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NAPLEX Prep > Immunizations > Flashcards

Immunizations Flashcards

types of vaccines, timing and spacing, vaccine ADR, vaccine CI and precautions, special conditions, routine vaccinations, storage, admin

1
Q

gelatin is derived from

A

porcine (pig)

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2
Q

active immunity

A

when persons own immune system creates Abs in response to a vaccine or infection

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3
Q

passive immunity

A

immunity gained form IVIG or passed from mother to baby in utero

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4
Q

live vaccines are CI in

A

pregnant and immunocompromised

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5
Q

what are the live vaccines

A

MICRO-VY
MMR
Intranasal influenza
Cholera
Rotavirus
Oral typhoid
Varicella
Yellow fever
________________________
TB
smallpox
ebola
dengue

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6
Q

polysaccharide vaccine example

A

pneumococcal polysacharide vaccine (Pneumovax 23)

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7
Q

conjugate vaccine example

A

pneumococcal conjugate vaccine (Prevnar 20)
meningococcal conjugate vaccine (Menactra)

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8
Q

examples of recombinant vaccines

A

HPV (Garsadil 9)
recombinant influenza (FluBlok Quadrivalent)

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9
Q

toxoid vaccines examples

A

tetanus, diptheria

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10
Q

mRNA vaccines example

A

COVID-19

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11
Q

how long will it take for the body to produce Abs from the MMR and/or varicella vaccines

A

3-11 months

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12
Q

most live vaccines are not given to pediatric patients aged ____________

A

<12 months old

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13
Q

If a patient received IVIG or a blood transfusion today, how long would they have to wait to receive a MMR or varicella vaccine

A

3 months +

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14
Q

If a patient received MMR and varicella vaccines today, how long do they have to wait to receive IVIG or blood transfusions?

A

2 weeks

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15
Q

after a live vaccine, mild systemic reactions can occur for ______ days

A

3-21

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16
Q

a minor reaction is not a CI to future vaccines T or F

A

true!

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17
Q

when is admin of a vaccine and antibody at the same time recommended

A

post-exposure ppx in rabbies, , Hep A, Hep B, tetanus

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18
Q

what should be administered to a patient undergoing anaphylaxis from a vaccine

A

epi pen
benadryl
lay flat on back
call 911
CPR possible
record all vital signs

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19
Q

DTaP and any combination of the three are CI in

A

encephalopathy (coma, dec level of consciousness, prolonged seizure) within last 7 days
GBS hx

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20
Q

Hep B vaccine is CI in

A

yeast hypersensitivity

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21
Q

HPV is CI in

A

yeast hypersensitivity

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22
Q

LIAV is CI in

A

pregnancy
imm supp
anaphylaxis to egg
influenza antivirals in last 5 d
kids with asthma
close contact with imm supp person

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23
Q

all influenza vaccines are CI in

A

GBS

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24
Q

varicella vaccines are CI in

A

severe allergic rxn to gelatin or neomycin

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25
yellow fever vaccine is CI in
anaphylaxis to egg
26
infants and children (30 days to 12 yo) should receive
3 doses of Hep B at birth starting at 2 months: PCV13m DTaP, Hib, polio, rotavirus starting at 1 yr: MMR and varicella
27
polysaccharide vaccines are CI in which age group? what vaccines are in this category?
CI in <2 yo pneumococcal polysaccharide (Pneumovax 23)
28
what 5 vaccines should all healthcare workers have
influenza TDaP Hep B varcella MMR
29
what three vaccinations are started at 11-12 yo
MMR HPV TdaP
30
what is the schedule for meningococcal vaccine? What are the brand names?
MCV4: Menactra, Menveo, MenQuadfi 2 doses @ 11-12yo and 16 yo think about how the patient usually goes to college at 18 so meningococcal has to be all set by then
31
if a patient is entering college and did not receive the two doses of meningococcal vaccine at 11-12 yo and 16 yo, what should they be given?
1 dose of meningococcal vaccine if they are going into college
32
HPV is ___ doses and recommended start is age ___
3 doses starting at age 11-12
33
what vaccines should a pregnant patient receive
inactivated influenza TdaP x1 with each pregnancy
34
ideally, when should TdaP be given to a pregnant patient
weeks 27-36
35
what vaccines should a patient receive if they have SCD or another cause of asplenia
Hib meningococcal (conjugate & serogroup B) pneumococcal (either PCV 20 x1 or PCV15 x1 then PCV23 8+ weeks later)
36
what vaccines should older adults receive
shingles for 50+ (2 doses 2-6 months apart) pneumococcal for 65+ (PCV20 x1 or PCV15 x1 then PCV23 12+ months later)
37
what is the difference between the pneumococcal vaccine schedule in asplenia/SCD/imm comp compared to older adults/DM?
all of them can receive PCV20 x1 asplenia/SCD/imm comp alternative is PCV15 x1 then PCV23 8+ WEEKS LATER whereas older adults/DM alternative is PCV15 x1 then PCV23 12+ MONTHS LATER
38
what vaccines should imm comp patients receive
no live vaccines ________________ pneumococcal (PCV20 x1 or PCV15 x1 then PCV23 x1 8+ weeks later) Shingrix (19+ yo) 2 doses, 2-6 months apart ________________ additional vaccines if HIV + : Hep A and B, meningococcal conjugate
39
what two populations should receive the shingrix vaccine? How does the dosing differ?
50+ yo 19+ yo if immuno comp dosing is the same! Two doses, 2-6 mo apart
40
what are considered imm comp conditions
chronic renal failure nephrotic syndrome malignancy HIV infection SOT imm sup drugs
41
influenza vaccination can start at what age
6 months old
42
if a patient previously had shingles, can they receive shingrix
yes
43
if a patient had chickenpox (like mom did as a kid) can they receive shingrix
yes
44
if a patient received Zostavax can/should they get shingrix
yes
45
past what age is HPV vaccine likely ineffective
26 yo
46
if a patient received TdaP x1, when should they receive the next dose? Does it have to be TdaP?
10 years can be TdaP or Td
47
what patient populations should receive the meningococcal serogroup B vaccine
10+ yo with asplenia/SCD during an outbreak lab workers with N. Men exposure
48
what patient populations should receive the menincococcal conjugate vaccine?
routine: 2 doses at 11-12yo and 16 yo special populations at high risk: travelers to meningitis belt in subsaharan Africa 2 months+ with asplenia/SCD lab workers w N. Men exposure first year college students <21yo military recruits
49
what are the different meningococcal conjugate vaccines and what age ranges are they safe in
Menactra 9mo-55yrs MenQuadfi 2+ yo Menveo 2mo-55yrs
50
what are the names of the MenB vaccines
Bexsero Trumenba
51
Hep B vaccine should be given in
routine vaccination: 3 doses started at birth if not given at birth: give to all 19-59 yo or 60+ with HIV, imm comp, incarcerated etc.
52
can Hep A and B be given together?
Yes given like Hep B (3 dose series at months 0, 1, and 6
53
what is the vaccine that has Hep A and B
Twinrix
54
what is the routine Hep A vaccine schedule? what patient should receive Hep A vaccine if not received in childhood
adults ... traveling to third world countries or housing someone coming from underdeveloped country liver disease hemophilia MSM IVDU homeless HIV
55
Pediarix =
DTaP-HepB-IPV
56
TDaP brands
Boostrix Adacel
57
Hep A vaccine brands
Havrix Vaqta
58
Hep B vaccine brands
Engerix-B Heplisav-B Recombivax-HB
59
HPV9 vaccine brand
Gardasil 9
60
what are the inactivated influenza vaccines (IIV4)
Fluzone quad Afluria Fluarix FluLaval Fluzone
61
what are the LAIV
Flumist (intranasal)
62
MMR vaccine brand
Prorix
63
MMR + varicella (MMRV)=
ProQuad
64
what are the generics and brands of the different pneumococcal vaccines? What classifications are there?
Conjugate Prevnar 13 (PCV13) - not really used Vaxneuvance (PCV15) Prevnar 20 (PCV20) ______________________________________ Polysaccharide Pneumovax 23 (PCV23)
65
PCV23 can be given
IM or SQ
66
Pediarix =
DTaP-HepB-IPV
67
rotavirus brands and dosing for each
Rotarix: 2 does at 2 and 4 mo RotaTeq: 3 doses at 2, 4, 6 mo
68
varicella vaccine brand
Varivax
69
refrigerated vaccine storage requirements
refrigerator between 36-46F
70
what vaccines are stored in the freezer and at what temp
varicella MMRV cholera -58 to +5 F
71
what vaccines are administered SQ only
yellow fever monkey pox dengue small pox
72
what vaccines can be given IM or SQ
MMR MMRV PPSV23 IPV
73
PPSV23 =
pneumococcal polysaccharide vaccine 23 aka Pneumovax
74
what vaccines come in oral forms
cholera rotavirus typhoid
75
what vaccines are intranasal
FluMist Quad
76
SC vaccines what gauge, needle length, angle and location?
23-25 gauge 5/8th needle 45 degree angle in fatty tissue of tricep
77
IM what gauge, needle length, angle and location?
22-25 gauge 1" length 90 degree angle in deltoid
78
when giving IM vaccines, when should a needle length other than 1" be used?
<130lb - 5/8 to 1" >200lb female or >260lb male use 1 1/2"

NAPLEX Prep (57 decks)

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