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29 Cards in this Set

  • Front
  • Back
influenza vaccine routes
-inactivated influenza: give IM
-live attenuated influenza vaccine: intranasally
flue vaccines: for Who?
-all adults 50+
-6m-50 yrs of age with medical problems and/or people living in chronic care facilities
-People (> 6m of age) working or living with at-risk people.
-Pregnant women who have underlying medical conditions should be vaccinated before influenza season, regardless of the stage of pregnancy.
-Healthy pregnant women who will be in their 2nd or 3rd trimesters during influenza season.
flu vaccine for who cont.
-All health care workers and those who provide essential community services.
-Travelers who go to areas where influenza activity exists or who may be among people from areas of the world where there is current influenza activity.
-Anyone wishing to reduce the likelihood of becoming ill with influenza.
flue vaccine: schedule for routine administration
-given every yr
-Oct-Nov is the optimal time
-may be given any time during the flu season
-may give with other vaccines
flu vaccine C/I
-previous anaphylaxictic rxn to this vaccine, to any of its components, or to eggs
-mod or severe acute illness
do no give live attenuated flu vaccine to:
persons >50 years of age
pregnant women
persons who have chronic disorders of the pulmonary or cardiovascular systems
persons with any compromising medical conditions
pneumococcal vaccine: for who?
1. >65yo
2. People 2–64yrs of age who have a chronic illness or other risk factors, including but not limited to chronic cardiac or pulmonary diseases.
3. Pregnant women with high-risk conditions should be vaccinated if not done previously.
pneumo vaccine schedule for routine administration
-1 time dose
-One-time revaccination is recommended 5yrs later for:
1. ppl at highest risk of fatal pneymococcal infx
2. rapid AB loss
3. people > 65yrs of age if the 1st dose was given prior to age 65 and > 5yrs have elapsed since previous dose.
-can give with all other vaccines
pneumo vaccines C/I
-previous anaphylactic rxn to this vaccine or to any of its components
-mod or severe acute illness
-give IM or SC
who should get Hep B vaccines
All adolescents
High-risk adults, including: household contacts and sex partners of HBsAg-positive persons users of illicit injectable drugs
heterosexuals with more than one sex partner in 6 months men who have sex with men people with recently diagnosed STDs patients receiving hemodialysis patients with renal disease that may result in dialysis recipients of certain blood products health care workers
public safety workers who are exposed to blood
clients and staff of institutions for the developmentally disabled
inmates of long-term correctional faciities
international travelers
hep B shcedule
-Three doses are needed on a 0, 1, 6 m schedule.
( *There must be 4wks between doses #1 and #2, and 8wks between doses #2 and #3. Overall there must be at least 16wks between doses #1 and #3.)
-Schedule for those who have fallen behind: If the series is delayed between doses, DO NOT start the series over. Continue from where you left off.
hep B vaccine C/I
-Previous anaphylactic reaction to this vaccine or to any of its components.
-Moderate or severe acute illness.
-give IM
Hep a for who
-People who travel outside of the U.S. (except for Western Europe, New Zealand, Australia, Canada, and Japan).
-People with chronic liver disease.
hep A schedule
-1 doses needed
-the min interval b/t dose #1 and #2 is 6m
-if dose #2 is delayed, do not repeat dose #1. Just give dose #2
-may give with all other vaccines
Hep A C/I
-Previous anaphylactic reaction to this vaccine or to any of its components.
-Moderate or severe acute illness.
-Safety during pregnancy has not been determined, so benefits must be weighed against potential risk.
-Breastfeeding is not a contraindication to the use of this vaccine.
Tetanus (Td) for who
1. all adolescents and adults
2. After the primary series has been completed, a booster dose is recommended every 10yrs. Make sure your patients have received a primary series of 3 doses.
3. A booster dose as early as 5yrs later may be needed for the purpose of wound management
Td schedule
-Give booster dose every 10yrs after the primary series has been completed.
-For those who are unvaccinated or behind, complete the primary series (spaced at 0, 1–2m, 6–12m intervals). Don't restart the series, no matter how long since the previous dose.
-may give with other vaccines
Td C/I
-Previous anaphylactic or neurologic reaction to this vaccine or to any of its components.
-Moderate or severe acute illness.
-Pregnancy and breastfeeding are not contraindications to the use of this vaccine.
Tdap
-tetanus, diptheria, pertussis
-ACIP recommends a single booster dose of Tdap (0.5 mL IM) for adults aged 19 to 64 years. Subsequent tetanus doses, in the form of Td, should be given at 10-year intervals throughout adulthood. The minimum interval between tetanus boosters of any type should be five years.
MMR for who
- slide 33
MMR schedule
-1 or 2 doses needed
-if dose #2 is recommended, give it no sooner than 4 wks after dose #1
-may be given with all other vaccines
-If varicella vaccine and MMR are both needed and are not administered on the same day, space them at least 4wks apart.
-If a pregnant woman is found to be rubella-susceptible, administer MMR postpartum.
MMR C/I
-Previous anaphylactic reaction to this vaccine, or to any of its components.
-Pregnancy or possibility of pregnancy within 4 weeks (use contraception).
-Persons immunocompromised (HIV+ not a C/I)
-Moderate or severe acute illness.
-breastfeeding
varicella: for who
-slide 40
varicella schedule
-2 doses needed
-dose #2 is given 4-8wks after dose #1
-may be given with all other vaccines
-If varicella vaccine and MMR are both needed and are not administered on the same day, space them at least 4wks apart
-If the second dose is delayed, do not repeat dose #1. Just give dose #2.
varicella C/I
-Previous anaphylactic reaction to this vaccine or to any of its components.
-Pregnancy or possibility of pregnancy within 4 weeks (use contraception).
-Persons immunocompromised because of malignancies and primary or acquired cellular immunodeficiency including HIV/ AIDS.
-Moderate or severe acute illness.
-Manufacturer recommends that salicylates be avoided for 6wks after receiving varicella vaccine because of a theoretical risk of Reye's syndrome.
meningococcal for who?
-college freshman
-High risk groups, especially the asplenic patient and lab personnel who come in contact with Neisseria meningitidis.
-Travelers to and US citizens residing in areas high risk areas.
meningococal schedule
-1 single, subcutaneous dose
-no specific C/I
-can be given with other immunizations
-Studies on pregnant women have not demonstrated adverse effects.
shingles vaccine for who
-Single dose (reconstitute /subcutaneous) is indicated for people > 60 yrs old to prevent the disease and can also reduce PHN
-Contraindicated if allergy to gelatin or neomycin, HIV/AIDS, weakened immune system from chemo, steroids, cancer treatment, cancer that affects the bone marrow, active untreated Tb, pregnancy
HPV vaccine
-Routinely recommended for females 11-12 yrs of age or 13-26 who didn’t already receive it
-Series: each dose is .5 ml IM
*now, 2 months later and 6 months after first
*no booster is recommended