Immunizations Ati

Front 1

When is the DTaP given?

Back 1

2,4,6, 15-18 months and again at 4-6 yo

Front 2

When is the TDaP given?

Back 2

11-12 yo

Front 3

When is the TD booster given?

Back 3

Every 10 years after the TDaP

Front 4

When is the Haemophilus influenza type b (Hib) given?

Back 4

Doses at 2, 4, 6, and at 12 to 15 months

Front 5

Name the 2 Rotavirus (RV) oral vaccines

Back 5

RotaTeq and Rotarix

Front 6

When is RotaTeq given?

Back 6

requires three doses beginning at 6 weeks of age, with subsequent doses 4 to 10 weeks apart. RotaTeq vaccination should be completed before 32 weeks of
age. Vaccination should not be initiated for infants 15 weeks of age or older.

Front 7

When is Rotarix given?

Back 7

requires 2 doses beginning at 6 weeks of age with the next dose 4 weeks later. All doses should be completed by 8 months of age.

Front 8

When is Inactivated poliovirus vaccine (IPV) given?

Back 8

Doses at 2, 4, and 6 to 18 months and again at
4 to 6 years

Front 9

When is Measles, mumps, and rubella vaccine (MMR) given?

Back 9

Doses at 12 to 15 months and at
4 to 6 years

Front 10

When is the Varicella vaccine given?

Back 10

One dose at 12 to 15 months and again at 4 to 6 years or 2 doses administered 4 weeks apart if administered after age 13

Front 11

When is the Pneumococcal conjugate vaccine (PCV) given?

Back 11

Doses at 2, 4, 6, and 12 to 15 months

Front 12

When is the Hepatitis A (Hep A) given?

Back 12

Two doses 6 months apart after 12 months of age

Front 13

When is the Hepatitis B (Hep B) given?

Back 13

Within 12 hr after birth with additional doses at 1 to 2 months and 6 to 18 months of age

Front 14

When is Seasonal influenza vaccine given?

Back 14

Annually beginning at 6 months, the trivalent
inactivated influenza vaccine (TIV) should be given. Starting at 2 years of age, the live attenuated influenza vaccine (LAIV) (nasal spray) should be used. October through November is the ideal time, but December is acceptable.

Front 15

When is the Meningococcal vaccine (MCV4) given?

Back 15

One dose at 11 to 12 years of age (earlier if specific
risk factors are present)

Front 16

When is Human Papilloma Virus (HPV2, HPV4) given?

Back 16

Three doses should be given over a 6-month
interval for females at 11 to 12 years of age (minimum age is 9 years). The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose. HPV4 may be given to males starting at age 9 years of age.

Front 17

What are S/E for DTaP?

Back 17

• Local reaction at the injection site
• Fever and irritability
• Crying that cannot be consoled and lasts up to 3 hr
• Seizures
• Rare – Acute encephalopathy

Front 18

What are contraindications for DTaP?

Back 18

• An occurrence of encephalopathy 7 days after
the administration of the immunization
• An occurrence of seizures within 3 days of the immunization
• A history of uncontrollable, inconsolable crying after
receiving a prior vaccination (may have lasted more than 3 hr and occurred within 48 hr of vaccination)

Front 19

What are S/E for Hib?

Back 19

• Mild local reactions and a low grade fever
• Rare – Fever (temperature greater than 38.5° C [101.3° F]), vomiting, and crying

Front 20

What are contraindications for Hib?

Back 20

None

Front 21

What are S/E for RV?

Back 21

None

Front 22

What are contraindications for RV?

Back 22

• Diarrhea and vomiting (in infants)
• Use caution with children who are immunocompromised (with HIV infection or from medication administration).

Front 23

What are S/E for IPV?

Back 23

• Local reaction at injection site
• Possible allergic reaction in children allergic to streptomycin, neomycin, or bacitracin (These medications are contained in the vaccine in small amounts.)
• Rare – Vaccine-associated paralytic poliomyelitis

Front 24

What are contraindications for IPV?

Back 24

• Allergy to neomycin (Mycifradin) and/or streptomycin and polymyxin B
• Pregnancy

Front 25

What are S/E for MMR?

Back 25

• Local reactions (rash; fever; swollen glands in cheeks, in the neck, and under the jaw)
• Possibility of joint pain lasting for days to weeks
• Risk for anaphylaxis and thrombocytopenia

Front 26

What are contraindications for MMR?

Back 26

• Pregnancy
• Allergy to gelatin and neomycin
• History of thrombocytopenia or thrombocytopenic purpura
• Immunosuppression (with HIV infection or from medication administration)
• Recent transfusion with blood products or immunoglobulins

Front 27

What are S/E for Varicella vaccine?

Back 27

• Varicella-like rash that is local or generalized (vesicles on the body)

Front 28

What are contraindications for Varicella vaccine?

Back 28

• Pregnancy
• Cancers of blood and lymphatic system
• Allergy to gelatin neomycin
• Immunosuppression (with HIV or from medication administration)

Front 29

What are S/E for PCV?

Back 29

• Mild local reactions, fever, and no serious adverse effects

Front 30

What are contraindications for PCV?

Back 30

• Pregnancy

Front 31

What are S/E for Hep A and Hep B?

Back 31

• Local reaction at the injection site

Front 32

What are contraindications for Hep A and Hep B?

Back 32

• Hep A
Pregnancy (may be a contraindication)
• Hep B
Allergy to baker’s yeast

Front 33

What are S/E for Seasonal influenza
vaccine?

Back 33

• TIV – Mild local reaction, and fever
• LAIV – Headache, cough, and fever
• Rare – Risk for Guillain-Barré syndrome (ascending paralysis, weakness of lower extremities, difficulty breathing)

Front 34

What are contraindications for Seasonal influenza vaccine?

Back 34

• Hypersensitivity to eggs
• LAIV
◯ Fewer than 2 years
◯ Immunosuppression
◯ Chronic disease

Front 35

What are S/E for Meningococcal
Conjugate vaccine (MCV4)?

Back 35

• Mild local reaction
• Rare – Risk for allergic response

Front 36

What are contraindications for Meningococcal Conjugate vaccine (MCV4)?

Back 36

• History of Guillain-Barré syndrome

Front 37

What are S/E for HPV2 and HPV4?

Back 37

• Mild local reaction and fever
• Fainting (shortly after receiving the vaccination)
• Rare – Risk for Guillain-Barré syndrome

Front 38

What are contraindications for HPV2 and HPV4?

Back 38

• Pregnancy
• Hypersensitivity to yeast

Front 39

What immunizations are given at 2 months?

Back 39

Hep B, DTaP, Hib, RV, IPV, and PCV.

Front 40

What immunizations are given at 4 months?

Back 40

DTaP, Hib, RV, IPV, and PCV

Front 41

What immunizations are given at 6 months?

Back 41

DTaP, RV, IPV, PCV, and Hep B

Front 42

When is the DTaP given?

Back 42

2,4,6, 15-18 months and again at 4-6 yo

Front 43

When is the TDaP given?

Back 43

11-12 yo

Front 44

When is the TD booster given?

Back 44

Every 10 years after the TDaP

Front 45

When is the Haemophilus influenza type b (Hib) given?

Back 45

Doses at 2, 4, 6, and at 12 to 15 months

Front 46

Name the 2 Rotavirus (RV) oral vaccines

Back 46

RotaTeq and Rotarix

Front 47

When is RotaTeq given?

Back 47

requires three doses beginning at 6 weeks of age, with subsequent doses 4 to 10 weeks apart. RotaTeq vaccination should be completed before 32 weeks of
age. Vaccination should not be initiated for infants 15 weeks of age or older.

Front 48

When is Rotarix given?

Back 48

requires 2 doses beginning at 6 weeks of age with the next dose 4 weeks later. All doses should be completed by 8 months of age.

Front 49

When is Inactivated poliovirus vaccine (IPV) given?

Back 49

Doses at 2, 4, and 6 to 18 months and again at
4 to 6 years

Front 50

When is Measles, mumps, and rubella vaccine (MMR) given?

Back 50

Doses at 12 to 15 months and at
4 to 6 years

Front 51

When is the Varicella vaccine given?

Back 51

One dose at 12 to 15 months and again at 4 to 6 years or 2 doses administered 4 weeks apart if administered after age 13

Front 52

When is the Pneumococcal conjugate vaccine (PCV) given?

Back 52

Doses at 2, 4, 6, and 12 to 15 months

Front 53

When is the Hepatitis A (Hep A) given?

Back 53

Two doses 6 months apart after 12 months of age

Front 54

When is the Hepatitis B (Hep B) given?

Back 54

Within 12 hr after birth with additional doses at 1 to 2 months and 6 to 18 months of age

Front 55

When is Seasonal influenza vaccine given?

Back 55

Annually beginning at 6 months, the trivalent
inactivated influenza vaccine (TIV) should be given. Starting at 2 years of age, the live attenuated influenza vaccine (LAIV) (nasal spray) should be used. October through November is the ideal time, but December is acceptable.

Front 56

When is the Meningococcal vaccine (MCV4) given?

Back 56

One dose at 11 to 12 years of age (earlier if specific
risk factors are present)

Front 57

When is Human Papilloma Virus (HPV2, HPV4) given?

Back 57

Three doses should be given over a 6-month
interval for females at 11 to 12 years of age (minimum age is 9 years). The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose. HPV4 may be given to males starting at age 9 years of age.

Front 58

What are S/E for DTaP?

Back 58

• Local reaction at the injection site
• Fever and irritability
• Crying that cannot be consoled and lasts up to 3 hr
• Seizures
• Rare – Acute encephalopathy

Front 59

What are contraindications for DTaP?

Back 59

• An occurrence of encephalopathy 7 days after
the administration of the immunization
• An occurrence of seizures within 3 days of the immunization
• A history of uncontrollable, inconsolable crying after
receiving a prior vaccination (may have lasted more than 3 hr and occurred within 48 hr of vaccination)

Front 60

What are S/E for Hib?

Back 60

• Mild local reactions and a low grade fever
• Rare – Fever (temperature greater than 38.5° C [101.3° F]), vomiting, and crying

Front 61

What are contraindications for Hib?

Back 61

None

Front 62

What are S/E for RV?

Back 62

None

Front 63

What are contraindications for RV?

Back 63

• Diarrhea and vomiting (in infants)
• Use caution with children who are immunocompromised (with HIV infection or from medication administration).

Front 64

What are S/E for IPV?

Back 64

• Local reaction at injection site
• Possible allergic reaction in children allergic to streptomycin, neomycin, or bacitracin (These medications are contained in the vaccine in small amounts.)
• Rare – Vaccine-associated paralytic poliomyelitis

Front 65

What are contraindications for IPV?

Back 65

• Allergy to neomycin (Mycifradin) and/or streptomycin and polymyxin B
• Pregnancy

Front 66

What are S/E for MMR?

Back 66

• Local reactions (rash; fever; swollen glands in cheeks, in the neck, and under the jaw)
• Possibility of joint pain lasting for days to weeks
• Risk for anaphylaxis and thrombocytopenia

Front 67

What are contraindications for MMR?

Back 67

• Pregnancy
• Allergy to gelatin and neomycin
• History of thrombocytopenia or thrombocytopenic purpura
• Immunosuppression (with HIV infection or from medication administration)
• Recent transfusion with blood products or immunoglobulins

Front 68

What are S/E for Varicella vaccine?

Back 68

• Varicella-like rash that is local or generalized (vesicles on the body)

Front 69

What are contraindications for Varicella vaccine?

Back 69

• Pregnancy
• Cancers of blood and lymphatic system
• Allergy to gelatin neomycin
• Immunosuppression (with HIV or from medication administration)

Front 70

What are S/E for PCV?

Back 70

• Mild local reactions, fever, and no serious adverse effects

Front 71

What are contraindications for PCV?

Back 71

• Pregnancy

Front 72

What are S/E for Hep A and Hep B?

Back 72

• Local reaction at the injection site

Front 73

What are contraindications for Hep A and Hep B?

Back 73

• Hep A
Pregnancy (may be a contraindication)
• Hep B
Allergy to baker’s yeast

Front 74

What are S/E for Seasonal influenza
vaccine?

Back 74

• TIV – Mild local reaction, and fever
• LAIV – Headache, cough, and fever
• Rare – Risk for Guillain-Barré syndrome (ascending paralysis, weakness of lower extremities, difficulty breathing)

Front 75

What are contraindications for Seasonal influenza vaccine?

Back 75

• Hypersensitivity to eggs
• LAIV
◯ Fewer than 2 years
◯ Immunosuppression
◯ Chronic disease

Front 76

What are S/E for Meningococcal
Conjugate vaccine (MCV4)?

Back 76

• Mild local reaction
• Rare – Risk for allergic response

Front 77

What are contraindications for Meningococcal Conjugate vaccine (MCV4)?

Back 77

• History of Guillain-Barré syndrome

Front 78

What are S/E for HPV2 and HPV4?

Back 78

• Mild local reaction and fever
• Fainting (shortly after receiving the vaccination)
• Rare – Risk for Guillain-Barré syndrome

Front 79

What are contraindications for HPV2 and HPV4?

Back 79

• Pregnancy
• Hypersensitivity to yeast

Front 80

What immunizations are given at 2 months?

Back 80

Hep B, DTaP, Hib, RV, IPV, and PCV.

Front 81

What immunizations are given at 4 months?

Back 81

DTaP, Hib, RV, IPV, and PCV

Front 82

What immunizations are given at 6 months?

Back 82

DTaP, RV, IPV, PCV, and Hep B

Front 83

Hgb 2 months

Back 83

9.0 to 14.0 g/dL

Front 84

Hgb 6 to 12 years

Back 84

11.5 to 15.5 g/dL

Front 85

Hgb 12 to 18 years

Back 85

13.0 to 16.0 g/dL (male)
12.0 to 16.0 g/dL (female)

Front 86

Hct 2 months

Back 86

28% to 42%

Front 87

Hct 6 to 12 years

Back 87

35% to 45%

Front 88

Hct 12 to 18 years

Back 88

37% to 49% (male)
36% to 46% (female)

Front 89

Lead levels must be:

Back 89

< 10 ug/d