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Flashcards in Immunizations Deck (93)
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1

How much time must elapse before giving a live vaccine to a patient who received a product containing antibodies

wait 3 months or longer before giving vaccine - MMR and varicella containing vaccine (except zoster) consult pink book for blood product/vaccine timeline

2

How much time must elapse before giving antibody containing products after a live vaccine is given

wait 2 weeks before giving antibody

3

Which vaccines( polysaccharide or conjugate) do not consistently produce an effective immune response in children under 2

polysaccharide

4

Live vaccines are withheld until what age

12 months of age - due to mother's antibodies

5

Age at which inactivated vaccines can be started and exception

2 months (except Hepatitis B - at birth)

6

Which diseases is simultaneous administration of antibody and vaccine recommended as post exposure prophylaxis

hepatitis A, hepatitis B, rabies, tetanus

7

Which vaccines shouldn't be administered simultaneously?

PCV 13 and Menactra (meningococcal conjugate) - seperated by at least 4 weeks

8

If live vaccines are not given together, how far should they be seperated?

at least 4 weeks

9

Which vaccines are Live vaccines

MMR, MMRV, varicella, zoster, yellow fever, LAIV

10

Effect of increasing the dosing interval in a vaccination series

delayed protection - no decrease in effectiveness

11

effect of decreasing the dosing interval in a vaccination series

may decrease effectiveness

12

Live vaccines and PPD timeline

give on the same day or if vaccine given first wait 4 weeks before placing PPD, if PPD given first wait until after reading to give vaccine

13

Most common vaccine adverse reactions

local reactions - pain, sweling, and redness of injection site - up to 80%, most common with inactive vaccines

14

Systemic adverse reactions to vaccines

fever, malaise, myalgias, headache, loss of appetite, mild manifestations of the disease being protected against, - mild and occurring within 7-21 days of the vaccine

15

Are minor allergic reactions a contraindication to repeat vaccination

no

16

When do anaphylactic allergies occur after a vaccine (timeframe)

minutes to hours

17

S/s of anaphylactic reaction

urticaria, swelling of the mouth and throat, difficulty breathing, wheezing, abdominal cramping, hypotension, shock

18

Amount of corticosteroids to get systemic steroid induced immunosuppression

20+ mg/day prednisone x 14+ days, 2+mg/kg/day prednisone x 14+ days

19

Contraindications to live vaccines

pregnancy, immunosuppression

20

How long after chemotherapy to be able to give live vaccines

at least 3 months after discontinuation of chemo

21

Which vaccines are contraindicated in HIV with a CD4 count

MMR, Varicella

22

Asplenic patients should received which vaccines

PCV13 AND PPSV23. can receive live vaccines if indicated

23

optimum time for Tdap vaccination during pregnancy

27 and 36 weeks

24

Which vaccines are recommended for health care professionals

Hepatitis B, Flu, MMR, Varicella, Tdap

25

DTaP brand names

Daptacel, Infanrix

26

DTaP-IPV brand name

Kinrix

27

DTaP - HepB-IPV brand name

Pediarix

28

DTaP-IPV/Hib brand name

Pentacel

29

DTap series given to who

children

30

DTaP dosing

5 doses at age 2, 4, 6, 12-18 months and 4-6 years. followed by Tdap at 11-12 years