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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

Which vaccines are given in a series of 2?

MMR
Varicella
Hep A
Meningococcal