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68 Cards in this Set

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Hep B vaccine administration
1)inactivated vaccine given IM (anterolateral thigh or deltoid) in 3 doses
2)first 2 doses given one month apart
3)third dose given 6 months after first dose
Is a booster recommended for Hep B?
no
Children under what age need to be given the preservative free formulation of the vaccine due to what?
1)6months
2)thimerosal toxicity (a mercury containing agent)
Hep B adverse reactions
1)pain at injection site
2)temperature >37.7C
What is the difference between the DTaP and DTwP vaccines?
1)DTwP contains whole cell of pertussis
2)DTaP contains specific cellular components only
The preferred agent is ____ because of ___________.
1)DTaP
2)a decrease in risk of ENCEPHALOPATHY or NEUROLOGICAL symptoms
If a child has had a serious reaction to "P" in DTaP, what vaccine can you use?
DT in children <7years of age
DTaP administration
1)toxoid vaccine given IM in anterolateral aspect of thigh orin the deltoid as a 5 dose series
2)After 7th bday, DTaP replaced with Td
Is a Td booster necessary?
yes given every 10 years with one exception
In pregnancy, the Td vaccine should be given after the ____ trimester to avoid any complications to the fetus
second
DTwP adverse reactions
1)prolonged HIGH PITCH CRYING
2)convulsions
3)hypotension
4)febrile seizures
5)encephalopathy
DTaP adverse reactions
At site of injection:
1)edema
2)chills
3)rash
4)urticara
5)induration
6)tenderness
Td adverse reactions
1)mild fever
At site of injections:
2)soreness
3)swelling
4)redness
What is the new agent Tdap approved for?
1)approved for ONE TIME administration to adolescents aged 11-18yo in the place of Td (or to complete initial series if needed)
Tdap contains lower ______ and ______ doses to avoid ______.
1)diptheria
2)acellular pertussis
3)local reactions
Tdap adverse reactions
1)redness at site of injection
2)pain
3)swelling
What is the difference between the available roducts of the Haemophilus influenza type b vaccine?
1)the polysaccharade vaccine is conjugated to a different carrier protein
What is the purpose of the carrier protein?
1)to increase the IMMUNOGENICITY and EFFECTIVENESS in children under 2 YEARS of age
In what patients is Haemophilus influenza type b vaccine contraindicated?
1)patients allergic to THIMERERISOL
Haemophilus influenza type b (Hib) administration
1)inactivated bacterial vaccine given IM as a 4 dose series
Hib vaccine adverse reactions
1)edema
2)local erythema
3)acute febrile reactions
***may consider premedication with APAP***
What is the difference between the IPV and OPV polio vaccines?
1)IPV = killed trivalent polio vaccine
2)OPV = live, attenuated trivalent poliovirus vaccine
Polio vaccine administration
1)4 dose series given as ALL IPV
What is the reason for the all IPV dosing schedule?
IPV doesn't cause VAPP?
Polio vaccine adverse reactions
1)fever and urticarial rash
2)IPV can cause erythema and tenderness at injection site
3)OPV rarely can lead to Vaccine Associated Paralytic Polio
OPV causes the virus to be shed in the ____ for _____ weeks after administration
1)feces
2)6-8weeks
OPV should not be used if there is anyone in the household that is ________.
immunocompromised
Measles, Mumps, and Rubella (MMR) vaccine is contraindicated in what patients?
1)patients allergic to NEOMYCIN
2)avoid in PREGNANCY or IMMUNOCOMPROMISED
3)caution in egg allergy, chicken, or chicken feathers allergy
MMR administration
1)live, attenuated virus vaccine given SC in the outer aspect of the arm as a 2 dose series
MMR adverse reactions
1)low grade fever
2)pruritis
3)pain at injection site
4)rarely can cause SZRs
5)incorrectly linked to risk of autism
Varicella zoster (Var) vaccine is contraindicated in what patients?
1)hypersensitivity to GELATIN or NEOMYCIN
2)avoid in febrile illness, pregnancy, and immunodeficiency
Varicella zoster administration
1)live, attenuated virus vaccine given SC in the outer aspect of the arm as a 1 or 2 dose series
What patients should receive a single dose of Varivax and what patients should receive 2 doses 1-2 months apart
1)if <13 years old
2)if >=13 years old
Varivax adverse reactions
1)mild vesicular rash within 1 month of vaccination
Avoid ______ use for _____ weeks post vaccination to avoid _______.
1)salicylate
2)6weeks
3)Reye's syndrome
Pneumococcal 7-vallent conjugate vaccine (Prevnar)is approved for who?
1)active immunization of infants and toddlers against invasive pneumoccocal disease
The most common invasice pneumoccocal disease is what?
meningitis ??
What is a side benefit of Prevnar vaccine?
1)may decrease the incidence of drug resitant S. pneumoniae ___??
Prevnar administration
1)killed, attenuated vaccine given IM in a 4 dose series
What contraindications are there to the Prevnar vaccine?
1)hypersensitivity to vaccine, including diphteria toxoid
2)series febrile illness
Prevnar adverse reactions
1)injection site reactions
2)fever >38C
3)irritability
4)drowsiness
5)restless sleep
6)increased appetite
the 7 strains of Prevnar represent about 80% of the possible strains of S.pneumoniae infection in children < _____ yo
<7
Pneumocococcal 23-valent polysaccharide vaccine represent about ___% of the possible strains of S. pneumoniae infections
90%
Pneumovax-24 and Pnuimmune 23 are not approved for who?
1)children, 2 years old (unable to mount an appropriate immune response
Pneumococcal 23-valent polysaccharide vaccine administration
1)inactivated vaccine given IM or SC in the deltoid muscle or lateral midthigh
Pneumococcal 23 vaccine adverse reactions
1)induration and sorenss
2)parasthesias, myalgia, anaphylaxis, fever are rare
Influenza vaccine is contraindicated in what patients?
1)patients w/ allergies to egg or egg products
Influenza vaccine is available in what 2 formulations
1)whole-virus
2)split-virus
Indications for influenza vaccine
1)all adults >50
2)all children 6-23months
3)any patient <2years w/ chronic illnesses
All children _____ years old should be given the ______ vaccine
1)<12
2)split-virus vaccine
Children ______ years old receiving the flu vaccine for the ______ time should receive _____ doses ____ month apart.
1)<8years
2)first
3)2
4)one
Flu vaccine adverse reactions
1)fever
2)malaise
3)tenderness, redness, induration
Hepatitis A vaccine (Havirx and VAQTA) is indicated for who?
1)INDICATED FOR ALL CHILDREN
2)recommended for travel to all underdeveloped countries
Hepatitis A vaccine administration
1)inactivated virus vaccine given IM in the deltoid muscle as a 2 dose series
2)2nd dose given 6-12 months after the first dose
How long is protection thought to last to hepatitis A?
15 years
If administering for travel reasons the dose needs to be given at least _____ weeks prior to travel
2
Hepatitis A vaccine adverse reactions
1)HA
2)fatigue
3)transient liver function abnormalities
4)cutaneous reactions at site
Lyme disease vaccine indicated for who?
1)to those at high risk only
Lyme disease vaccine administration
1)3 dose series that spans 1 year in time
Maximal protection to lyme disease is only present after all _____.
3 injections
Are boosters necessary?
immunity is not permanent, but when boosters will need to be given is still being determined
Lyme disease vaccine is approved for ages ______
15-70
Lyme disease vaccine adverse reactions
1)myalgias
2)flu-like symptoms
3)fever
4)chills
5)redness, swelling
***premedicated with APAP to avoid***
The reactions to lyme disease vaccine occur within ____ hours and can last for _____ days.
1)48hours
2)3days
HepB-Hib (Comvax) vaccine recommended for who?
1)recommended at 2 months, 4 months, and 12-15 months of age
DTaP-Hib (TriHIBit) approved for what?
1)approved for 4th dose of both dosing schedules
DTaP-HIB-IPV (Pediarix) approved for what?
1)recently approved as an option to take the place of individual components
What are seven sources of vaccine information?
1)CDC
2)National Vaccine Program Office
3)AAP
4)American college of physicians
5)national coalition for adult immunizations (NCAI)
6)state and local health department
7)vaccine manufacturers