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26 Cards in this Set
- Front
- Back
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What are the two different vaccines for Influenza?
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TIV and LAIV
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What is TIV?
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Trivalent Inactivated Virus
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How are TIV and LAIV stored?
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Stored in refrigerator (do NOT freeze);
Keep away from sunlight |
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What is LAIV?
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Live Attenuated Influenza Vaccine
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Is Flumist an LAIV or TIV shot?
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Brand name of LAIV vaccine
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What is the dosage of TIV?
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0.25ml IM x 1-2 (6-35 mo),
0.50ml IM x 1-2 (3-8 yrs old), 0.50ml IM x 1 (= or > 9 yrs old) |
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What is the dosage of LAIV?
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0.2ml x 1-2 (2-8 yrs old),
0.2ml x 1 (9-49 yrs old) 0.1 in each nostril |
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Can anyone receive the TIV vaccine?
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Almost. Basically, anyone over the age of 6 months
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When does the influenza viral shedding begin and when does it end?
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1 day before onset of symptoms until 5 days after.
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What is the average incubation period of the influenza virus?
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2 days
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Compare and contrast flu and cold symptoms.
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Flu: 101-102F fever, sudden onset of headache, non-productive cough
Cold: fevers & headaches are rare, runny nose, sneezing, sore throat, hacking cough |
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Discuss common side effects of the flu shots.
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For inactivated shots: soreness at injection site, fever, malaise.
For attenuated shots: runny nose, nasal congestion, headache, cough, sore throat, chills (basically, mild cold symptoms) |
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What are some possible complications with the flu shot?
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Pneumonia, Reye Syndrome, or Myocarditis
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What is the Reye Syndrome?
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Sudden (acute) brain damage (encephalopathy) and
liver function problems. Occurs almost exclusively in children taking aspirin to treat chickenpox or the flu (primarily influenza B). Presents severe vomiting and confusion, which may progress to coma due to swelling of the brain |
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What is the site of TIV administration?
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Mostly the deltoid, unless vaccinating children w/o adequate muscle tissue. In those cases, administer in the anterolateral thigh.
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What is the site of LAIV administration?
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Intranasal
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What is the age range for TIV and LAIV vaccinations?
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TIV = 6mon and up
LAIV = 2-49 yrs of age |
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List the contraindications & precautions of inactivated flu shots.
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Allergy to vaccine components,
Moderate to severe acute illness, History of Guillain-Barre Syndrome. |
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List the contraindications & precautions of Live Attenuated flu shots.
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Allergy to vaccine components,
Moderate to severe acute illness, History of Guillain-Barre Syndrome, Children under age of 2, Adults over age of 49, Pregnant women, Children receiving chronic aspirin therapy, Immunosuppressed patients, Persons w/chronic (respiratory, cardiac, renal, and diabetic) conditions. Basically, it's ok to administer LAIV only to healthy, non-pregnant persons ages 2-49 yrs old. |
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Who is the flu shot recommended for?
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1) All healthy people over age 6 mon,
2) Women who will be pregnant during flu season, 3) Immunosuppressed persons and with chronic health conditions over the age of 6 months old 4) Residents of long-term care & nursing homes, 5) Health-care personnel, 6) Household contacts & caregivers of people less than 5 yrs old, over 50 yrs old, and w/higher risks of severe influenza complications. |
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What are the two types of pneumococcal vaccines? What distinguishes them? What populations are they used in?
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PPV23 (polysaccharide vaccine; used in adults)
PCV7 (conjugate vaccine; used in children) |
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How is PPV23 administered?
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0.5ml (IM; deltoid) or SC
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Is multiple doses of PPV23 recommended?
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No, however revaccination is recommended for persons ≥ 2 years old at highest risk of pneumococcal infection:
• W/o spleen • Immunosuppression • Transplant recipient • Renal disease |
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What are adverse reactions of PPV23?
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Local reactions, fever, and myalgia (muscle pain).
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What is the dosing of the 2009 H1N1 Inactivated Influenza Vaccine?
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Age 6-35 months: 0.25ml x 2 IM (given one month apart)
Ages 3-9 years: 0.5ml x 2 IM (given one month apart) Ages 10+ yrs old: 0.5ml x 1 (IM) |
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What is the dosing of the 2009 H1N1 Live, Attenuated Influenza Vaccine?
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Drug NOT administered for anyone under age of 2 and over age of 49 (50+)
Ages 2-9 yrs old: 0.2ml x 2 IN (one month apart) --> 0.1ml in each nostril Ages 10-49 yrs old: 0.2ml x 1 (IN) --> 0.1ml in each nostril |
