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Patient Evaluation > vaccines > Flashcards

vaccines Flashcards

1
Q

HBV Routine immunization of infants– 3 doses ?

A

Birth, 1 month, 6 months

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2
Q

HBV Routine immunization for adolescents ?

A

3 doses of pediatric or

2 doses of adult

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3
Q

Pediatric HBV ?

A

Recombivax or Engerix 0.5 ml IM

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4
Q

Adult HBV ?

A

Recombivax 1 ml IM

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5
Q

RV5 ?

A

Rotateq

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6
Q

RV5 doses ?

A

latex-free, no reconstitution needed, 3 dose series

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7
Q

RV1 ?

A

Rotarix

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8
Q

RV1 doses ?

A

has latex, must be reconstituted with diluent, possible increase risk of intussusception, 2 dose series

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9
Q

RV1 months ?

A

oral

2 and 4

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10
Q

RV5 months ?

A

oral

2 4 6

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11
Q

Rotavirus, dont start if ?

A

Do not start if 15 weeks or older

If infant spits it up, do not repeat dose

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12
Q

DTaP marketed as ?

A

Daptacel, Infanrix, Tripedia

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13
Q

DTaP amount ?

A

0.5 mL IM

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14
Q

DTaP months ?

A

2, 4, 6 and 15-18 months, and 4-6 years (5 doses)

5 doses

3 months – not adequately immunized

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15
Q

DT ?

A

when pertussis is contraindicated

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16
Q

Td ?

A

tetanus toxoid and reduced amount of diphtheria, typically for adults requiring tetanus

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17
Q

DtaP-Hib ?

A

(TriHIBit),

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18
Q

DTaP-IPV-HepB ?

A

(Pedarix),

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19
Q

DTaP-IPV-Hib ?

A

(Pentacel),

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20
Q

DTaP-IPV ?

A

(Kinrix)

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21
Q

DTaP contraindications ?

A

Anaphylactic-type reaction to previous dose

Encephalopathy within 7 days of previous dose (not attributable to another cause)

Progressive neurologic d/o

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22
Q

DTaP precautions ?

A

High fever (40.5C)

Persistent, inconsolable crying within 48⁰ of previous dose

Seizures within 3 days of previous dose

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23
Q

DTaP AR ?

A

Local reaction, especially with increasing number of doses

Fever

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24
Q

PedvaxHIB months ?

A

2, 4, and 12-15 mos

H. flu only

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25
Q

ActHIB months ?

A

2, 4, 6 and 12-15 mos

H. fu only

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26
Q

Pneumococcal conjugate vaccine (PCV13) recommendation ?

A

all children younger than 5 years old, all adults 65 years or older, and people 6 years or older withcertain risk factors.

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27
Q

Pneumococcal polysaccharide vaccine (PPSV23) recommendation ?

A

all adults 65 years or older. People 2 through 64 years old who are athigh risk of pneumococcal diseaseshould also receive PPSV23.

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28
Q

PCV13: Age at 1st dose (months): 2-6 months ?

A

3 doses

1 dose at 12-15 mos booster

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29
Q

PCV13: Age at 1st dose (months) 7-11 months ?

A

2 doses

1 dose at 12-15 mos booster

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30
Q

PCV13: Age at 1st dose (months) 12-23 months ?

A

2 doses

no booster

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31
Q

PCV13: Age at 1st dose (months) 24-59 months in healthy children ?

A

1 dose

no booster

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32
Q

PCV13: Age at 1st dose (months) 24-71 months in children at risk* ?

A

2 doses

no booster

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33
Q

IPV route and months

A

Subcut

2, 4, and 6-18 mos and 4-6 years.

ALL need a dose at 4-6 years

34
Q

LAIV marketed as ?

A

Fluzone, Fluvirin, Fluarix, Afluria

35
Q

Annual vaccination for ALL people 6 mos old and up, in the fall

Each year a new formulation is made, based on surveillance in Asia

?

A

LAIV

36
Q

LAIV Children 6-35 months dosing ?

A

0.25 mL IM, older children 0.5 mL

37
Q

MMR given in two doses – months ?

A

12-15 mos and 4-6 yrs

38
Q

MMRV higher rate of ?

A

seizures

39
Q

Reconstitute with diluent, inject sub cut ?

A

MMR

40
Q

Rule out pregnancy first and advise no conception for __ mos after injection for MMR

A

3

41
Q

MMR contrindications ?

A

Pregnant, immunocompromised, egg allergy, high-dose steroids

42
Q

MMR AR ?

A

Few develop fever 6-12 days later

5% get a rash

Rare – encephalitis, Guillain-
Barre (1 in 3 million)

Febrile seizure, esp if MMRV

43
Q

VAR marketed as ?

A

Varivax

44
Q

VAR store in ?

A

freezer

45
Q

VAR need to be reconstituted , T or F ?

A

T

46
Q

VAR dosing schedule ?

A

12-15 mos and 4-6 years

May do MMRV for 2nd dose

47
Q

VAR contraindications ?

A

Severe allergic reaction to previous dose

Immunodeficient

Pregnant women

48
Q

VAR precaution ?

A

Personal or family hx of febrile seizures

49
Q

VAR AR ?

A

20% get minor injection site reactions

Rash

50
Q

HepA for ?

A

children
travelers to countries with high rates of Hep A
children with Hep B or Hep C infection
children with clotting disorders
adolescent/adult males who have sex with men
occupational exposure
illegal drug users
close contact with international adoptee
2-18 yo if previously unimmunized

51
Q

HepA marketed as ?

A

Havrix or Vaqta

52
Q

HepA doses and route ?

A

2 dose IM

53
Q

HepA 1-18 years ?

A

0.5 mL, 6-18 mos apart

54
Q

HepA 19+ years ?

A

1.0 mL, 6-18 mos apart

55
Q

HepA contrindications ?

A

Allergic reaction to previous dose

56
Q

HepA precautions ?

A

Pregnant

Moderate/severe illness

57
Q

HepA AR ?

A

Uncommon and mild – injection site pain, HA, loss of appetite

58
Q

Meningococcal Vaccine serogroups ?

A

A, B, C, W-135 and Y

59
Q

Meningococcal Vaccine serogroups that predominate in the US ?

A

B C Y

60
Q

No vaccine for serogroup __ ?

A

B

61
Q

Two MCV4 vaccines available – ?

A

Menactra and Menveo

62
Q

MCV4 for who ?

A

For all people 11-12 years, booster dose at age 16 years

Earlier and more frequent doses for those at risk

63
Q

MCV4 dosing ?

A

0.5

64
Q

Neisseria meningitidis who is at risk ?

A

College freshmen living in dorms

Military recruits

People who travel to or live in countries with high rates of meningococcal disease

People with complement deficiency

People with functional or anatomic asplenia

Immunocompromised people

so give them the MCV4 vaccine

65
Q

MCV 4 contrindications ?

A

Allergic reaction to vaccine or diphtheria toxoid

66
Q

MCV4 precautions ?

A

Okay to give to immunosuppressed patients

67
Q

MCV4 AR ?

A

Injection site pain

4.3% get more systemic reactions – fever, HA, fatigue, malaise, arthralgias, vomiting, diarrhea, rash, seizures

68
Q

Meningitis Exposure ?

A

Post-exposure prophylaxis for close contacts

Within 24 hours

Rifampin, ceftriaxone, maybe cipro

69
Q

Tdap – marketed as ?

A

Boostrix, Adacel

70
Q

Tdap 11-18 yo doses ?

A

0.5 mL IM

INSTEAD OF the Td booster

71
Q

Tdap 19-64 y.o. dosing ?

A

single dose of Tdap

72
Q

Tdap 65+ yo. dosing ?

A

single dose of Tdap if not previously dosed and if will have contact with an infant

73
Q

Tdap contrindications ?

A

allergy

74
Q

Tdap precautions ?

A

Guillain-Barre within 6 wks of previous tetanus vaccine

75
Q

Tdap AR ?

A

local pain, HA, fatigue

76
Q

Most common STI in US ?

A

HPV

77
Q

HPV: Types 16 and 18 cause 70% of ?

A

cervical cancers

78
Q

HPV: Types 6 and 11 cause 90% of ?

A

genital warts

79
Q

HPV dosing and months ?

A

3 doses, 0.5 mL IM

0, 2 and 6 months

80
Q

HPV they can start when ?

A

Can start as early as 9

2 doses for 9-14 yo (6 months apart)

81
Q

HPV recommendation ?

A

all 11- 12 yrs and through 26 yo if not previously immunized

3 doses

82
Q

Other Vaccines ?

A 
Rabies Vaccine
Typhoid Fever Vaccine
Japanese Encephalitis Vaccine
Tuberculosis Vaccine
Yellow Fever Vaccine

Patient Evaluation (29 decks)

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