  • Indication: for the prevention of shingles in individuals > 50 y.o
  • Storage: freezer. Diluent store in fridge or RT

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