Vaccine Flashcards
Ministration of all vaccines are typically how many mL?
0.5 mL
With the exception of the influenza vaccine
What is a Monovalent vaccine , and it should be given when?
Immunization against a single antigen/microorganism
First dose of a vaccine must be monovalent
When is the hepatitis B vaccine given
0-2-6 months
Series of three
If he mothers HPsAG status is unknown what should you give the baby?
Determine or check the status immediately after birth
Give HBIG immediately
Administer HepB within 12 hours
Mom is positive for HBSAG what is the protocol?
Administer hepatitis B vaccine and 0.5 MLHBIG within 12 hours of birth
Continue with regular vaccination baby should receive another three doses of vaccine
Retest HPSEG after hepatitis B series at 9 to 18 months
Premature infant less than 2 kg needs a hepatitis vaccine when should you give the hepatitis vaccine?
<2kg give vaccine before discharge; still needs three doses after Weight > 2 kg
Is immunocompromise patients contraindicated from receiving hepatitis B?
No
Unvaccinated person was exposed to hepatitis B what should they receive?
Should receive immunoglobulin and three does series of hepatitis B
When should the first dose of rotavirus vaccine be given
6 to 32 weeks and then every 4 weeks
2-3 dose series
2,4,6 months
When should the rotavirus vaccine series be completed
Must complete series before 32 weeks of age (7.3 months)!!!!
High risk for intussusception
Series of HiB vaccine
Series of 3 primary: 2-4-6 months And one booster (12 months)
Not recommended for children >5 years
What does the Haemophilus influenza type B vaccine prevent?
Several types of meningitis and epiglottitis
What are the names for pneumococcal vaccine?
PCV 13 (Prevnar) PPSV 23 (Pneumovax)
What is the series for Prevnar vaccine/pneumococcal?
Series of three primary 2-4-6 months and one booster (12 months)
Who should receive a second dose after six years of age of Prevnar 13 and the 23 Valent eight weeks later?
Children at high risk: asplenic, transplant, HIV, renal failure, chronic cardiac disease, diabetes, nephrotic syndrome
DTaP series
Series of 3 (2-4-6 months) & 2 booster ( 15 months & 6 years)
When is T DaP given
11 or 12 years booster to DTaP
TdaP = no diapers ; >7years
Subsequent TD boosters every 10 years
Contraindication for DTaP/TDaP
Encephalopathy within 7 days of receiving the vaccine can never get it again but can get TD because it does not have acellular pertussis
Wound management /DTAP
Clean will never give them immunoglobulin
If vaccine <3 DTaP/TDAP give vaccine at the time of the wound
If received 3 vaccine but >10 years, need booster TD, DTaP or TDaP
If dirty wound &<3 vaccine need tetanus and immunoglobulin
If >5 years but have been vaccinated, no immunoglobulin just tetanus
Polio series
Series of 4(2-4-6 months & 4 years)
Protect against contaminated fecal water poor sanitation
We use the IPV shot, PO used in Third World countries (can give active polio)
Last dose after 4 birthday; 2nd and 3rd must be 6 months apart
MMR series
Series of two @ 1 year and by 12 years
If exposed to measles or traveling to endemic areas MMR can be given as early as___(age) but the patient will need to continue the primary series at an appropriate time
6-months
Then resume schedule 12 to 15 months, 6-12 years
Is MMR safe for HIV or immunocompromised or Ppregnancy?
Safe for HIV patients
Contraindicated in Immunocompromise;pregnancy because you can get rubella. Do you not get pregnant for weeks following vaccination.
MMRV is Contraindicated in what patients?
Patient with a history of febrile seizures
An outbreak occurs for MMR. My mother states that her child may have been exposed at Disney World. What is the best response from the provider?
If not vaccinate vaccinate within 72 hours of exposure
If unable to vaccinate within 72 hours give immunoglobulin
This is a live attenuated vaccine
Varicella
Vericella is contraindicated in what
Pregnancy, immunosuppressive (bone marrow, chemo, active aids) allergies
Related to live attenuated vaccine
Vericella series
Series of two (between 12 months and 12 years; three months apart)
Give with no reliable history of chickenpox nor evidence of immunity is available
Varicella should be separated from the MMR vaccine by how long?
One month
When is veriCella prophylaxis with immunoglobulin given?
Prophylaxis with immunoglobulins given to patients if exposed and not immunized
Pregnancy, immunocompromise, mom contracted within five days of their birth, and hospital premature infant
All others get vaccine and not immunoglobulin
Hepatitis A series
Series of two (1 to 2 years; 6 months apart)
Contraindication: allergies; immunocompromised
If traveling to endemic area prior to one year can receive passive immunization with immunoglobulin
When can the influenza vaccine be given
Beginning at 6 months in the yearly
Influenza vaccine dose is 0.25 ML I am for children what ages?
6 to 35 months
The influenza vaccine 0.5 ML’s IM is for children what ages?
> 3 years
Children younger than ____years receive two doses one month apart if it is a child’s first dose of _____ vaccine.
Nine years; influenza
Human papilloma virus (HPV) series
Series of 2—9 yrs, rec. 11-12; 2nd dose 6-12 months
Series of 3—15 yes, 2nd dose 1-2 months , 3rd dose 6 months
Gardasil
HPV vaccine can be given up to what age
26 years
Anticipatory guidance for HPV vaccine
Recommended that adolescents wait for at least 15 minutes after receiving the vaccine due to a risk of liable syncope, postural hypotension, and vasovagal responses
Meningococcal vaccine
Menactra, menveo
Covers 4 serotypes: WYCA
given at 11 to 12 years; booster @16 years
If first dose at 16 years no booster needed
Is TDaP safe to give in pregnancy
Yes
