Vaccines and Travelers Flashcards
When are live vaccines contraindicated?
Should a mom receive tdap each pregnancy?
Who should receive DTaP vs Td?
Pregnancy, immunosuppresion.
Yes, including if you are in close contact of infants.
DTaP is for children younger than 7 years of age. Td is for wound prophylaxis(dirty or deep) or more than 5 years.
Should adults with asplenia receive Hib vaccines?
When is HepB given to kids?
Is the yellow fever vaccine CI’d in egg or gelatin allergy?
Yes.
Within 24 hours of birth, Chronic liver people should get hep a
YESSS
How do you prophylax Traveler’s diarrhea?
How do you treat travelers diarrhea?
What is loperamides dosing in travelers?
Bismuth(Pepto bysmal).
Hydration(fluid and salt intake is essential). Oral rehydration solution is preferred.
4 mg after first loose stool, 2 after each subsequent loose stool(up to 16 mg per day script, 8 per day OTC). BSS is another treament option. Azithromycin can be used(macrolides, quinolones, or rifaximin).
What is altitude sickness prophylactic medicine?
Acetazolamide(start day before ascent), can cause polyurea and is CI’d in sulfa allergy.