Ch 41 Immunizations Flashcards Preview

ATI PHARMACOLOGY > Ch 41 Immunizations > Flashcards

Flashcards in Ch 41 Immunizations Deck (23)

Dpitheria and tetanus, toxoids and acellular pertussis vaccine

Given at 2,4,6; 15 to 18 months and at 4 to 6 years


Tetanus and diphtheria toxoids and pertussis vaccine

Administer one dose at 11-12 years


Haemophilus influenza type B booster

Administer doses at 2,4,6 and at 12-15 months


Td booster
Tetanus and diphtheria

Administer one dose every 10 years following DTaP


Rotavirus RV oral vaccine

Max age of administration is 8 months
RV-5 vaccine administered as a 3 dose series at 2,4,6 months of age
RV-1 vaccine administered as a 2 dose series at 2&4 months


Inactivated poliovirus vaccine
( IPV)

Administer doses at 2,4 and 6-18 months and at 4-6 years


measles mumps and rubella vaccine

Administer at 12-15 months and at 4-6 years


Varicella vaccine

Administer one dose at 12-15 months and 4-6 years or two doses administered 4 weeks apart if administered after age 11


pneumococcal conjugate vaccine

Administer doses at 2,4,6 and 12-15 months


Hepatitis A vaccine

Administer 2 doses after 12 months of age administer the second dose 6-18 months after the 1st.


Hepatitis B Vaccine

Administer within 12 hr after birth with additional doses at 1-2 months and 6-18 months after the first


Seasonal influenza vaccine

Annually beginning at 6 months administer trivalent inactivated influenza vaccine TIV
Starting at age 2 the live, attenuated influenza vaccine LAIV nasal spray can be used it is contraindicated in kids with asthma
Oct- nov is the ideal time dec is acceptable


What are adverse effects of IPVs and contraindications and precautions

Adverse effects;Local reaction at injection site
Rare; vaccine associated paralytic poliomyelitis

Contraindications;pregnancy, unless woman is at high risk for contracting polio
Confirmed allergy to streptomycin, neomycin, or polymyxin B


What are adverse effects as well as contraindications and precautions of MMRs

Adverse effects;local Reaction at injection site
Rash, fever, swollen glands
Possibility of joint pain lasting for days to weeks
Risk for anaphylaxis and thrombocytopenia

Contraindications; pregnancy or possibility of
Immunocompromised patients
Recent transfusion with blood products
history of thrombocytopenia


What are adverse effects as well as contraindications and precautions of varicella vaccine

Adverse effect; varicella like rash, local or generalized such as vesicles on the body

Contraindications;cancers of the blood and lymphatic system
Allergy to,gelatin and neomycin
Immunocompromised recent transfusion of blood products


What are adverse effects of PCV and PPV vaccines

Mild local reactions
No serious adverse effects


What are adverse effects as well as contraindications and precautions of hepatitis A and Hepatitis B vaccines

Local,reaction at injection site
Mild fever

Contraindications; hep a- pregnancy may be a contraindication
Hep b- allergy to bakers yeast


What's a contraindication of MCV4

History of Gillian barre syndrome


What are adverse effects of HPV2 or HPV4 vaccine

Mild local reaction and fever
Fainting shortly after vaccination
Rare: risk for Gillian barre syndrome

Allergy to bakers yeast


Wheat part of the body should vaccinations be administered

In the vastus lateralis for infants and young children
In the deltoid muscle for older children and adolescents


For a vaccination, where should subcutaneous injections be given

Administer subcutaneous injections in the outer aspect of the upper arm or anterolateral thigh


What should parents avoid the administration of aspirin to children to treat fever or local reaction

Because of the risk for Reye syndrome


How should a parent treat a child's pain prior to and after immunizations

Instruct parents to premedicate with. On opioid analgesic/ antipyretic prior to immunizations and the following 24 hours

Use acetaminophen for infants 2-6 months
Ibuprofen can be administered starting at 6 months