Vaccine Flashcards

1
Q

Ministration of all vaccines are typically how many mL?

A

0.5 mL

With the exception of the influenza vaccine

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2
Q

What is a Monovalent vaccine , and it should be given when?

A

Immunization against a single antigen/microorganism

First dose of a vaccine must be monovalent

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3
Q

When is the hepatitis B vaccine given

A

0-2-6 months

Series of three

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4
Q

If he mothers HPsAG status is unknown what should you give the baby?

A

Determine or check the status immediately after birth

Give HBIG immediately

Administer HepB within 12 hours

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5
Q

Mom is positive for HBSAG what is the protocol?

A

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

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6
Q

Premature infant less than 2 kg needs a hepatitis vaccine when should you give the hepatitis vaccine?

A

<2kg give vaccine before discharge; still needs three doses after Weight > 2 kg

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7
Q

Is immunocompromise patients contraindicated from receiving hepatitis B?

A

No

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8
Q

Unvaccinated person was exposed to hepatitis B what should they receive?

A

Should receive immunoglobulin and three does series of hepatitis B

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9
Q

When should the first dose of rotavirus vaccine be given

A

6 to 32 weeks and then every 4 weeks

2-3 dose series

2,4,6 months

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10
Q

When should the rotavirus vaccine series be completed

A

Must complete series before 32 weeks of age (7.3 months)!!!!

High risk for intussusception

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11
Q

Series of HiB vaccine

A

Series of 3 primary: 2-4-6 months And one booster (12 months)

Not recommended for children >5 years

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12
Q

What does the Haemophilus influenza type B vaccine prevent?

A

Several types of meningitis and epiglottitis

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13
Q

What are the names for pneumococcal vaccine?

A
PCV 13 (Prevnar)
PPSV 23 (Pneumovax)
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14
Q

What is the series for Prevnar vaccine/pneumococcal?

A

Series of three primary 2-4-6 months and one booster (12 months)

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15
Q

Who should receive a second dose after six years of age of Prevnar 13 and the 23 Valent eight weeks later?

A

Children at high risk: asplenic, transplant, HIV, renal failure, chronic cardiac disease, diabetes, nephrotic syndrome

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16
Q

DTaP series

A

Series of 3 (2-4-6 months) & 2 booster ( 15 months & 6 years)

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17
Q

When is T DaP given

A

11 or 12 years booster to DTaP

TdaP = no diapers ; >7years

Subsequent TD boosters every 10 years

18
Q

Contraindication for DTaP/TDaP

A

Encephalopathy within 7 days of receiving the vaccine can never get it again but can get TD because it does not have acellular pertussis

19
Q

Wound management /DTAP

A

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

20
Q

Polio series

A

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

21
Q

MMR series

A

Series of two @ 1 year and by 12 years

22
Q

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

A

6-months

Then resume schedule 12 to 15 months, 6-12 years

23
Q

Is MMR safe for HIV or immunocompromised or Ppregnancy?

A

Safe for HIV patients

Contraindicated in Immunocompromise;pregnancy because you can get rubella. Do you not get pregnant for weeks following vaccination.

24
Q

MMRV is Contraindicated in what patients?

A

Patient with a history of febrile seizures

25
Q

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?

A

If not vaccinate vaccinate within 72 hours of exposure

If unable to vaccinate within 72 hours give immunoglobulin

26
Q

This is a live attenuated vaccine

A

Varicella

27
Q

Vericella is contraindicated in what

A

Pregnancy, immunosuppressive (bone marrow, chemo, active aids) allergies

Related to live attenuated vaccine

28
Q

Vericella series

A

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

29
Q

Varicella should be separated from the MMR vaccine by how long?

A

One month

30
Q

When is veriCella prophylaxis with immunoglobulin given?

A

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

31
Q

Hepatitis A series

A

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

32
Q

When can the influenza vaccine be given

A

Beginning at 6 months in the yearly

33
Q

Influenza vaccine dose is 0.25 ML I am for children what ages?

A

6 to 35 months

34
Q

The influenza vaccine 0.5 ML’s IM is for children what ages?

A

> 3 years

35
Q

Children younger than ____years receive two doses one month apart if it is a child’s first dose of _____ vaccine.

A

Nine years; influenza

36
Q

Human papilloma virus (HPV) series

A

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

37
Q

HPV vaccine can be given up to what age

A

26 years

38
Q

Anticipatory guidance for HPV vaccine

A

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

39
Q

Meningococcal vaccine

Menactra, menveo

A

Covers 4 serotypes: WYCA

given at 11 to 12 years; booster @16 years

If first dose at 16 years no booster needed

40
Q

Is TDaP safe to give in pregnancy

A

Yes