Immunizations Flashcards Preview

Jason's MD3 Paeds > Immunizations > Flashcards

Flashcards in Immunizations Deck (50):
1

Why pertussis still around?

Vaccine isn't that immunogenic, so immunity wanes

2

Why measles still around?

Non-vaccination
Travel

3

Diphtheria dangerous how?

Toxins
Arrythmias

4

Diphtheria presentation?

High temp, puss on tonsils, toxin-mediated

5

Pertussis concerns?

Hypoxia encephalopathy

From coughing episodes

6

Pertussis DDx

Swab: PCRs
Serology Bloods

7

Pertussis treatment?

Clarithromycin
Azithromycin

8

How long pertussis cough lasts for?

"The 100 day cough"

9

What bacteria can cause periorbital cellulitis?

Haemophilus B

Staph, strep

10

Mumps complications

Orchitis
Encephalitis
Parotid enlargement

11

How is polio spread?

Fecal oral

12

How is mumps spread?

Close contact

13

How to differentiate varicella rash?

Vesicular
Variable sizes
Centrally distributed

14

Why varicella hospitalizations?

Secondary cellulitis

15

When use ZiG, Zoster immunoglobulin?

Within 72 hours

Immunocompromised
Pregnant

16

Varicella spread How?

Respiratory

17

3 CSF of Measles

Cough
Conjuntivitis
Choryza

18

Complication of Mealses

Otitis media
Pneumonia
Encephalitis

19

Hep B complications?

HCC
Cirrhosis
Liver

20

Congenital Rubella complications?

Deafness
Heart defects
Blind
Mental retardation

21

Age groups for meningococcal vaccines

Teens
Young

22

Rx for meningococcal?

Ceftriaxone
BenzylPenicillin

23

why can't give travel vaccines of meningococcal to young patient?

They are polysaccharide vaccines. Dont' work on kids

24

What doesn't work in herd immunity?

Tetanus (comes from ground not ppl)

25

Vaccine side effects

Sore
Swelling
Red
Mild fever, crying, lethargic
Muscle aches
Fainting, lumps

26

Rare reactions of vaccines.

Convulsion
Pale limp, un responsive baby

Anaphylaxis
Intussusception (rotavirus)

27

Live vaccines, things to consider re: side effects

Side effects occur a week later: MMR 1:10
Varicella: can get a few vesicles
Rota: Diarrhoea, vomiting

28

If one child needs vaccines but a. Sibling is immunosuppressed, what do you do?

Still give live-vaccine to child who is NOT immunosuppressed

29

Relative contraindications for vaccines?

Evolving undiagnosed neurological illness

Temperature >38.5

30

What bacteria can cause periorbital cellulitis?

Haemophilus B

Staph, strep

31

Mumps complications

Orchitis
Encephalitis
Parotid enlargement

32

How is polio spread?

Fecal oral

33

How is mumps spread?

Close contact

34

How to differentiate varicella rash?

Vesicular
Variable sizes
Centrally distributed

35

Why varicella hospitalizations?

Secondary cellulitis

36

When use ZiG, Zoster immunoglobulin?

Within 72 hours

Immunocompromised
Pregnant

37

Varicella spread How?

Respiratory

38

3 CSF of Measles

Cough
Conjuntivitis
Choryza

39

Complication of Mealses

Otitis media
Pneumonia
Encephalitis

40

Hep B complications?

HCC
Cirrhosis
Liver

41

Congenital Rubella complications?

Deafness
Heart defects
Blind
Mental retardation

42

Age groups for meningococcal vaccines

Teens
Young

43

Rx for meningococcal?

Ceftriaxone
BenzylPenicillin

44

why can't give travel vaccines of meningococcal to young patient?

They are polysaccharide vaccines. Dont' work on kids

45

What doesn't work in herd immunity?

Tetanus (comes from ground not ppl)

46

Vaccine side effects

Sore
Swelling
Red
Mild fever, crying, lethargic
Muscle aches
Fainting, lumps

47

Rare reactions of vaccines.

Convulsion
Pale limp, un responsive baby

Anaphylaxis
Intussusception (rotavirus)

48

Live vaccines, things to consider re: side effects

Side effects occur a week later: MMR 1:10
Varicella: can get a few vesicles
Rota: Diarrhoea, vomiting

49

If one child needs vaccines but a. Sibling is immunosuppressed, what do you do?

Still give live-vaccine to child who is NOT immunosuppressed

50

Relative contraindications for vaccines?

Evolving undiagnosed neurological illness

Temperature >38.5