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immunization Flashcards

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1
Q

carrier protein that enhances immunologic response

A

conjugating proteins

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2
Q

saline, sterile water

A

suspending fluids/vehicles

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3
Q

common preservative used especially in multiple doses that kill orminhibit growth of microorganism

A

thimerosal

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4
Q

aluminum salt to increased immunogenicity and prolong stimulatory effect

A

adjuvants

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5
Q

administration techniques

A

intradermal
subcu
intramuscular

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6
Q

Philippines EPI vaccines

A 
BCG
hep B
DTwP Hib Hep B
OPV
rotavirus
PCV
maseles
MMR/MR
Td
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7
Q

live vaccine given at earliest time possible

A

Bacillus Calmette Guarin

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8
Q

dosage of BCG

A

.05 mL ID / .1 mL ID

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9
Q

PPD is not necessary for healthy infants >2 months not given BCG at birth unless

A

suspected congenital TB
clinical and xray siggestive og TB
history fo close contact to suspected and known cases

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10
Q

contraindications of BCG

A

immunodef

progressive dermatoses near site of infection

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11
Q

adverse rxns of BCG

A

abscess
regional lymphadenopathy
osteitis affecting epiphysis of long bones

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12
Q

usual and accelerated rxns of induration of BCG

A

2-4weeks; 2-4 days

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13
Q

usual and accelerated rxns of pustule formation of BCG

A

5-7 wks; 5-7 days

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14
Q

usual and accelerated rxns of scar formation in BCG

A

2-3mos; 2-3 wks

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15
Q

Hep B: active or inactived?

A

inactivated

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16
Q

dose of Hep B

A
  1. 5 mL IM (10 mcg)

1. 0 mL IM (20 mcg)

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17
Q

schedule of hep B

A

birth-6-10-14 weeks

0-1-6 mos

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18
Q

adverse rxn of hep B

A

pain

swelling

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19
Q

what to do if mother is HBsAg

A
  1. 5 ml IM Hep B vaccine @ birth within 12 hrs

0. 5 mL IM HBIg within 12 hrs

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20
Q

breastfeeding: risk or no risk for hep B virus?

A

no risk with appropriate administration of vaccine and Ig

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21
Q

DTP: which are toxoids

A

DT

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22
Q

DTP: which are whole cell inactivated or killed vaccine or accelular pertussis

A

P

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23
Q

pertussis vaccine may be

A

whole cell or acellular

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24
Q

dose of DTP

A

0.5 mL IM

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25
schedule of DTP
6-10-14 wks 4th dose @ 1yr after 3rd 5th dose @ 4-6yrs
26
usual rxns for DTP
low fever 72hrs restlessness irritability pain and swelling
27
adverse rxns of DTP
``` high fever seizure sever irrita somnolence lethargy uncontrolabble crying ```
28
if a patient develops any of the DTwP, what to do
recommended nxt dose of DTaP
29
OPV: live or inactivated?
live
30
schedu of OPV
6-10-14 wks 4th dose @ 12-18 mos 5th dose @ 4-6 yrs
31
administartion of OPV
oral
32
contraindications for OPV
``` altered immune antineoplastics or chemo high dose steroids HIV prgs on radiation contact with immunocom patients ```
33
advwerse of OPV
paralysis
34
IPV: live or ianctivated
inactivated
35
dose of IPV
0.5 mL IM
36
HIB what kind of vaccine
polysacch protein conjugate vaccine
37
dose of HIB
0.,5 mL IM
38
schedule of HIB
6-10-14 wks booster @ 1-5yrs | 2-4-6 mos booster @ 1yr after 3rd dose
39
rxns to HIB
low grade fev pain swelling
40
for high risk unimmunized 5year old childern or older, give 1 dose if
sickle cell dse leukemia HIV splenectomy
41
rotavirus vaccine: live or inactivated?
live
42
itsura ng rotavirus vacc
clear, colorless, liquid free of visible particles | ready to use no reconstituion needed
43
preparation of rotavirus vacc
1.5 mL oral suspension
44
storage of rotavirus vacc
2 to 8 oC
45
schedules of doses of rotavirus
1st dose: all infnts 6 weeks to 14wks6days old | 2nd dose: 10-32 wks 9final dose 8mos and 0 days)
46
how to admin RV
semi reclining position press cheeks to open mouth angle tube towars inner cheek
47
what kind of vaccine pneumococcal protein conjugate
polysacch protein conjugate
48
dose of PCV
0.5 mL IM
49
sched of PCV
6-10-14 wks 2-4-6 mos booster at 6-12mos after 3rd
50
dose of PPV
0.5 mL IM
51
PPV given children >2 yo with underlying conditions:
``` anatomic or functional asplenia HIV chornic lung dse renal dse cochlear implants CSF leaks ```
52
what kind of vacc ang measles vacc
live attenuated
53
dose of measles
0.5 mL SC
54
sched of measles
9mos but can be 6 mos if outbreak
55
side rxns of measles
fever with or without rash 5-12days after vacc
56
contraindications of measles vacc
preg | immunocompromised
57
what kind of vacc ang MMR
live attenuated
58
dose of MMR
0.5 mL SC
59
sched of MMR
1st dose @ 12-15 mos | 2nd dose 4-6yo
60
rxns of MMR
measles fever mumps swelling of parotid transient arthritis or arthtralgia post auricular lymphadenopathy
61
contraindications for MMR
immunocompromised | pregnant
62
dose of flu vacc
6-35mos 0.25 mL | > 3 yo 0.5 mL
63
route for flu vacc
IM or SC
64
sched of flu vacc
annual before flu season
65
how to sched flu vacc when giving to children <9 yrs receiving the vacc the first time
2 doses given 2 wks apart
66
indications for flu vacc
``` all chil 6-59mos high risk chil (chronic cardivascu, chronic pulmo and asthma, chro ic metabolic and DM, chornic renal, immunocom and HIV and hemoglobinopathoes chil on long term salicylate therapy all household contacts of #1-3 adult over 60yrs ```
67
what kind of vacc ang varicella vacc
live attenuated viral vaccine
68
dose of varicella vacc
0.5 mL SC
69
sched of varicella vacc
1st @ 12-15 mos 2nd @ 4-6 yrs can be given within 5 days from exposure to person infected
70
rxns to varicella vacc
varicella-like lesions 2-3 wks to a month after, may develop shingles
71
why is varicella vacc so safe
so weak cannot be transferred to another person can be given to children living with immuneweak shit people may be given to chil with preggy nanays
72
what kind of vacc ang hep A
inactivated viral antigen
73
dose of hep A
1-18 yo 720 U (0.5 mL) | >19 yo 1440 U (1.0 mL)
74
sched of hep A
1st @ >12mos | 2nd @ 6-12 mos after
75
route of hep A vacc
IM
76
rxns to hep A
pain | local swelling
77
indications for hep A
all chil >12 mos traveling to areas of prevalence occupational hazard when immunity is desired aka kung trip mo lng
78
what kind of vacc ang HPV
inactivated vacc
79
dose of HPV
0.5 mL IM
80
bivalent HPV prevents what
precancers and cancers
81
quadrivalent HPV prevents
cervical pre and cancers vaginal anf vulvar cancers genital warts in males andfemales
82
when most effectively given to male and female ang HPV
before exposure through sexy time
83
reminders for live vaccines
wait 2 weeks before giving Igs
84
reminder for Igs
wait 3 months or longer before giving vacc
85
reminder when giving 2 or more IM injections
distance of 2.5 cm if 2 IM injections are given in the same thigh
86
reminder for anaphylaxis
epinephrine 1:1000 | 0.01 mL/kg up to maximum 0.5 mL
87
reminder when administering 2 or more live psrenterals
4 weeks interval if not simultaneous

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