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Flashcards in immunizations Deck (71):
1

hep B
how many doses, when to give?

3 dose

birth
1-2 months
6-18months

2

hep B
how many doses, when to give?

3 dose

birth
1-2 months
6-18months

3

hep B + mothers
when to vaccine newborn

12 hours (hep B and HBIG), follow up 1-2 months

4

hep B catch up for older children


2 dose (4 months apart) of Recombivax HB is ok for children 11-15 yo.

5

rotavirus (rotateq vs rotarix)

3 dose for Rotateq
2, 4, 6, months (rotateq)

2 dose for Rotarix
2, 4 months

6

dtap

7

hep B + mothers
when to vaccine newborn

12 hours (hep B and HBIG), follow up 1-2 months

8

hep B catch up for older children


2 dose (4 months apart) of Recombivax HB is ok for children 11-15 yo.

9

rotavirus (rotateq vs rotarix)

3 dose for Rotateq
2, 4, 6, months (rotateq)

2 dose for Rotarix
2, 4 months

10

IPV

4 dose

2 months
4 months
6-18 months
4-6 yo

11

tdap

1 dose to ALL adolesents 11-12 year old
(regardless of last td injection)

then td booster every 10 years

12

Hib (haemophilus influenzae type B)

4 dose
2, 4, 6, months
12-15 months

13

pneumococcal PCV 13

Prevnar
4 dose
2, 4, 6, months
12-15 momths

14

pneumovax

>65 yo one time dose
or

15

IPV

4 dose
2 months
4 months
6-18 months
4-6 y

16

mmr

live virus
2 dose

12-15months
4-6 yo

17

varicella

live virus
2 dose

12-15 months
4-6 yo

18

hep A

2 dose
12-23 months
4-6 yo

19

hpv

3 dose

11-12 yo
hpv4 (gardisil) or hpv2 (cervarix) for femals
ONly hpv4 (Gardisil) for boys

0, 1-2 months, 6 months

20

meningococcal

2 dose

11-12 yo
booster at 16 yo

21

varicella
evidence of immunity

2 dose (4-8 wks apart)
unless evidence of immunity

born before 1980, except healthcare worker or pregnant
hx of varicella
hx of zoster
laboratory of evidence of immunity

22

zoster

everyone age 60 years or older

single dose

23

MMR adults immune if born before

if born before 1957

24

when to give hpv vaccine series
how many in series?

9-26 yo
3 dose
reduce likelihood of general warts

25

gardasil protects agains which types

cancer PLUS warts
type 6, 11, 16, 18

26

ceravix is which types?

16, 18
cancer only

27

who requires 2 doses of influenza vaccine, and how far apart?

6months - 8 years, >1 month apart during their first season of vaccination

FIRST TIMERS

28

live virus

mmr
varicella
flu mist
zoster

29

rotavirus protocol

give within 6 months of age
oral form only to infants
harmless shed through stool, standard care

30

what ages is LAIV flu mist recommended

2-8 yo

31

who should NOT receive LAIV

49 yo
2-17 yo receiving aspirin therapy
pregnant, immunocompromised, ashtma

32

what to give to someone who experienced only HIVES from eggs

give IIV (egg or cell culture based) or RIV3 trivalent recombinant influenza vaccine.

** MUST wait 30 minutes after to observe patient

33

when to give at 12-15 months

(9)
*hep a
hep B (prn)
hib- 4th dose
ipv (prn)
influenza (IIV only, no live until 2 yo)

pvc13 (prevnar)- 4th dose
dtap (15-18 months)
*mmr
*varicella

34

when to start TDAP

>7 yo

35

dtap

36

2, 4, 6 months immunizations

H H D Rip (6)

hep B
h, influenza b
dtap
rotavirus
IPV
Pcv13 (prevnar)

37

when to give at 12-15 months

(9)

hep B (prn)
hib
ipv (prn)
influenza (IIV only, no live until 2 yo)
dtap (15-18 months)
*mmr
*varicella
hep a

38

4-6 yo

IDMV

IPV
Dtap
MMR
Varicella

39

prevnar (PVC13)

4 dose
2, 4, 6, months
12-18 months

40

when is rotavirus contraindicated

infants with severe combined immunodeficiency (SCID)

41

doses administered ____days before minimum interval considered valid

4 days

42

pneumoccal

ALL adults age 65 yo older ONE TIME

43

pneumococcal for immunocompromised

19-64 yo
2 dose

pcv 13, pps23 8 weeks apart

44

when to revaccinate with pneumococcal

ONE TIME revaccinations 5 years aftr ppsv 23 if 19-64 yo with chronic renal failture, asplenia (sickle cell/splencetomy) or immunocompromised

OR

if last dose was >5 years ago and was given

45

MMR for young adults who have not be immunized

2 doses 1 month apart

46

pneumococcal for HIV

HVC 13, PPSV23 8 wks later, 2nd PPSV23 in 5 years, and another at 65 (if was younger than 65 yo at time of dsg)v

47

who is pneumococcal PPSV23 indicated for?

>65
No additional dose of PPSV23 is indicated for adults vaccinated with PPSV23 at or after age 65 years.


50-65 american indians, alaska natives
asthma, DM, liver disease
cigarette smokers age 19 years or older
cochlear imlants
serebrospinal fluid leaks
nursing homes

48

PPSV23 not used for children under ____ yo

2

49

pneumococcal protects against what?

meningitis and septicemia associated with S. pneumonia

50

pneumococcal for HIV

HVC 13, then PPSV23 8 wks later

51

who is pneumococcal PPSV23 indicated for?

>65
No additional dose of PPSV23 is indicated for adults vaccinated with PPSV23 at or after age 65 years.


50-65 american indians, alaska natives
asthma, DM, liver disease
cigarette smokers age 19 years or older
cochlear imlants
serebrospinal fluid leaks
nursing homes

52

Adults aged 65 years or older who
have not received PCV13 or PPSV23:

Administer PCV13 followed by PPSV23 in 6 to 12 months.

53

Have not received PCV13 but have received a dose of PPSV23 at age 65 years or older

Administer PCV13 at least 1 year after the dose of PPSV23 received at age 65 years or older.

54

Have not received PCV13 but have received 1 or more doses of PPSV23 BEFORE age 65

Administer PCV13 at least 1 year after the most recent dose of PPSV23
administer a dose of PPSV23 6 to 12 months after PCV13, or as soon as possible if this time window has passed, and at least 5 years after the most recent dose of PPSV23.

55

Adults aged 19 through 64 years with immunocompromising conditions or anatomical or functional asplenia who have not received pneumococcal

1 dose pcv13, 8 weeks after ppsv23, 2nd dose 5 years after ppsv23

Administer PCV13 followed by PPSV23 at least 8 weeks after PCV13
administer a SECOND dose of PPSV23 at least 5 years after the first dose of PPSV23.

56

who is candidate for revaccination 5 years after ppsv23

ONE TIME revaccination 19-64 yo chronic renal failure, asplenia (sickle cell or splenecomty), immunocompromised

if they had ppsv23 BEFORE 65 years old if 5 years have passed.

57

who should receive hep b booster

pts on dialysis or pts ( HIV/stem cell transplant) anti-HB levels decline

58

post exposure prophylaxis hep b

give a single vaccine booster prn if has complete series
if has NOT had series, provide series PLUS hbig

59

hep b vaccine contraindication ( allergy)

baker's yeast (bread)

60

small pox

serious contagious disease caused by the variola virus. lesions are ALL the same stage during eruptive stage (varicella is different stages). Small pox vaccine contains LIVE vaccinia virus. Until scab comes off, recipient can shed the vaccinia virus ( not small pox) but can cause illness.

s/s: red spots on the tongue that spread into the mouth and throat. Very contagious at the time. Rash appears on the skin, spreads to all body parts within 24 hours.

61

evidence of immunity to varicella

born before 1980 in the US
documentation of vxv vaccine
lab evidence of immunity or confirmation of disease
dsg or verification of varicella disease or herpes zoster

62

hep A schedule adults

2 dose (11-12 yo)
havrix: 0, 6-12 months
vaqta: 0, 6-18months

twinrix (hep A and B): 3 doses 0, 1, 6 months
or 4 dose at 0, 7, 21-30 days, booster at 12moths)

63

varicella vaccine for adults

2 doses, 4-8 wks apart ( with NO hx of varicella infection of immunization)

64

post exposure varicella

give within 3 days if possible
VZIG is a pooled blood product6

65

tdap adults, never had immunization

needs 3 doses
For unvaccinated adults, administer the first 2 doses at least 4 weeks apart and the third dose 6 to 12 months after the second.

tdap > 7 yo

66

hep A schedule adults

3 dose (11-12 yo)

67

hep A when traveling

4-6 wks before travel.

68

hep A post exposure

give within 2 weeks
immune globulin or HAV vaccine
tx: supportive measures

69

poliovirus is spread by

fecal-oral route

70

medications to stop smoking

nicotine replacement
buproprion (Wellbutrin, zyban)
varenicline (Chantix)

71

what to monitor on varenicline (Chantix)

mood changes (suicide risk)