Vaccines Flashcards
Can’t give if egg allergy
Yellow fever vaccine
Can give if egg allergy
MMR (measles, mumps, rubella, varicella)
MMRV
Live attenuated vaccine
Mom Hep B +
Hep B vaccine and IVIG now
Mom Hep B -
Hep B within 2 months
Mom hep B unknown
Hep B now and check mom’s HBsAg
DTaP # of doses
5 total.
3 in 1st year.
2 doses between 1-4 yrs.
Td is
DTap booster given at least once in adolescence (every 10 yrs, or every 5 yrs if wound)
Hib disease doesn’t confer immunity to those less than
2 yrs
MMRV
Vaccine and booster before school
Complete pnemococcal 13 as
An infant
Add pneumococcal 23 if
+ risk factors to all immunocompromised and splenic pts
Meningococcal
To everyone
HPV
Boys and girls 9-26
Hep A
2 doses
Hep B
3 doses
DTap
Kids
TdaP
Adults. One dose after 11 then every 10 yrs
DTaP
Bigger dose given to kids. 5 doses
Tdap
Adults. At least once after 11
Td
Booster
DTaP
Diphtheria, tetanus, pertussis
Lockjaw. Spastic paralysis (every muscle they have contracts and it hurts). Can’t breathe, then they die
Tetanus
Treatment for tetanus
Intubate and sedate. Use muscle relaxers. IV antibiotics (metronidazole)
Get 3 doses as a adult and every 10 yrs
Tdap or Td
Dirty wound with < 3 lifetime doses of Tdap
Tdap and TIG
Clean wound with < 3 lifetime doses of Tdap
Tdap
No ______________ needs to be given if > 3 lifetime doses of Tdap
TIG
Consider 5 yrs and 3 doses
Dirty wounds
Consider 10 yrs and 3 doses
Clean wounds
Fever, dysphagia, and dyspnea
Diphtheria
Pseudomembrane
Diphtheria
Treatment for diphtheria
Intubate. Anti-toxin. IV antibiotics.
Infectious phase of pertussis. Low grade fever, rhinorrhea, cough
Phase 1 of pertussis
Paroxysmal phase. Paroxysms of coughs followed by large inspiratory efforts
Pertussis
Supportive if airway support needed and erythromycin
Pertussis
Oral vaccine given to all infants
Rotavirus
