Flashcards in Immunizations Deck (48):

1

##
Hep B

how many?

timing?

###
Series of 3

0-2-6 months

2

## What is management for newborn with HBsAg + mother?

### Administer Hep B vaccine and HBIG within 12 hours of birth

3

## When should baby born to Hep B + mother be tested for HBsAg and antibody?

###
After Hep B series is complete

(age 9 to 18 months)

4

## If mother's Hep B status is unknown at birth, what is the "deadline" for giving HBIG?

### HBIG should be given by the end of first week of life

5

## Final dose of Hep B should be given at or after what age?

### 6 months

6

##
Rotavirus

how many?

timing?

###
Series of 3

2-4-6

minimum age 6 weeks

maximum age for FIRST DOSE 14 weeks, 6 days

7

## What is maximum age for giving Rotavirus vaccine?

###
32 weeks is the maximum age for giving Rotavirus

(8 months)

8

## What is the risk of Rotavirus?

### Increased (though still small) risk of intussuception 3 weeks after administration.

9

##
DTaP

how many?

timing?

###
5 total

2-4-6 months and two boosters -- 15 months and 4 years

10

## What is the maximum age for giving DTaP?

### 6 years of age is the maximum for DTaP

11

## Does DTaP have more Diphtheria or Tetanus?

###
Diphtheria

(Tdap has more Tetanus)

12

## When is Tdap recommended?

###
At age 11 - 12 years

and then every 10 years (Tetatus every 10)

13

##
Hib

how many?

timing?

###
total of 4

2-4-6 months + booster at 12 months

14

## What are the major benefits of Hib?

### Decrease in ear infections and pneumonia

15

## What is the maximum age for giving Hib and Pneumovax (PS23)?

### 4 years

16

##
Pneumococcal

(PCV13 aka Prevnar)

how many?

timing?

###
total of 4

2-4-6 months + 12 months (booster)

17

##
Pneumococcal

(PS23 aka Pneumovax)

this is a supplemental dose - 23 vs 13 which is regular

who might need?

###
IMMUNO-COMPROMISED children should receive one additional dose at age 24 months.

18

## What is the maximum age for giving Pneumovax (PS23)?

### 4 years is the maximum age for Pneumovax (PS23)

19

## Examples of immuno-compromising conditions?

###
Sickle cell anemia

HIV

Renal failure

Asthma

Diabetes

Splenic dysfunction

20

##
Polio vaccine (IPV)

how many?

timing?

###
Series of 4

2-4-6 months and 4 years

21

##
Is IPV injectable or oral?

Inactivated or live?

### IPV is Injectable and Inactivated

22

##
Is OPV injectable or oral?

Inactivated or live?

###
OPV is Oral and Live

OPV is discouraged and only possible for doses 3 and 4

23

##
Influenza vaccine (TIV = trivalent inactivated vaccine)

how many?

timing?

### One dose of influenza annually

24

## Who needs two doses of influenza vaccine, 1 month apart?

### Children younger than 9 years receiving influenza for the FIRST TIME get two doses, 1 month apart

25

##
Influenza

Who gets 0.25 mL dosing?

###
Children 6 months to 35 months get 0.25 mL

All others get 0.5 mL

26

##
What is FluMist?

Is it a live virus?

###
Flu vaccine by nasal spray

LAIV = LIVE attenuated inactive vaccine

Shed for 6 months

27

## Who can get FluMist?

### Healthy people aged 2 to 49 years

28

##
MMR

how many?

timing?

###
Series of 2

12-15 months and 4-6 years

**the two doses must be at least 28 DAYS apart

29

## Can MMR be given simultaneously with PPD?

###
Yes, but prefer to separate by 4 - 6 weeks

This avoids suppressive response to PPD

30

##
Varicella

how many?

timing?

###
Series of 2

12 months and 4-6 years

**the two doses must be at least 3 months apart

31

## Can varicella be given at the same time as MMR?

###
Prefer to separate by one month from MMR

If given together, titers are increased in both but may be too much and cause illness

32

##
Hepatitis A

how many?

timing?

###
Series of 2

Given age 1 - 2 years, doses 6 months apart

33

## How is Hep A transmitted?

### The oral-fecal route

34

##
Meningococcal vaccine (MCV4)

how many?

timing?

###
Series of 2

age 11 or 12 years and a booster at age 16

35

## What is the reasoning for the timing of MCV4?

### There is an increased rate of meningococcal disease between 16 and 21 years of age

36

## Does an adolescent receiving first dose of MCV4 at age 16 or later need a booster dose?

### No

37

##
HPV

how many?

timing?

###
Series of 3

age 11 or 12, then 1 month after first, 6 months after first

38

## What are the oncologic strains of HPV?

### types 16 and 18

39

## What are the strains of HPV associated with genital warts?

### types 6 and 11

40

## Which HPV vaccine is quadrivalent?

###
Gardasil

"Quad-asil"

41

## Which vaccines are LIVE?

###
MMR

Varicella

Rotavirus

Flumist

Shingles (herpes zoster)

Smallpox

42

## What is an advantage of LIVE vaccines?

###
The are good "teachers" often confer lifelong immunity in 1-2 doses.

43

## Typical adverse reactions to immunizations?

###
Local erythema, tenderness, and muscle soreness

Low grade fever

44

##
Those with a history of anaphylaxis to

STREPTOMYCIN should not have which vaccinations?

### IPV and varicella

45

## Which vaccines are contraindicated in those who are pregnant or immunocompromised?

### MMR and varicella

46

## What ALLERGIES may be a contraindication to receiving the INFLUENZA vaccine?

### Those with EGG or LATEX allergy may not be able to receive the flu vaccine.

47

## What are reportable VAERS events?

###
Anaphylaxis

Encephalitis

Death

48