Iv Test 1 Peds - Immunizations

Front 1

What is 1st vaccine given to baby?

Back 1

HepB- given in 3 doses
- at birth
- 1 to 2 mo after
- 6 to 18 mo

Front 2

what muscle should you give the vaccine for infants?

Back 2

vastus lateralis muscle (the quadraceps leg muscle

Front 3

what causes diphtheria & how is it spread?

Back 3

- Corynebacterium
- spread by contact w secretions in mouth, nose, coughing & sneezing

Front 4

Diptheria vaccine does not give lifelong immunity, you need _____

Back 4

booster every 10 yrs

Front 5

Diphtheria causes?

Back 5

- inflammation of heart
- inflamed nerves leading to paralysis
- paralysis of diaphragm
- diptheria skin lesion

Front 6

describe the diphtheria vaccine?

Back 6

- DTaP vaccine - combination vaccine... Diphtheria, Tetanus, and Pertussis (whooping cough)

Front 7

Diptheria vaccine is given when and in how many doses?

Back 7

- given in 5 doses
- at 2 mo, 4 mo, 6 mo, and 15-18 mo, and at 4 to 6 yrs
- booster vaccine given between ages of 11-18 yrs

Front 8

When is tetanus vaccine given ?

Back 8

- same as Diptheria since as combo DTaP

Front 9

What causes pertussis and how transmitted? complications?

Back 9

- caused by bordetella pertussis
- airborne transmission
- neuro complications, seizures, encephalopathy

Front 10

Diff betw DTaP & Tdap?

Back 10

- DtaP for children < 7
- Tdap used for booster for 10-18 yr old; stronger so only 1 dose needed

Front 11

for Pertussis vaccine, recommend that you use the same manuf for at least the first 3 doses. T or F

Back 11

T

Front 12

what are contraindications for administration of Pertussis?

Back 12

- Temp 105 or higher
- crying for > 3 hrs
- collapse or shock-like state

Front 13

What causes polio and how transmitted?

Back 13

- poliomyelitis virus
- by fecal oral contact

Front 14

Polio vaccine is given IPV, which means?

Back 14

- Inactivated Polio Vaccine
- because of the rare risk of vaccine-associated polio paralysis.

Front 15

- MMR vaccine stands for?
- MMRV?

Back 15

- combination vaccine:
Measles Mumps Rubella (German measles)
- includes Varicella

Front 16

when is mumps (MMR vaccine first given?

Back 16

- not prior to 12 months due to maternal antibodies; given 12-18 mo after birth
- booster at 4-6 years

Front 17

Rubella aka _____

Back 17

German measles
- causes mild infection in kids; but significant risk to fetus if pregnant woman gets it

Front 18

Rubella Vaccine aka

Back 18

MMR
- combo vaccine: Mumps, Measles, Rubella

Front 19

How many doses for:
- MMR
- DTaP
- HepB
- Polio IPV
- Varicella
- PCV7 ( Pneumococcal Vaccine - for pneumonia, otitis media)
-HPV

Back 19

- MMR - 2
- DTaP- 5
- HepB- 3
- Polio - 4
- Varicella- 2
- PCV7- 4
-HPV - 3

Front 20

Meningococcal Vaccine
- prevents____
- given to _______
- when_____

Back 20

- Bacterial menningitis
- adolescents (11-12) prior to high school or prior to college (13-18)
- concerns regarding dev Guillain-Barre syndrome post vacccine

Front 21

HPV aka ______ is given to females (age____) in a series of 3 doses

Back 21

Human Papillomavirus Vaccine
- 11-12 yrs old
- 2nd dose given 2 mo after 1st and 3rd dose given 6 mo after 1st dose

Front 22

HPV protects against ____ strains of the virus
- There are over ____ MM people infected with HPV

Back 22

- 4
- 20MM
- by 50, 80% of women are infected with 10% to develop cervical cancer (2nd leading cancer in women)
- vaccine is most effective before becoming sexually active and before acquiring any of the 4 strains

Front 23

Things to consider when giving vaccine

Back 23

- anaphylactic reaction
- mod to severe illness w or w/o fever
- don't give live virus to immuno-deficient pt
-anaphylaxsis to baker yeast (Hep B)
- history of Guillain Barre

Front 24

Documentation for vaccine sh include

Back 24

- day, mo, yr
- manuf & lot #
- name, address & title of person giving vaccine
- site & route of admin
VIS stmt- documentation taht Vaccine Information Statement was given to parents

Front 25

passive immunity?

Back 25

pregnant woman's antibodies are transferred to fetus and protect baby for up to 1 yr against illnesses the mother is immune

Front 26

active immunity?

Back 26

long-lasting immunity produced by immune system in response to antigens from natural infection or from vaccination
- aka natural immunity

Front 27

an injection of varicella zoster immune globulin (VZIG) contains antibodies that were donated by other people so this is passive immunity. this protection is only temporary so the child should be given varicella vaccine when the passively transferred antibodies decrease w time T or F

Back 27

T

Front 28

what are the 2 types of vaccines?

Back 28

- Live attenuated : virus or bacteria is modified and alive, but weakened; can still replicate in body, but does not cause illness
- inactivated: vaccine made by killing bacteria or virus; dead microbes are weak antigens, so multiple doses of antigen are needed to produce a good immune response

Front 29

There is no indication to the simultaneous administration of any vaccines. T or F

Back 29

T
- However, if 2 live vaccines are given less than 4 wks apart, the 2nd vaccine sh be repeated in 4 wks

Front 30

what type of vaccines are the following:
- DTaP
-HepA
- Influenza
- MMR
- Poliovirus
- Hib
- Hep B
- Meningococcal
- Pneumococcal
- Varicella

Back 30

- DTaP- inactivated
-HepA - inactivated
- Influenza - live attenuated
- MMR - live attenuated
- Poliovirus - inactivated
- Hib - inactivated
- Hep B- inactivated
- Meningococcal- inactivated
- Pneumococcal- inactivated
- Varicella -live attenuated

Front 31

- live attenuated vaccines can cause systemic adverse reactions
- inactivated vaccines cause loca adverse reactions (inflammation) and may have fever or not. T or F

Back 31

T

Front 32

what are the 3 categories of adverse reactions?

Back 32

- local - least severe, most common
- systemic
- allergic- most severe, least common

Front 33

what are the 2 permanent contraindications to vaccination?

Back 33

- severe allergic reaction to prior dose
- encephalopathy within 7 days of dose

Front 34

what are the 4 vaccine contraindications or precautions that are temporary?

Back 34

- Pregnancy -don't give live attenuated vaccines to pregnant woman due to fetal risk; inactivated vaccines can be given
- immuno suppressed- don't give live attenuated vaccines
- illness - adverse reaction tovaccine could complicate care
- pt who rec'd immunoglobulin - circ antibodies can interfere with development of active immunity; don't give live vaccines until antibody levels go down