Pediatric Immunizations Flashcards Preview

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Flashcards in Pediatric Immunizations Deck (42):
1

What is a vaccine information statements?

Info sheets provided by CDC that explain to vaccine recipients, their parents, or legal guardians both the benefits and risks of a vaccine

2

What can be a simple way to help with the pain of immunizations?

Can change the order of vaccines given when have to give multiple, certain orders can make it overall less painful

3

If a child has an adverse reaction to a vaccine, where should you report it?

United States Department of Health and Human Services

4

What is the typical administration schedule for Hepatitis B vaccine?

Ideally at birth during hospitalization, at 1-2 months, and at 6-18 months

5

What patients do you want to AVOID hep B vaccines?

Avoid in patients with hypersensitivity to yeast or any vaccine components

6

What is the recommended administration of TDaP?

5 dose series; 2 mos, 4 mos, 6 mos, 15-18 mos, and 4-6 years

7

What are the contraindications to the TDaP vaccine?

anaphylactic reaction to vaccine or vaccine components, encephalopathy within 7 days of previous dose without another identifiable cause, progressive neurological disorder

8

What are the 2 licensed formulations of DTaP?

Daptacel, Infranix

9

How many licensed formulations of the Hib vaccine are there?

3 (PedVaxHIB, ActHIB/OMNIHib, Hiberix)

10

PedVaxHIB is available as?

A 2 dose series @ 2 and 4 months and as a booster at 12-15 months

11

ActHIB is available as?

A 3 dose series @ 2, 4, and 6 months and a booster at 12-15 months

12

What are the contraindications to Hib vaccine?

None specifically

13

Local reactions to the Hib vaccine occur in what percentage of patients?

25%

14

What is the only available Polio vaccine available in the US?

Trivalent IPV (inactivated polio virus)

15

How is IPV administered?

Subq or IM in 4 doses; 2, 4, 6-18 months and 4-6 years

16

What adverse effects are assoc. with IPV?

None

17

These vaccines are live, attenuated vaccines?

MMR (Measles, Mumps, Rubella), Varicella, Rotavirus

18

What is the administration schedule of MMR?

1st dose at 12-15 months, 2nd dose at school entry

19

What are the "true" contraindications to MMR vaccine?

pregnancy, known altered immunodeficiency, long term immunosuppressive therapy, and hematologic or solid tumors

20

If patients develop this condition within 6 weeks of prior MMR dose, they should NOT receive the subsequent dose?

thrombocytopenia

21

Possible adverse reactions to MMR vaccine?

Fever, rash, joint complaints, hypersensitivity reactions, development of ITP, and seizures

22

What is the admin. schedule for varicella vaccine?

2 dose series; subq or IM, @ 12-15 months and again at 4-6 years

23

Contraindications to varicella vaccine?

primary or acquired immunodeficiency, pregnancy, moderate or severe illnesses and previous anaphylactoid reaction to neomycin or gelatin

24

What do you have to avoid for 6 weeks after the varicella vaccine?

salicylates d/t concern for Reye's syndrome

25

Adverse reactions to varicella vaccine?

Rash and fever

26

Dose schedule for pneumococcal vaccine?

IM @ 2, 4, 6 months and the 4th dose btw 12-15 months of age

27

This vaccine is recommended for children aged 2-10 who have an indication for vaccination?

Meningococcal

28

What are indications for meningococcal vaccination in kids?

travelers to regions where meningitis is endemic and those with immune deficiencies

29

Meningococcal vaccine is recommended for ALL children of what age?

11-18

30

Universal immunization for this disease is recommended for children 12-13 months of age?

Hep A

31

Hep A dose schedule if patient is 1-18 years old?

2 IM doses at least 6 months apart

32

The influenza vaccine is recommended for all children > what age?

>6 months

33

Give how many doses of influenza vaccine if it is child's first time?

2; give first then 2nd 28 days later

34

There are ___ oral vaccines available for rotavirus?

2

35

RV5, PRV, or RotaTeq is one type of rotavirus oral vaccine, what is the dose schedule?

3 doses @ 2, 4, and 6 months of age

36

RV1, HRV, RotaRix is the other type of rotavirus oral vaccine, what is the dose schedule?

2 doses, @ 2 and 4 months of age

37

What are the current recommendations for HPV vaccine in girls?

Recommended for routine administration in girls beginning in 11-12 years of age and for girls and women ages 13-26 who have no received or completed the vaccine series

38

What are the current recommendations for HPV vaccine in boys?

Recommended for boys beginning in 11-12 year old range and men ages 12-21 who have not received or completed the vaccine series

39

Gardasil is active against which HPV strains?

6, 11, 16 and 18

40

What is the dose schedule for Gardasil?

3 doses, at time 0, at 2 and 6 month follow up

41

Cervarix is active against which HPV strains?

16 and 18

42

Dose schedule for Cervarix?

3 doses; at time 0, 1 and 6 month follow up