Well Child 3 Flashcards
Hep B Vaccine
- How many doses?
- Given at what ages?
- Incidence of Hep B has declined by 82% since 1990
- Disease spread how?
- 3 doses
- birth, 1-2 months, 6-18 months
- contact w/ blood or bodily fluids, birth
Hep B
- 5 sxs? (may be asymptomatic too)
- 3 complications of dz?
- 1 contraindication to vaccine
- 2 ADEs from vaccine
- 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
What is the leading cause of hospitalizations & death from acute gastroenteritis in young children worldwide?
Rotavirus
Rotavirus
- What type of vaccine?
- Given at what 3 ages?
- Dz spread how?
- 3 dz sxs?
- 2 complications of dz?
- Type: Live, oral vaccine
- ages: 2, 4, 6 months
- spread: saliva, oral contact
- sxs: V, D, fever
- Complications: severe diarrhea, dehydration
Rotavirus
- 3 contraindications to vaccine
- 2 ADEs from vaccine
-
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
DTaP (Diphtheria-tetanus-acellular pertussis)
- How many doses?
- What ages?
- How is diphtheria spread?
- How is tetanus spread?
- How is pertussis spread?
- # 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
4 sxs of Diphtheria
- sore throat
- fever
- weakness
- swollen glands in neck
5 sxs of tetanus
- stiffness in neck
- stiffness in abdominal muscles
- difficulty swallowing (dysphagia)
- muscle spasms
- fever
3 sxs of pertussis
- severe cough
- rhinorrhea
- apnea
5 complications of diphtheria
- pericarditis
- heart failure
- coma
- paralysis
- death
3 complications of tetanus
- broken bones
- breathing difficulty
- death
2 complications of pertussis
- PNA
- death
3 contraindications of DTaP vaccine
- 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.
2 ADEs from DTaP vaccine
- swelling/redness at site
- fever
HIB (Haemophilus influenza type B)
- How many vaccines?
- What ages?
- Before vaccine, HIB was leading cause of what?
- # doses: 4
- Ages: 2, 4, 6, 12/15 months
- invasive bacterial disease in children <5 yrs in the U.S.
2 contraindications to HIB vaccine
- Infants < 6 weeks of age
- Individuals w/ allergic rxn to previous HIB vaccine
PCV 13 (Pneumococcal)
- # doses?
- Ages?
- Common cause of what 2 infections?
- 4
- 2, 4, 6, 12 months
- AOM & Sinusitis
2 contraindications to PCV 13 (Pneumococcal)
- severe previous allergic reaction to vaccine
- defer for individuals during moderate or severe acute illness w/ or w/o fever
5 ADEs of PCV 12 (Pneumococcal)
- Fever
- Local rxn
- Irritability
- Increased or Decreased sleep
- Risk of febrile seizures when administered w/ influenza vaccine**
IPV (Poliomyelitis)
- # doses?
- Ages?
- No longer what?
- 4
- 2, 4, 6-18 months, 4 yrs
- no longer a live vaccine
3 contraindications to IPV (Poliomyelitis)
- allergic reaction to previous IPV vaccine
- defer during moderate or severe acute illness
- pregnancy
MMR (Measles, Mumps, Rubella)
- # doses?
- Ages?
- Type of vaccine?
- DOES NOT CAUSE WHAT?
- 2
- 12-15 months & 4 years
- autism
5 sxs of measles
- rash
- fever
- cough
- rhinorrhea
- pink eye
5 sxs of mumps
- swollen salivary glands
- fever
- HA
- fatigue
- muscle pain
3 sxs of rubella
- rash
- fever
- swollen lymph nodes
Does Measles, Mumps, or Rubella have very serious complications in pregnant women–> miscarriage, stillbirth, premature delivery, birth defects?
Rubella
3 contraindications to MMR vaccine
- pregnant women, women intending to become pregnant within 28days
- immunocompromised persons
- egg or neomycin allergy (anaphylactic)
3 ADEs of MMR vaccine
- fever (5-15%) about 6-12 days following vaccine
- transient morbilliform rash
- GBS (1 case per 3million)
Varicella
- # doses?
- Ages?
- 2 contraindications
- Unique ADE
- 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
Hepatitis A
- # doses?
- Ages?
- 2
- 12 & 18 months (must be 6 months from 1st dose)
HPV
- # doses?
- Disease complications?
- 4 ADEs
- 2 or 3 doses depending on when series started
- Complications: cancer- cervical, vaginal, vulvar, anal, throat, penile
- ADEs: F, nausea, dizziness, HA