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Flashcards in Immunizations Deck (62)
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1

Define Herd Immunity

The ability of a community to resist epidemic disease
Unvaccinated individuals are indirectly protected by vaccinated individuals

2

2 Types of Immunization

Active
Passive

3

Define Active Immunization

Antigen administration or a polysaccharide, protein, microorganism or deactivated toxin

4

What does active immunity do?

Provides long term immunity
Meaningful immunity not achieved until 2-4 weeks after vaccination
Live are more efficacious

5

Define Passive Immunization

Administration of preformed antibody

6

What passive immunity do?

Provide immediate protection
Short term

7

Which vaccinations are live viruses?

MMR
Varicella
Zoster
Nasal-spray flu

8

Routes of Administration of Vaccinations

IM
SC

9

Common SE of Vaccinations

Fever
Local reaction

10

True Vaccination Contraindications

Previous anaphylactic reaction to vaccine
History of anaphylaxis to eggs or egg-protein
Previous anaphylactic reaction to neomycin or streptomycin
Hx of severe systemic reactions to cholera, typhoid, or plague
Immunocompromised adults due to disease or treatment
Household members of immunocompromised patient
Pregnant women

11

Recommended action for a previous anaphylactic reaction to vaccine

Avoid revaccination of the specific vaccine

12

Recommended action for history of anaphylaxis to eggs or egg-protein

Avoid MMR
Avoid influenza
Avoid yellow-fever

13

Recommended action for previous anaphylactic reaction to neomycin or streptomycin

Avoid MMR

14

Recommended action for history of severe systemic reactions

Avoid revaccination

15

Recommended action for immunocompromised adults as a result of disease or treatment

Avoid live virus vaccines

16

Recommended action for household members of immunocompromised patients

Avoid oral polio

17

Recommended action for pregnant women

Avoid live vaccines

18

Misconceptions about Vaccine Contraindications

Can't administer if MILD respiratory, intestinal, or flu-like illness
Mild/moderate local reactions
Hx of seizures
Non-vaccine associated demyelinating conditions

19

Hepatitis B Vaccine Schedule

1st: at birth
2nd: 6-8 weeks
3rd: 4-18 months
4th: 6 months

20

What do we do for infants born of hepatitis B positive mothers?

Administer vaccine
Administer HBIG
Within 12 hours

21

Pneumococcal Conjugate Vaccine Alternative Names

PCV13
Prevnar13

22

What is the leading cause of bacterial pneumonia worldwide & principa cause of sepsis and meningitis?

Strep pneumo

23

Pneumococcal Conjugate Vaccine Schedule

1st: 6-8 weeks
2nd: 4 months
3rd: 6 months
4th: 12-15 months

24

What was the leading cause of childhood meningitis, pneumonia, and epiglottis prior to vaccine?

H. flu

25

Indications to administer HIB to children >5

Sickle cell disease
HIV/AIDS
Removal of spleen
Bone marrow transplant
Certain CA patients

26

HIB Vaccination Schedule

1st: 6-8 weeks
2nd: 4 months
3rd: 6 months
4th: 15-18 months

27

Polio Vaccination Schedule

1st: 6-8 weeks
2nd: 4 months
3rd: 6 months
4th: 4-6 years

28

What is included in the DTaP vaccination?

Diptheria
Tetanus
Acellular pertusis

29

What does the uppercase letters indicate in the Tdap vaccination?

Full-strength dose

30

DTaP Vaccination Schedule

1st: 6-8 weeks
2nd: 4 months
3rd: 6 months
4th: 15-18 months
5th: 4-6 years
Booster doses: every 10 years (possibly 5 soon)