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29 Cards in this Set
- Front
- Back
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DO/DO NOT make up missed doses.
DO/DO NOT combine vaccines unless equivalent immunogenicity has been proven. |
DO NOT (just start off wherever you left off before)
DO NOT |
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how should you administer multiple vaccines (as in, for different infections)?
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administer them simultaneously (at the same visit)
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how long should you wait between live vaccines administration.
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4 weeks
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why should you not give antibodies and live vaccines together? what should you do instead?
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Ab's would interfere with live vaccine. however, Ab vaccine and INACTIVATED vaccine CAN be given, but at different sites...
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differentiate bw the 2 approaches to immunization: passive vs. active immunization.
what are they each primarily used for? |
PASSIVE - administer Ig-containing material to prevent/modify dz
- protection will be immediate, but SHORT-LIVED - primarily used for postexposure prophylaxis or when vaccine isn't available active: stimulation of protective immune response via administration of vaccine - week to months required for response to develop, but generally LONG LIVED - primarily used for pre-exposure prophylaxis |
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what are the 2 types of active immunization?
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- replicating (aka live-attenuated): fewer doses needed, lower antigen content, more durable immunity, broader response (since it simulates dz)
- non-replicating (aka killed); safer, more stable |
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what is an important factor in terms of the vaccine itself that affects immune response to immunization?
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the type of antigen (certain antigens don't work well in certain populations, so you hvae to get around it somehow)
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what type of vaccine must you NOT give to an immunocompromised patients?
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no live viruses (ie. can't give oral polio virus given to household contacts of HIV-infected ppl)
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can you give vaccinations while pt is:
-pregnant? -premature? -on current antimicrobials? -recently exposed to infectious agents? - has nonspecific allergies? |
yes to all
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what are some requiremnts of the national vaccine program?
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- give standardized vaccine info statmetns to pts\
- maintain records: 1) dates of administration 2 )manufacturer/lot number of vaccine 3) title of person adminstering vaccine - report adversse events |
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name the 4 live vaccines that are currently given
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MMR
Rotavirus Varicella Shingles (zoster) "Live Mermaids R Very Sweet" 2 2 2 1 <=== dosages |
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MMR (measles/mumps/rubella) vaccine should be given to which 2 groups of ppl? how many doses for each group?
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1) universal immunization of infants (2 doses on or aftre 1st birhtday)
2) suceptible persons, like ppl attending college, medical personnel, travelers to endemic areas (2 doses given) |
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Who is recommended to get vaccine for rotavirus. who is contraindicated for it? include doses for the first group.
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recommend: all HEALTHY infants (2-3 doses)
contraindicated for immunodeficeint baby bc its live |
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varicella recommendations and dosages
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children, household contacts of immunocompromised ppl, ppl in high risk environment, nonpregnant women of childbearing age
- 2 doses |
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shingles recommendations and dosages
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recommended for healthy individuals >60 y/o
- high-dose 1 time only |
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name the 3 inactivated vaccines that are currently administered
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Hepatitis A
Influenza Polio "Killed vaccines are HIP!" 2 _ 4 <== dosages |
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recommendations and doses for hepatitis A vaccine (remember its an inactivated whole virus vaccine)
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recommened for all children (1-2 y/o), for at risk for infections, traveleres to endemic areas,
2 doses at least 6 months apart... |
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recommendations for influenza (tell me the difference bw inactivated vs. live attenuated)
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inactivated recomendations:
- high risk children > 6 months - all >50 yrs (deaths occur mainly in elderly) live attenuated - recommended for healthy individuals 2 to 49 y/o (most people like us...) |
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recommendations and dosage for polio vaccine
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trivalent inactivated polio vaccine recommended for all infants and young children
4 |
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what kind of vaccine is the pertussis vaccine? what's the differnce bw DTaP, Td and Tdap
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toxoid
DTaP: pediatric dose of diphtheria toxoid + tetanus toxoid + purified pertussis components (5 doses for infants/children) Td: booster for adults (every 10 years, or single mid-life booster) Tdap: contains pertussis + purified diphtheria/tetanus booster immunization of adolescents/adults |
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what type of vaccine is Hib; tell me who its recommended for and the dosage
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protein-polysaccharide conjugate
recommended for universal immunization of all infants and children (3-4 doses) |
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name the conjugate vaccines
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Hib
pneumococcal meningococcal "Miles Per Hour" (MPH...) __ 4 4 <=== dosages |
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what are the 2 types of pneumococcal vaccines and who are they recommended for? give me the doses too!
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-conjugate recommended for infants (4 doses)
- polysaccharide vaccine recommended for all >65 y/o and high risk individuals >5 y/o (immunocompromised, ppl with high risk for infecitons) |
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which serotype is contained in the meningococcal vaccine? which serotype is NOT in it?
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serotypes A, C, W and Y
- serotype B (the most common cause of meningitis in the US) is NOT included in the vaccine |
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which vaccine is important for those entering Saudi Arabia for the Hajj?
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menigococcal vaccine (N. meningitis)
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who is recommended to get the meningococcal vaccine?
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- high risk groups
- high schoolers, college studnets in dorms, travelers, occupational exposure |
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which two vaccines are recombinant? what are thye recombinant of?
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Hep B (purified recombinant HBsAg)
HPV (purified recombinant capsid proteins of serotypes 6, 11,16, 18) "Hep B is Hap- Py!" 3 3 <== dosages |
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recommendations and dosage for hep b
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recommended in children and at risk groups
- 3 doses series (you know...you'd always miss em, jon) |
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recommendations and dosage for HPV vaccine
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recommended for girls 9-26; catch up immunization for >26 y/o girls
- 3 doses |
