Vaccines OME

Question 1

Which vaccines can immunocomp kids not get?

Answer 1

MMRV, Live Flu, Rotavirus

Question 2

Which vaccines can not be given to ppl with egg allergies?

Answer 2

Yellow Fever, some influenza

Question 3

What is a normal reaction to vaccine?

Answer 3

Temp <104, Erythema, tenderness but consolable

*if temp high or not consolable or obv anaphylaxis = dnt give that vaccine again! but can still get other vaccines

Question 4

If kid is sick can they still get vac?

Answer 4

yes

Question 5

If they have a family history of adverse reaction to a vaccine can they still get that vaccine?

Answer 5

yes! only personal history matters

Question 6

Kid previously had HiB. Does this mean they dnt need the vaccine?

Answer 6

Nope! Getting HiB doesnt confer immunity in those <2 yoa.

Question 7

DTap vs Tdap vs Td

Answer 7

DTap = for kids + comes in 5 doses and is higher dose
Tdap = for adutls and given 1x
Td = booster for Tdap

Question 8

Tetanus sx + tx

*how do they often get this?

Answer 8

often acquired from dirty wound, lockjaw, spastic paralysis

tx: intubate, sedate, Mrelaxers, IV Abx(metro), Tetanus antitoxin

Question 9

When do you get Tetanus Ig? (TIG)

Answer 9

• If <3 doses + dirty wound = Tdap + TIG

* if >3 doses do not need TIG only Tdap if >10 w/clean or >5 w/dirty

Question 10

Diptheria sx + tx?

Answer 10

high fever, dyspnea, dysphagia + gray pseudomembrane

Question 11

Pertussis(Whooping Cough) sx + Tx?

Answer 11

begins w/general illness = looks like common cold. Then…kids develops alot of coughing w/big wheezes(inspiratory whoop).

tx: supportive, Erythromycin

Question 12

Rotavirus…what weird GI shit u worried about?

Answer 12

Live vac, risk of intussusception & C/I if previous Intussusception

Question 13

Vaccines @ birth?

Answer 13

Hep B

Question 14

Vaccines @ 2,4,6 months?

Answer 14

HI HiP DR!
*Hep B skips 4 months

HepB, IPV(polio), HiB, PVC, DTap, Rota

Question 15

Vaccines 12-15 months? 15-18 months?

Answer 15

Hey Very HiP MD

HepA, Varicella, HiB, PVC, MMR, DTap(given 15-18m)

Question 16

Vaccines 4-6 yoa?

Answer 16

Very DIM

Varicella, DTap, IPV, MMR

Question 17

Vaccines 12 yoa?

Answer 17

HPV, Meningiococcal