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Immunizations Flashcards

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1
Q

Which are live virus vaccines?

A

MMR
Varicella
Rotavirus

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2
Q

Schedule for HepB

A

birth, 1 and 6 months

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3
Q

Schedule for DTaP

A

2, 4, 6, 12-18mo, 4-6yrs

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4
Q

Schedule for polio

A

2, 4, 6-18mo , 4-6yrs

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5
Q

Schedule for Hib/pneumococcal

A

2, 4, 6, 12-15mo

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6
Q

Schedule for MMR and varicella

A

12-15mo, 4-6yrs

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7
Q

Which routine vaccines for adolescents?

A

TdaP, MCV4, HPV, influenze

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8
Q

What are 6 contraindications for DTaP?

A 
anaphylaxis
encephalopathy within 7 days
seizure within 3 days
persistent crying within 2 days for >3hrs
collapse or sick state within 2 days day
Fever >405 within 2 days
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9
Q

When would you defer DTaP and to what age?

A

if severe neuro issues or seizures, defer to 1 yr

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10
Q

ContraI for MMR/V

A

Pregnancy
HIV CD4<15%
Avoidance of aspirin for 6wks for post-vaccination

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11
Q

Which vaccine will give you febrile seizures after 1st dose?

A

MMRV

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12
Q

ContraIndication for rotavirus

A

SCID, h/o intussusception

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13
Q

ContraIn for LAIVA - intranasal

A

severe egg allergy, asthma, chronic aspirin therapy risk of Reye

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14
Q

If you have a cut and <3 shots of tetanus then what?

A

vaccinate and TIG if dirty wound

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15
Q

If you have a cut and >3 shots of tetanus then what?

A

if wound is dirty –> vaccinate, if >5yrs since last dose

if wound is clean –> vaccinate, i 10yrs since last dose

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16
Q

If mother is + HBsAg then what

A

Give baby HBiG within 12 hrs, vaccinate 12hrs, 1-2mo, 6mo

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17
Q

What if premature baby is born to HGsAg+ mother

A

Give HBIg and vaccinate, but can’t count first dose, so need to give real first dose at 2kg/30days

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18
Q

What is f/u for treated infant of HBsAg+ mom

A

anti HBs and HBsAg at 9-18months, if neg, give 3 more doses

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19
Q

If mother’s HepB status is unknown, then what

A

vaccinate first, if baby is premature, give HBIG then screen mom

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20
Q

If previously unknown mom is found to be HbsAg+ then what?

A

HBIG ASAP (up to 1 week) complete vaccination

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21
Q

What do you give VariZIG?

A

within 10 days of exposure and pt is susceptible to chicken pox
+ significant exposure
+ risk of complications

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22
Q

Who must you give an extra dose of PPV13 to?

A

anatomic or functionally asplenic patient, SCD, HIV, cochlear implant or CSF leak

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23
Q

Who should you give PPSV23 to?

Study These Flashcards
A

asplenic, SCD, HIV, cochlear implant or CSF leak, chornic disease

24
Q

When should you give PPSV23?

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A

> 8 wks after last PCV13 dose, revaccinate high-risk children once after 5 years

25
Besides teenagers, who should you give MCV4 to?
HIV pts, 2 dose 11-12 yers, booster at 16 yrs, 2 mo interval Also - pts who are complement component deficient, functional or anatomic asplenia, travel to hyperendemic or epidemic area (can vaccinate as early as 2 months of age)
26
When do you use TDaP?
Routine for kids who need it at 11-12yrs If catch-up needed 13-18yrs Undervaccinated children 7-10yrs Maternal vaccination during each preg or immediately postpartum
27
Difference in administration of RV5 vs RV1
Pentavalent 3 doses, monovalent 2 doses
28
What is the difference in PCV13 and PPSV23?
PPSV23 less immunogenic - indicated for high risk children >2yrs of age
29
Does diptheria vaccine prevent disease or colonization?
prevents disease
30
Polio is what kind of vaccine
killed virus
31
Within how many days of HepA should Ig be given?
14 days
32
Within how many days of measles exposure should Ig be given
6 days
33
Max age for giving rotavirus
8 months
34
ContraI h/o intussusception
Rotavirus
35
ContraIndicated if IVIg recently given
MMR
36
PPD can be performed on day of or 1 month later
MMR
37
ContraI if prior dose caused seizure within 3 days
DTaP
38
What is catchup schedule for HepB
3 doses time 0, 1 and 6 months later | 2 doses time 0 and 4 to 6 months later
39
What type of vaccine is HepA
inactivated virus
40
Pt is 1yr and traveling and might have been exposed to HepA
administer vaccine within 2wks of exposure
41
PPx against HepA dose - duration of protection
0. 02ml/kg >3 months | 0. 06ml/kg >5 months
42
High risk strain of HPV for cancer
16, 18
43
High risk strain of HPV for genital warts
6, 11
44
What age should routine HPV vaccines be given?
11-12yrs of age.
45
What is age of female and male when catch-up HPV can still be done
female <26yrs, males <21yrs
46
In what circumstance is person at high risk for rabies?
When biten by bats or in the same room as bats, feral cats, dogs, ferrets, wild-life
47
What to do for bites with high risk for rabies?
RIG - infiltrate wound, rabies vaccine 4 dose series
48
If pt came in with bite wounds, what should you do?
check tetanus routine immunization and assess for risk of HepB and GIV
49
What to do if escaped dog or cat bites you?
consult public health officials
50
Which are low risk bites?
livestock, rodents, lagomorphs
51
What antibiotics for PPX if dog, cat, or human bites?
Amox or cefpodoxime, TMP-SMX+clindamycin, or parenteral ampicillin-sulbactam
52
Can following be given to household contacts of immunocompromised person? 1) flu 2) varicella 3) MMR 4) Rota
Can give MMR or rotavirus
53
In immunocompromised child - you can routinely administer non-live vaccines but live vaccines shouldn't be given except wen?
HIV-infected child has CD4>15%
54
What should be given or premature baby with chronic respiratory disease?
RSV ppx
55
For HIV+ kids, what additional vaccines should you give
PCV13, PPSV23, MCV4 (2 dose primary series)
56
What additional vaccines should be given to asplenic children?
PCV - PCV13, PPSV23, MCV (administer earlier, 2 dose primary series, booster every 5 years)

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