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18 Cards in this Set
- Front
- Back
Simultaneous administration of vaccines:
-Inactivated vaccines may be given at separate sites, except _____, _____, & _____ -Live virus vaccines given on different days should be administered ______ apart -Pneumococcal Polysaccharide & ______ can be given simultaneously, at different sites |
Cholera, typhoid, plague
1 month Whole virus influenza |
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Egg hypersensitivity can occur with these 2 vaccines
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Influenza & Yellow Fever
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Neomycin is contained in these 2 vaccines
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IPV & MMR
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Streptomycin is contained in these 2 vaccines
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IPV & MMR
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What are 2 permanent contraindications to vaccines?
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1. Severe allergy to a prior dose of vaccine or a component
2. Encephalopathy following PERTUSSIS vaccine |
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What are 2 Temporary contraindications to vaccines?
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1. Pregnancy
2. Immunosuppression |
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List 6 misconceptions that are not contraindications to immunizations
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1. a reaction to a previous DPT of temperature < 105, redness, soreness, & swelling
2. a mild acute illness in an otherwise well child 3. concurrent antimicrobial therapy 4. Prematurity - immunize at the chronological age 5. a family hx of seizures or SIDS |
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What are common reactions DTaP?
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1. fever < 105 F
2. redness 3. swelling & soreness at injection site |
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What are less common rxns to DTaP
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1. inconsolable crying for > 3 h
2. temp > 105 3. high pitched cry |
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What helps to reduce the discomfort of the side effects of DTaP?
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Tylenol
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What can be substituted if a pt has CNS problems within 7 days of receiving the vaccine, if there was an anaphylatic rxn, or if there is unstable encephalopathy when trying to give DTaP?
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DT
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Whta are the contraindications to the IPV vaccine?
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Neomycin or Streptomycin anaphylaxis
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What are the side effects of MMR?
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1. sore arm for 1-2 days
2. 1-2 wks after vaccination -Measles: rash, fever, or URI -Mumps: slight salivary gland swelling -Rubella: neck LAD & arthralgia |
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When should the MMR vaccine be delayed?
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1. for pregnancy
2. possibility of pregnancy in the pt 3. if pt has received Ig in the past 3 months |
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What are the Contraindications to MMR?
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1. anaphylaxis
2. Immunodeficiency = CA, leukemia, HIV, radiation therapy, chemotherapy, steroids |
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What vaccine has been said to cause autism but actually does not
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MMR
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T or F: Invasive HiB disease under 2 years of age confers immunity & the pt does not need vaccination
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F -> pt still requires immunization
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What vaccine should children > 2 years of age with Sickle Cell anemia, functional or anatomic asplenia, & IC receive?
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23 valent Pneumococcal vaccine
**normal vaccine is Heptavalent vaccine |