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D2 E1 Shea > Well Child 3 > Flashcards

Well Child 3 Flashcards

1
Q

Hep B Vaccine

  • How many doses?
  • Given at what ages?
  • Incidence of Hep B has declined by 82% since 1990
  • Disease spread how?
A
  • 3 doses
  • birth, 1-2 months, 6-18 months
  • contact w/ blood or bodily fluids, birth
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2
Q

Hep B

  • 5 sxs? (may be asymptomatic too)
  • 3 complications of dz?
  • 1 contraindication to vaccine
  • 2 ADEs from vaccine
A
  • Sxs: jaundice, HA, wkness, V, joint pain
  • complications: chronic liver infection, liver failure, liver cancer
  • Contraindication: severe allergy to yeast
  • ADEs: fever / pain at injection site
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3
Q

What is the leading cause of hospitalizations & death from acute gastroenteritis in young children worldwide?

A

Rotavirus

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4
Q

Rotavirus

  • What type of vaccine?
  • Given at what 3 ages?
  • Dz spread how?
  • 3 dz sxs?
  • 2 complications of dz?
A
  • Type: Live, oral vaccine
  • ages: 2, 4, 6 months
  • spread: saliva, oral contact
  • sxs: V, D, fever
  • Complications: severe diarrhea, dehydration
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5
Q

Rotavirus

  • 3 contraindications to vaccine
  • 2 ADEs from vaccine
A
  • Contraindications:
    • hx of intussusception
    • infants w/ SCID (severe combined immunodeficiency)
    • defer in those w/ acute moderate-severe gastro
  • ADEs:
    • slight incr risk of intussusception
    • V/D, cough/rhinorrhea
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6
Q

DTaP (Diphtheria-tetanus-acellular pertussis)

  • How many doses?
  • What ages?
  • How is diphtheria spread?
  • How is tetanus spread?
  • How is pertussis spread?
A
  • # doses: 5
  • Ages: 2, 4, 6, 15/18 months, 4 yrs
  • Diphtheria: air & direct contact
  • Tetanus: exposure through cuts in skin
  • Pertussis: air & direct contact
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7
Q

4 sxs of Diphtheria

A
  • sore throat
  • fever
  • weakness
  • swollen glands in neck
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8
Q

5 sxs of tetanus

A
  • stiffness in neck
  • stiffness in abdominal muscles
  • difficulty swallowing (dysphagia)
  • muscle spasms
  • fever
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9
Q

3 sxs of pertussis

A
  • severe cough
  • rhinorrhea
  • apnea
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10
Q

5 complications of diphtheria

A
  • pericarditis
  • heart failure
  • coma
  • paralysis
  • death
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11
Q

3 complications of tetanus

A
  • broken bones
  • breathing difficulty
  • death
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12
Q

2 complications of pertussis

A
  • PNA
  • death
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13
Q

3 contraindications of DTaP vaccine

A
  • do not give to children who have developed encephalopathy w/in 7 days of a previous dose of this vaccine
  • defer for those w/ progressive neurological disorders (infantile spasms, uncontrolled epilepsy) until condition is stabilized
  • precaution if pt developed high fever, inconsolable crying, or shock like state previously w/in 48hrs of vaccine admin.
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14
Q

2 ADEs from DTaP vaccine

A
  • swelling/redness at site
  • fever
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15
Q

HIB (Haemophilus influenza type B)

  • How many vaccines?
  • What ages?
  • Before vaccine, HIB was leading cause of what?
A
  • # doses: 4
  • Ages: 2, 4, 6, 12/15 months
  • invasive bacterial disease in children <5 yrs in the U.S.
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16
Q

2 contraindications to HIB vaccine

A
  • Infants < 6 weeks of age
  • Individuals w/ allergic rxn to previous HIB vaccine
17
Q

PCV 13 (Pneumococcal)

  • # doses?
  • Ages?
  • Common cause of what 2 infections?
A
  • 4
  • 2, 4, 6, 12 months
  • AOM & Sinusitis
18
Q

2 contraindications to PCV 13 (Pneumococcal)

A
  • severe previous allergic reaction to vaccine
  • defer for individuals during moderate or severe acute illness w/ or w/o fever
19
Q

5 ADEs of PCV 12 (Pneumococcal)

A
  • Fever
  • Local rxn
  • Irritability
  • Increased or Decreased sleep
  • Risk of febrile seizures when administered w/ influenza vaccine**
20
Q

IPV (Poliomyelitis)

  • # doses?
  • Ages?
  • No longer what?
A
  • 4
  • 2, 4, 6-18 months, 4 yrs
  • no longer a live vaccine
21
Q

3 contraindications to IPV (Poliomyelitis)

A
  • allergic reaction to previous IPV vaccine
  • defer during moderate or severe acute illness
  • pregnancy
22
Q

MMR (Measles, Mumps, Rubella)

  • # doses?
  • Ages?
  • Type of vaccine?
  • DOES NOT CAUSE WHAT?
A
  • 2
  • 12-15 months & 4 years
  • autism
23
Q

5 sxs of measles

A
  • rash
  • fever
  • cough
  • rhinorrhea
  • pink eye
24
Q

5 sxs of mumps

A
  • swollen salivary glands
  • fever
  • HA
  • fatigue
  • muscle pain
25
Q

3 sxs of rubella

A
  • rash
  • fever
  • swollen lymph nodes
26
Q

Does Measles, Mumps, or Rubella have very serious complications in pregnant women–> miscarriage, stillbirth, premature delivery, birth defects?

A

Rubella

27
Q

3 contraindications to MMR vaccine

A
  • pregnant women, women intending to become pregnant within 28days
  • immunocompromised persons
  • egg or neomycin allergy (anaphylactic)
28
Q

3 ADEs of MMR vaccine

A
  • fever (5-15%) about 6-12 days following vaccine
  • transient morbilliform rash
  • GBS (1 case per 3million)
29
Q

Varicella

  • # doses?
  • Ages?
  • 2 contraindications
  • Unique ADE
A
  • 2
  • 12-15 months & 4 yrs
  • allergic rxn after previous varicella vaccine
  • pregnant women
  • ADE: sparse varicelliform rash outside injection site 5 - 26 days after vaccine
30
Q

Hepatitis A

  • # doses?
  • Ages?
A
  • 2
  • 12 & 18 months (must be 6 months from 1st dose)
31
Q

HPV

  • # doses?
  • Disease complications?
  • 4 ADEs
A
  • 2 or 3 doses depending on when series started
  • Complications: cancer- cervical, vaginal, vulvar, anal, throat, penile
  • ADEs: F, nausea, dizziness, HA
32
Q
A

D2 E1 Shea (13 decks)

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