Vaccine Schedule Flashcards
what vaccines do you get at 4-6 years (kindergarten shots)
DTaP #5, IPV #4, MMR #2, Varivax #2
what are the live vaccines (5)
LAIV (nasal flu) Rotavirus (oral solution) MMR Varicella (Varivax) Herpes Zoster (Zostavax)
what are the inactivated vaccines (7)
TIV (flu shot) DTaP HiB HepA HepB PCV13 IPV
what vaccines do adults need?
- Tdap every 10 yrs
- flu vaccine yearly
- older than 56: Menomune for those of increased risk
- older than 60: Zostavax for shingles
- older than 65: Pneumovax (all- every 5 years)
how many DTaP doses are there
- 4 (2-4-6-15/18 months)
- DTaP booster at 4-6 yrs
when do you give Tdap?
- 11-12 y/o
- every 10 yrs after
how many HepA doses are there?
2 (12/23 months and 1 6-18 months after 1st dose)
how many HepB doses are there?
3 (birth-1/2 months- 6/18 months)
what is the HepB regimen for adults?
3 doses (1, 4 weeks later, 8weeks/4 months from 1st dose)
what are the 2 flu vaccines?
TIV- inactivated
LAIV- intranasal/live
who should get the inactivated flu vaccine (TIV)
6 months-18 yrs
how do you give the TIV vaccine?
1 shot than 1 more shot 4weeks later
-(need 2 doses if under the age of 9 and it is there first flu vaccine) or if 1 dose in the last year
contraindications to TIV
- severe allergic rxn to vaccine w/ egg or prior dose
- moderate or acute illness
- hx of gullian barre syndrome w/in 6 weeks following a previous dose of TIV
what is the MCV4 vaccine schedule (meningococcal)
- 1 dose 11/12 yrs
- booster at 16
when do you give menomune vaccine?
older than 56 y/o
-meningococcal for adults
who can get the LAIV?
healthy, nonpregnant persons 2-49 y/o
how do you administer LAIV
intranasal
-2 dose 4 week apart if 2-8y/o
what is the rotavirus vaccine schedule?
3 doses (2-4-6months)
- minimum age: 6 weeks
- max age: 8 months
what is the varicella vaccine schedule?
2 doses (12/15 months-4/6 yrs) *must be older than 12 months
what is the Zostavax vaccine schedule?
Herpes Zoster
-1 dose if older than 60 y/o (can vaccinate even w .hx of shingles)
considerations when deciding if one should vaccinate today
- moderate-severe illness
- allergies
- rxn to vaccine in the past
- Health issue (lungs, heart, kidneys)
- wheezing/asthma (2-4yrs)
when can you give a vaccine if a child is sick in office?
- moderate-severe illness–> delay until well
- mild illness (URI, OM, diarrhea)–> give vaccine
- if on antibiotics–> give vaccine
when can you give vaccines if child has allergies
- anaphylatic rxn –> no vaccine
- latex allergies
- egg–> no flu
- gelatin–> no MMR or varicella
- -local rxns are not contrainidicated
when can you give vaccines w/ a kid w/ asthma?
if episode in last 12 months –> no live flue vaccine
what consideration do you have to keep in mind when giving live vaccines?
wait 28 days before giving another live vaccine (MMR, MMRV, varicella, influenza)
where can you report adverse rxns to vaccines?
VAERS (vaccine adverse events reporting system)
the national childhood vaccine injury act requires what?
all providers to provide parents and patients w/ copies of vaccine info statements before administering each dose (cdc website)
who is the HPV vaccine recommended for?
- females: 11-12 y/o, may start at 9 up to 26 y/o
- males: 11-12 y/o, may start at 9-12 y/o
HPV covers how many strains?
4vHPV most common
HepB vaccine is what?
recombinant HBsAg
how many strains does PCV cover?
PVC13 there is a PVC23 if those at increased risk
RotaTeq covers how many strains?
RotaTeq (RV5)
how many vaccines do children get?
11
