Wk 17: Paediatric vaccinations

Question 1

How would you give eye drops to children?

Answer 1

• Tilt head back + drop into corner of eye
• Ointment in inner lower lid

Question 2

What vaccinations do you get at 8 weeks?

Answer 2

• 6 in 1 vaccine (diphtheria, tetanus, whooping cough, polio, hib + hepatitis B)
• Rotavirus (oral)
• Men B

Question 3

What vaccinations do you get at 12 weeks?

Answer 3

• 6 in 1 (2nd dose)
• Rotavirus (2nd dose)
• Pneumococcal vaccine

Question 4

What vaccinations do you get at 16 weeks?

Answer 4

• 6 in 1 vaccine (3rd dose)
• MenB (2nd dose)

Question 5

What vaccinations do you get at 1 year?

Answer 5

• Hib/MenC
• MMR
• PCV vaccine (2nd dose)
• Men B (3rd dose)

Question 6

What vaccinations do you get at 3 years and 4 months?

Answer 6

• MMR (2nd dose)
• 4 in 1 pre-school booster (diphtheria, tetanus, pertussis, polio)

Question 7

What vaccination do you get at 12 to 13 years?

Answer 7

HPV vaccine

Question 8

What vaccinations do you get at 14 years?

Answer 8

• 3 in 1 teenage booster (tetanus, diphtheria, polio)
• MenACWY

Question 9

What vaccination do you get at 2-10 years?

Answer 9

Flu vaccine - nasal delivery

Question 10

Which patients are CI in immunisations?

Answer 10

• Acute illness
• Previous severe reaction to vaccine
• Immunosuppressed

Question 11

What does rotavirus cause?

Answer 11

• Gastroenteritis
• Di + vom causing severe dehydration
• Highly infectious: transmitted via faecal-oral route
• Symptoms: 3-8 days

Question 12

What is the rules for administering the rotavirus vaccine?

Answer 12

• Oral route at 8 weeks
• Postpone if di present
• 1st dose: 6-15 wks
• 2nd: 3 months or 4 wks after 1st dose, before 24 wks
• Both doses prior to 16 wks
• Excreted in stool tf can be transmitted to close contact

Question 13

What is the flu vaccine?

Answer 13

Nasal vaccine of LAIV strain

Question 14

What are the ways the flu vaccine is genetically altered?

Answer 14

• Cold adapted: to stim immune system in nose (cold temp)
• Temp sensitive: can’t infect lungs or warmer nasal passage
• Attenuated: replicates to provoke full immune system w/o symptoms

Question 15

What are the CI of the flu vaccine?

Answer 15

• Immunocompromised: leukaemia, lymphoma, untreated HIV, high dose steroid
• < 2 yrs old
• Aspirin or salicylates
• Egg/gelatin allergy
• Pregnant
• Wheezing/severe asthma

Question 16

Where is the men B vaccine site of injection?

Answer 16

Left thigh

Question 17

What are the paracetamol recommendations after men B vaccine?

Answer 17

3 doses (prophylactic):

• 1: at vaccination
• 2: after in 4-6 hrs intervals

Question 18

What are the general immunisation issues?

Answer 18

• Adverse reactions
• Localised pain + swelling: 3-4 hrs, resolves w/in 24hrs, seek attention if not
• MMR: 5-10 days after injection mild measles (malaise, fever + rash)