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100 Cards in this Set
- Front
- Back
FluMist
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Live flu
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Afluria
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TIV flu
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agriflu
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TIV flu
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Fluarix
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TIV flu
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Fluzone
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TIV flu
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FluLaval
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TIV flu
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Fluvirin
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TIV flu
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For whom is Fluzone HD indicated?
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>= 65 y/o
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For whom is Fluzone intradermal indicated?
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18-64 y/o
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There is less pain with fluzone intradermal. T/f?
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False. More redness, swellin,g and itching....
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WHat are the recommendations from ACIP regarding flushots?
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EVERYONE, each year 6 months and older.
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Who gets 2 doses of the flu shot?
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<8 y/o &
Hasnt had 2 shots since July 1, 2010 |
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Who gets the 0.25 mL flu shot dose?
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6 - 35 months....
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What are the requirements for the FluMist?
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Healthy
Not pregnanct 2-49 yo |
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What are the 2 situations when the flu shot should be deferred?
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1. GBS w/in 6 months of a previous flu shot
2. Moderate to severe illness |
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Can patients with an egg allergy receive the flu shot?
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Yes, TIV only:
1. they can eat lightly cooked eggs w/o run 2. they only experience hives 3. they are observed for 30 minutes |
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For whom is afluria indicated?
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9+ years
5+ if there is a shortage |
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DAPTACEL
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DTaP
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Infanrix
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DTaP
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Tripedia
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DTaP
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KINRIX
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DTaP-IPV
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Pediarix
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DTaP-HepB-IPV
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Pentacel
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DTaP-IPV/Hib
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To whom is DTaP given?
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Less than 7
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To whom is ActHIB given?
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Children.
Some high risk adults: HIV, splenectomy, sickle cell, leukemia |
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Havrix
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HepA
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Vaqta
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HepA
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Energix-B
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HepB
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Recombivax HB
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HepB
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TwinRix
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HepA+B
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To whom is HepA given?
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Kids >1 yr
or MSM, IVDA, chronic dz, travelers |
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To whom is Hep B given
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Health care (OSHA requirement)
MSM Lots of sex partners IVDA ESRD Chronic liver dz |
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Hep B dosing (mL + series)
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3 dose series
Adults (>20): 1 mL: 0,1,6 months |
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Hep A mL dose?
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1 mL >18 yo
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Which HPV vaccine provides protection agains both cancer and genital warts?
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Gardasil
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Which HPV vaccine can be given to males?
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Gardasil
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Gardasil
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HPV4
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Cervarix
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HPV2
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When should HPV vaccine be given to females? How many doses?
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Can begin @ 9
Recommended @ 11-12 Catch up 13-26 3 dose series: 0,1-2,6 |
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When should HPV vaccine be given to males? Why should this be given?
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9-26 yo
Anal cancers, genital warts 3 doses: 0,1-2,6 |
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How should M-M-RII be stored?
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Frige or freeze
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How should MMRV be stored?
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Freezer
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Menactra
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Meningiococcal
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Menveo
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Meningiococcal
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Menomune
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Meningiococcal
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1 or 2 doses of Meningiococcal?
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Adults usually only get 1 dose. However, if they have AIDS, asplenia, or complement def, they get 2.
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What is the regimen for Meningiococcal?
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11-12 x 1; repeat @ 16-18
Missed the 11-12? It's ok. Just 1 dose @ 13-18 2-55 of you're high risk (college dorms, immunodeficiency , traveler). May revaccinate every 5 years if the risk is still present. |
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Someone over 55 needs the Meningiococcal vaccine. Which product?
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Menomune.
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Prevnar
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13 serotypes pneumo.
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Pneumovax 23
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23 serotypes pneumo
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Who gets pneumovax?
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Essentially 3 groups of people:
1. ANYONE over 65 2. 19-64 if you smoke or asthma 3. 2- 64 with chronic conditions (lung, heart, liver, kidney, immune system, cochlear implants) |
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Who should be revaccinated with pneumovax?
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if its been 5 years since the first shot AND less tahn 65. YOU NEVER GET ANOTHER SHOT IF YOURE GREATER THAN 65
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What's up with the new reccomendations for PCV13?
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Give to ppl 19 and greater (approved even above 50 yo) who have immunocomp, asplenia, cochlear implants. In 8 weeks give a dose of the 23 serotype version.
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How should pneumovax be given?
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IM or SC
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How should Prevnar be given?
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IM
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Which 2 vaccines are (despicable acts) oral (and whatnot)?
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Vivotif (capsules)
Rotarix (suspsension) |
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DECAVAC
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Td
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Adacel
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Tdap
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Boostrix
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Tdap
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Single Tdap dose for ?
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patients 7-10 who failed to complete their DTaP series.
Patients 11-64 who as a 1 time booster who have never received Tdap before. Then you give Td!!!! every 10 years... |
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If you don't know someones prior vaccine status is tdap ok to give?
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Yes! <65 though
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When is it ok to vaccinate an individual >65 w/ trap?
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1. never had it before AND
2. going to be in contact with children < 1 year |
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Talk about tdap and pregnanct women.
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Should be given to women >20 weeks.
Give a 3 dose series (1st is tdap next 2 are td...) if never had before Give vaccine @ delivery if didnt get while prehgers |
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Varivax
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chickenpox
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Zostavax
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herpes zoster
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Varivax schedule in kids?
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12 months
4 years |
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Varivax in adults?
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Only in those who cant prove immunity
2 doses, 4 weeks apart |
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FDA & zostavax?
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approved for 50+
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ACIP & zostavax?
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reccomends 60+
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How is varivax given?
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subq
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What allergy are we concerned about with the herpes vaccines?
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neomycin/ gelatin
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Should you pretreat vaccines with APAP?
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No. decrease immune response. OK after.
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Ok to mix vaccines?
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NO. must come premixed.
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Can you give live vaccines @ the same time?
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YES. but if they arent given at the same time must wait 4 weeks.
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Can you vaccinate thru a tattoo?
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YEs
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IM injection. Needle length for normal people?
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1 inch
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IM injection. Needle length for people <130 pounds?
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5/8s
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IM injection. Needle length for fat females/males (what is fat?)?
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200 + for females
260+ for males 1.5 inch |
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What gauge needle should be used for IM injections?
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22-25
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What needle lenght to use for SC injections?
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5/8
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What needle gauge for SC?
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23-25
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Hemaglutinin and nuraminidase surface antigens. Which is the badass one?
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hemaglutinin
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Hemaglutinin and nuraminidase surface antigens. Influenza A or B has these?
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A
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Name the 4 most common live vaccines
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mmr
herpes: varicella/zoster yellow fever LAIV |
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Does increasing the time between doses decrease vaccine effectiveness?
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no; just delays complete immunization.
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Gave a live vaccine. When can I give TB test?
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4 weeks
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Gave TB test. When can I give the live vaccine.
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48-72 hours after.
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3 major types of side effects to vaccines?
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1. local
2. systemic 3. allergic |
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What do you do if you have an anaphylactic run?
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Give epi pen
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What ratio strength of epi?
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1:1000
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What dose of epi?
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0.01mg/kg
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Max epi dose per dose?
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0.5mg
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how much epi is in an epi pen?
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0.3 mg
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2 temporary contraindications to live vaccines?
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preggers
immnuo |
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2 temporary precautions to all vaccines?
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moderate to severe illness
receipt of blood product recently |
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what is defined as immunosupp vis a vis prednisone?
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1. 20 mg of prednisone x 14 days or longer
2. 2 mg/ kg of prednisone per day |
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live Vaccine and antibody. vaccine given first; when can i give the antibody?
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2 weeks
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live vaccine and antibody; antibody given first. when can i give the vaccine?
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3 months up to 11
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Which live vaccine isnt affected by antibodies?
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zoster
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Which vaccine is contraindicated in streptomycin, polymixin, neomycin allergies?
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IPV for all 3
MMR for the neo |