Naplex - Id Immunization

Front 1

FluMist

Back 1

Live flu

Front 2

Afluria

Back 2

TIV flu

Front 3

agriflu

Back 3

TIV flu

Front 4

Fluarix

Back 4

TIV flu

Front 5

Fluzone

Back 5

TIV flu

Front 6

FluLaval

Back 6

TIV flu

Front 7

Fluvirin

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TIV flu

Front 8

For whom is Fluzone HD indicated?

Back 8

>= 65 y/o

Front 9

For whom is Fluzone intradermal indicated?

Back 9

18-64 y/o

Front 10

There is less pain with fluzone intradermal. T/f?

Back 10

False. More redness, swellin,g and itching....

Front 11

WHat are the recommendations from ACIP regarding flushots?

Back 11

EVERYONE, each year 6 months and older.

Front 12

Who gets 2 doses of the flu shot?

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<8 y/o &
Hasnt had 2 shots since July 1, 2010

Front 13

Who gets the 0.25 mL flu shot dose?

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6 - 35 months....

Front 14

What are the requirements for the FluMist?

Back 14

Healthy
Not pregnanct
2-49 yo

Front 15

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

Front 16

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

Front 17

For whom is afluria indicated?

Back 17

9+ years

5+ if there is a shortage

Front 18

DAPTACEL

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DTaP

Front 19

Infanrix

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DTaP

Front 20

Tripedia

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DTaP

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KINRIX

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DTaP-IPV

Front 22

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

Front 25

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

Front 28

Energix-B

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HepB

Front 29

Recombivax HB

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HepB

Front 30

TwinRix

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HepA+B

Front 31

To whom is HepA given?

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Kids >1 yr

or MSM, IVDA, chronic dz, travelers

Front 32

To whom is Hep B given

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Health care (OSHA requirement)
MSM
Lots of sex partners
IVDA
ESRD
Chronic liver dz

Front 33

Hep B dosing (mL + series)

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3 dose series

Adults (>20): 1 mL: 0,1,6 months

Front 34

Hep A mL dose?

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1 mL >18 yo

Front 35

Which HPV vaccine provides protection agains both cancer and genital warts?

Back 35

Gardasil

Front 36

Which HPV vaccine can be given to males?

Back 36

Gardasil

Front 37

Gardasil

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HPV4

Front 38

Cervarix

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HPV2

Front 39

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

Front 40

When should HPV vaccine be given to males? Why should this be given?

Back 40

9-26 yo

Anal cancers, genital warts

3 doses: 0,1-2,6

Front 41

How should M-M-RII be stored?

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Frige or freeze

Front 42

How should MMRV be stored?

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Freezer

Front 43

Menactra

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Meningiococcal

Front 44

Menveo

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Meningiococcal

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Menomune

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Meningiococcal

Front 46

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.

Front 47

What is the regimen for Meningiococcal?

Back 47

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.

Front 48

Someone over 55 needs the Meningiococcal vaccine. Which product?

Back 48

Menomune.

Front 49

Prevnar

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13 serotypes pneumo.

Front 50

Pneumovax 23

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23 serotypes pneumo

Front 51

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)

Front 52

Who should be revaccinated with pneumovax?

Back 52

if its been 5 years since the first shot AND less tahn 65. YOU NEVER GET ANOTHER SHOT IF YOURE GREATER THAN 65

Front 53

What's up with the new reccomendations for PCV13?

Back 53

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.

Front 54

How should pneumovax be given?

Back 54

IM or SC

Front 55

How should Prevnar be given?

Back 55

IM

Front 56

Which 2 vaccines are (despicable acts) oral (and whatnot)?

Back 56

Vivotif (capsules)

Rotarix (suspsension)

Front 57

DECAVAC

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Td

Front 58

Adacel

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Tdap

Front 59

Boostrix

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Tdap

Front 60

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...

Front 61

If you don't know someones prior vaccine status is tdap ok to give?

Back 61

Yes! <65 though

Front 62

When is it ok to vaccinate an individual >65 w/ trap?

Back 62

1. never had it before AND
2. going to be in contact with children < 1 year

Front 63

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

Front 64

Varivax

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chickenpox

Front 65

Zostavax

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herpes zoster

Front 66

Varivax schedule in kids?

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12 months

4 years

Front 67

Varivax in adults?

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Only in those who cant prove immunity

2 doses, 4 weeks apart

Front 68

FDA & zostavax?

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approved for 50+

Front 69

ACIP & zostavax?

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reccomends 60+

Front 70

How is varivax given?

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subq

Front 71

What allergy are we concerned about with the herpes vaccines?

Back 71

neomycin/ gelatin

Front 72

Should you pretreat vaccines with APAP?

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No. decrease immune response. OK after.

Front 73

Ok to mix vaccines?

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NO. must come premixed.

Front 74

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.

Front 75

Can you vaccinate thru a tattoo?

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YEs

Front 76

IM injection. Needle length for normal people?

Back 76

1 inch

Front 77

IM injection. Needle length for people <130 pounds?

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5/8s

Front 78

IM injection. Needle length for fat females/males (what is fat?)?

Back 78

200 + for females
260+ for males

1.5 inch

Front 79

What gauge needle should be used for IM injections?

Back 79

22-25

Front 80

What needle lenght to use for SC injections?

Back 80

5/8

Front 81

What needle gauge for SC?

Back 81

23-25

Front 82

Hemaglutinin and nuraminidase surface antigens. Which is the badass one?

Back 82

hemaglutinin

Front 83

Hemaglutinin and nuraminidase surface antigens. Influenza A or B has these?

Back 83

A

Front 84

Name the 4 most common live vaccines

Back 84

mmr
herpes: varicella/zoster
yellow fever
LAIV

Front 85

Does increasing the time between doses decrease vaccine effectiveness?

Back 85

no; just delays complete immunization.

Front 86

Gave a live vaccine. When can I give TB test?

Back 86

4 weeks

Front 87

Gave TB test. When can I give the live vaccine.

Back 87

48-72 hours after.

Front 88

3 major types of side effects to vaccines?

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1. local

2. systemic

3. allergic

Front 89

What do you do if you have an anaphylactic run?

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Give epi pen

Front 90

What ratio strength of epi?

Back 90

1:1000

Front 91

What dose of epi?

Back 91

0.01mg/kg

Front 92

Max epi dose per dose?

Back 92

0.5mg

Front 93

how much epi is in an epi pen?

Back 93

0.3 mg

Front 94

2 temporary contraindications to live vaccines?

Back 94

preggers

immnuo

Front 95

2 temporary precautions to all vaccines?

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moderate to severe illness

receipt of blood product recently

Front 96

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

Front 97

live Vaccine and antibody. vaccine given first; when can i give the antibody?

Back 97

2 weeks

Front 98

live vaccine and antibody; antibody given first. when can i give the vaccine?

Back 98

3 months up to 11

Front 99

Which live vaccine isnt affected by antibodies?

Back 99

zoster

Front 100

Which vaccine is contraindicated in streptomycin, polymixin, neomycin allergies?

Back 100

IPV for all 3

MMR for the neo