Flashcards in Pediatric Immunizations Deck (42):
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
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
If a child has an adverse reaction to a vaccine, where should you report it?
United States Department of Health and Human Services
What is the typical administration schedule for Hepatitis B vaccine?
Ideally at birth during hospitalization, at 1-2 months, and at 6-18 months
What patients do you want to AVOID hep B vaccines?
Avoid in patients with hypersensitivity to yeast or any vaccine components
What is the recommended administration of TDaP?
5 dose series; 2 mos, 4 mos, 6 mos, 15-18 mos, and 4-6 years
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
What are the 2 licensed formulations of DTaP?
How many licensed formulations of the Hib vaccine are there?
3 (PedVaxHIB, ActHIB/OMNIHib, Hiberix)
PedVaxHIB is available as?
A 2 dose series @ 2 and 4 months and as a booster at 12-15 months
ActHIB is available as?
A 3 dose series @ 2, 4, and 6 months and a booster at 12-15 months
What are the contraindications to Hib vaccine?
Local reactions to the Hib vaccine occur in what percentage of patients?
What is the only available Polio vaccine available in the US?
Trivalent IPV (inactivated polio virus)
How is IPV administered?
Subq or IM in 4 doses; 2, 4, 6-18 months and 4-6 years
What adverse effects are assoc. with IPV?
These vaccines are live, attenuated vaccines?
MMR (Measles, Mumps, Rubella), Varicella, Rotavirus
What is the administration schedule of MMR?
1st dose at 12-15 months, 2nd dose at school entry
What are the "true" contraindications to MMR vaccine?
pregnancy, known altered immunodeficiency, long term immunosuppressive therapy, and hematologic or solid tumors
If patients develop this condition within 6 weeks of prior MMR dose, they should NOT receive the subsequent dose?
Possible adverse reactions to MMR vaccine?
Fever, rash, joint complaints, hypersensitivity reactions, development of ITP, and seizures
What is the admin. schedule for varicella vaccine?
2 dose series; subq or IM, @ 12-15 months and again at 4-6 years
Contraindications to varicella vaccine?
primary or acquired immunodeficiency, pregnancy, moderate or severe illnesses and previous anaphylactoid reaction to neomycin or gelatin
What do you have to avoid for 6 weeks after the varicella vaccine?
salicylates d/t concern for Reye's syndrome
Adverse reactions to varicella vaccine?
Rash and fever
Dose schedule for pneumococcal vaccine?
IM @ 2, 4, 6 months and the 4th dose btw 12-15 months of age
This vaccine is recommended for children aged 2-10 who have an indication for vaccination?
What are indications for meningococcal vaccination in kids?
travelers to regions where meningitis is endemic and those with immune deficiencies
Meningococcal vaccine is recommended for ALL children of what age?
Universal immunization for this disease is recommended for children 12-13 months of age?
Hep A dose schedule if patient is 1-18 years old?
2 IM doses at least 6 months apart
The influenza vaccine is recommended for all children > what age?
Give how many doses of influenza vaccine if it is child's first time?
2; give first then 2nd 28 days later
There are ___ oral vaccines available for rotavirus?
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
RV1, HRV, RotaRix is the other type of rotavirus oral vaccine, what is the dose schedule?
2 doses, @ 2 and 4 months of age
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
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
Gardasil is active against which HPV strains?
6, 11, 16 and 18
What is the dose schedule for Gardasil?
3 doses, at time 0, at 2 and 6 month follow up
Cervarix is active against which HPV strains?
16 and 18