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PBR FlashCards > vaccines & contraindications > Flashcards

vaccines & contraindications Flashcards

1
Q

name the 7 live vaccines

A

rota
mmr
var
opv
adenovirus
yellow fever
IN flu

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2
Q

what steroid dose if given should make you avoid vaccinating a patient for at least 1 month

A

20mg/day or >2mg/kg/day lasting at least 14 days

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3
Q

when should a premie baby get Hep B if their mom is Hep B negative

A

can delay for 1 month

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4
Q

what vaccine should not be given to a premie in hospital becuase it is shed in the stool and infect others

A

rotavirus

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5
Q

how long should you wait to give another live vaccine if the patient recieved 1 today

A

at least 1 month

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6
Q

can you vaccinate a healthy HIV patient with live vaccines

A

yes, if they are well and disease is under control

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7
Q

are live vaccines like mmr and var contraindicated in the family members of an immunocompromised person

A

no, give them

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8
Q

what are the rules for PPD administration and MMr vaccine

A

they can be done on the same day but if MMR is given prior to PPD you have to wait at least 4 weeks prior to testing PPD

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9
Q

1st rota dose should not be given before ___ or after ___?

A

6 weeks
15 weeks

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10
Q

can you give rota to a child who has an immunocompromised family member in the home

A

yes

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11
Q

can you give a baby presenting for vaccines for the first time at 4 months rota

A

no becuase they are 16 weeks (>15 weeks) old

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12
Q

what vaccine should not be given to an asthmatic

A

IN flu

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13
Q

which children require two vaccines for flu if it is their first time

A

ages 6 mo -8 years

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14
Q

last dose of hep b should not be given before what age

A

6 months

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15
Q

ideal regimen for Hep B vaccine is

A

0 , 1 mo and 6 mo

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16
Q

if mom is hep b status unkown what should baby get

A

hep b vaccine within 12 hours of birth

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17
Q

if om is hep b positive when baby is born what do you give

A

hep B and HBIG no later than day 7 of life

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18
Q

if your patient has an intimate contact who has meningitis what do you do

A

ppx rifampin or rocephin even if they are vaccinated

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19
Q

what two vaccines are recommended during pregnancy

A

tdap and flu

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20
Q

what UDE is associated with rifampin

A

reddish orange tears and urine

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21
Q

what is given for H flu ppx

A

rifampin

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22
Q

when to give H flu ppx to a patient

A

if there are TWO documented cases around them

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23
Q

what ppx for pertussis should be given and to who

A

all householld contacts and all exposed should get a macrolide ( give azithromycin to children 6 weeks or less as erythromycin can cause PS)

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24
Q

Hep B needle stick in an uncertain immune status patient

A

check for antibody, if negative then give HBIG and START full vaccine series
if positive do nothing

25
Q

a child ( < 6 months) exposed to measles 3 days or less ago should get

A

IFIM or IVIG

26
Q

a child 6-11 months exposed to measles 3 days or less ago should get

A

MMR

27
Q

a child 6-11 mo who is exposed to measles 4-6 days ago should get

A

IVIG or IGIM

28
Q

if a child of any age was exposed to measles more than 6 days ago, what ppx do they get

A

none its to late to prevent the disease

29
Q

can a child go back to daycare if they were exposed 72 hours ago and gets MMR vaccine

A

yes

30
Q

for tetanus exposure, what vaccine is given for a child < 7, 7-11 and > 11

A

DT
Td
Tdap

31
Q

if tetanus exposure in someone who had a shot > 5 years ago and its dirty

A

give booster

32
Q

patients with severe gelatin allergy shouldnt get what shots

A

yellow fever

33
Q

if a patient has encephalopathy or prlonged seizure within 1 week of getting DTAP what to do in he future

A

give DT (likley the reaction was the pertusis componenet)

34
Q

what vaccines have gelatin in them

A

MMR, varicella, flu and yellow fever

35
Q

which vaccine have traces of neomycin and streptomysin in them

A

polio, mmr and var

36
Q

how long to wait after 20mg/d o >2mg/kg/day sterid course to vaccinate

A

one month

37
Q

how long to wait after IVIG to give live vacine

A

1 month

38
Q

what is the only live vaccine you CANNOT give to a child who lives with an immuno compromised family member

A

OPV

39
Q

can pregnant mothers let one of their children recieve a live vaccine

A

yes

40
Q

what does CD4 count have to be in HIV kid to get live vaccine

A

> 15%

41
Q

what sxs are different in kawasaki and adeno from measles

A
  • conjunctivits that is lymbic sparing
  • exudative pharyngitis
42
Q

what symptoms proceeds the diarrhea of rota

A

vomiting

43
Q

what age should rota virus vaccination should not be continued in

A

> 8 months

44
Q

children on what therapy really need flu vaccine and why

A

salicylate therapy becuase of the risk for reye syndrome if they get flu

45
Q

what is a dx that is contraindicated in giving the flu vaccine

A

GBS

46
Q

if a mother has an unknown Hep B status and she has a baby <2000g what to give

A

Hep B and HIBG

47
Q

chidlren with Hep B positive moms should have anti-Hbs and HbsAg checked when

A

beween 9-12mo, if neg AB then restart 3 dose series

48
Q

what is the most contagious pertussis phase

A

cattahral stage

49
Q

what are the three pertusis stages

A
  1. cattarahl
  2. paroxysmal
  3. convalescent
50
Q

what is a contraindication to giving pertusis or DTAP vaccine

A

encephalopathy or severe anaphylaxis within 7 days of prior dtap vaccine

51
Q

why do we have to give so many pertusis containing shots

A

becuase of waning vaccine immunity

52
Q

pertusis cough is associated with what lab

A

leukocytosis with lymphpcytosis (90%)

53
Q

chlamydia cough is associted with what two findings

A

stacatto cough
eosinophilia

54
Q

what tetanus containing vaccine should be given to a child who is > 7 but is not completed vaccinated against tetanus

A

TDAP

55
Q

if a patient has a hx of anaphylaxisis to a shot, what test should be done

A

skin prick testing

56
Q

when should Pcv23 be given

A

in children older than 2 who are HR (give 8 weeks after last PCV 13 and again 5 years later)

57
Q

patients with spinal bifida usually have what allergy ans should avoid what shot

A

latex allergy
rotavirus shot has latex in bottle

58
Q

patients with terminal complement deficiency and properdin deficiency are at high risk for what dx

A

meningococcal

PBR FlashCards (13 decks)

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