Immunizations Lecture Powerpoint

Question 1

Common mistakes in vaccine administration (3)

Answer 1

• scheduling errors (giving doses too young)
• interval misunderstanding (without minimum spacing)
• all vaccines CAN be given at same time as other vaccines

Question 2

If live vaccines are not given on the same day, must wait __ to give 2nd live vaccine, otherwise require ___

Answer 2

4 weeks, repeating it (its invalid)

Question 3

4 day grace period

Answer 3

Vaccines administered up to 4 days before minimum interval or age can be counted as valid, but if 5 days or earlier is not considered valid and should be repeated at age appropriate time

Question 4

Should you restart a vaccine series because of a longer than recommended interval?

Answer 4

No, start where left off, no maximum interval exists

Question 5

What if a less than or more age appropriate dose is given?

Answer 5

• less than full dose is invalid, vaccination should be given as soon as appropriately feasible
• more than age appropriate consider it valid

Question 6

What if an expired vaccine is given?

Answer 6

-invalid, repeat when able (4 weeks if live vaccine)

Question 7

Is mild illness a contraindication to vaccination?

Answer 7

No

Question 8

Hep B vaccine schedule

Answer 8

3 doses, #1 at birth, #2 at 1-2 month (at least 4 week interval), #3 at 6 months (at least 8 weeks after 2nd and 16 after first)

Question 9

Rotavirus vaccine schedule

Answer 9

Oral and live vaccination (stool IS infectious!)
Rotarix is 2 doses at 2 month and 4 month
Rotateq is 3 at 2 month, 4 month, and 6 month but max age for final dose is 8 months**

Question 10

DTaP vaccine schedule

Answer 10

Minimum 6 weeks usually at 2 month WCC, then at 4, 6, 15-18, and 4-6 years of age

Question 11

Tdap vaccine schedule

Answer 11

1 dose to pregnant women during pregnancy 27-36 weeks gestation, minimum age 10 recommended at 11-12 years old check

Question 12

Haemophilus influenza type B (Hib) vaccine schedule

Answer 12

-minimum of 6 weeks (usually 2 month WCC), not given over 5 years of age, then 2-3 dose primary series with booster (4, 6 + booster 12-15 month or 4 + booster at 12-15 months)

Question 13

Pneumococcal conjugate vaccine schedule

Answer 13

Prevnar 13, 2 month, then 4, 6, 12-15

Question 14

Inacitvated poliovirus vaccine schedule

Answer 14

-minimum 6 week (usually 2 month wcc), 2, 4, 6-18, and then 4-6 years

Question 15

Infleunza vaccine schedule

Answer 15

Minimum age is 6 months, if receiving first time 2 injections administered (booster dose) at least one month apart between ages 6 months-8 years but then just yearly like everyone else

Question 16

MMR vaccine schedule

Answer 16

Minimum age 12 months but anytime between 12-15 months then 4-6 years

Question 17

Varicella vaccine schedule

Answer 17

Minimum 12 months but anytime between 12-15 months then 4-6 years, combo product MMRV-proquad

Question 18

Hep A vaccine schedule

Answer 18

Minimum 12 months, dose 2 must be 6 months after first

Question 19

HPV vaccine schedule

Answer 19

Minimum age 9, usually 11-12 initiated, either a 2 dose schedule if 9-14 (2nd dose given 6-12 months later) or 3 dose series if 15-45 (2nd dose at 1-2 months then third at 6 months)

Question 20

Meningococcal vaccine schedule

Answer 20

Single dose at 11-12, booster at age 16 or 5 years later

Question 21

Meningococcal B vaccine schedule

Answer 21

Age 10-25 or anyone during an outbreak (often required for college students or close quarters living)