EXAM #2: CHILDHOOD IMMUNIZATIONS Flashcards Preview

Infectious Disease > EXAM #2: CHILDHOOD IMMUNIZATIONS > Flashcards

Flashcards in EXAM #2: CHILDHOOD IMMUNIZATIONS Deck (19):
1

What is the schedule of periodicity?

CDC published schedule of vaccine that is intended to:
1) Optimize the individual immune response
2) Ensure strong community immunity

2

What is the first vaccine given the kids?

Hepatitis B

3

When is the Hep B vaccine given?

At birth

4

What are the risks of the Hep B vaccine?

1) Soreness
2) Fever

Severe problems are EXTREMELY RARE

5

What are the benefits of the Hep B vaccine?

1) Annually, nearly 40,000 infected
2) Hep B leads to death of 2,000 - 4,000 patients annually from cirrhosis or liver cancer

6

How many doses of Hep B vaccine are given?

3-4

7

How can the 2 month vaccine load be lessened?

1) Spread the vaccines out over time
- Less antigens per visit
- Increases the time of greatest risk
2) Administer combination vaccines*

8

Before giving immunizations to a child, what should be given to the parents?

VIS, Vaccine Immunization Sheet

9

What is the IRIS system?

Iowa's Immunization Registry Information System

*Keeps track of vaccines

10

If a child has a mild illness--low grade fever, cold, runny nose, cough, ear infection, mild diarrhea--do you need to wait till the next office visit to vaccinate the child?

NO--unless the child has a severe illness, you can immunize today

11

List some examples of severe illness that would prevent vaccination.

1) Immunosuppression
2) Severe allergic reaction to previous dose of the vaccine
3) Chronic health condition e.g. cancer

12

What immunizations are given at 9 months?

None

13

What are the risks of the varicella vaccine?

1) Mild rash
2) Fever, pain, swelling
3) Possible pneumonia and seizure (very rare)

14

What are the benefits of the varicella vaccine?

1) 12,000 hospitalized annually with:
- Pneumonia
- Encephalitis
- Flesh-eating superimposed bacterial infection
2) 100 people died annually from disease

15

At 11 y/o, you recommend the HPV vaccine. Parents react negatively; how do you react?

"I'm not accusing your child of having sex now; I want them vaccinated before they're sexually active."

16

What are the risks of the HPV vaccine?

1) Pain
2) Redness or swelling
3) Fever
4) Headache

17

What are the risks of not getting the HPV vaccine?

1) Cervical cancer
2) Head/neck/anal cancers

18

What is the AAP approach to vaccine refusers?

1) Ask why
2) Listen
3) Discuss specific vaccines separately
4) Discuss strategies to limit pain
5) Use ongoing relationship to discuss immunizations at subsequent visits

*Don't fire your patients*

19

How can you control pain with vaccines?

1) Don't aspirate
2) Give most painful LAST
3) Given 0-2 sugar solutions before injection
4) Hold kids during injection (upright is best)
5) Topical analgesics
6) Keep parents in the room