Recommendations, Immunizations Flashcards Preview

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Flashcards in Recommendations, Immunizations Deck (32)
1

When give fluoride and iron fortified foods?

Fluoride - after 6 mo

Iron - 4-6 mo

2

Vit D supplement

Formula:
Only if formula has no vit D

Baby low birth weight

Poor milk intake

Breastfeeding:
Inadequate Vit D intake in mom's diet, no sun exposure

3

Introduce solids at

4-6 mo age

Risk of atopy before this

4

How long avoid honey for?

1st year life

5

Live attenuated vaccines

Viral
- MMR
- varicella
- yellow fever

Bacteria
- BCG
- oral typhoid

6

Inactivated vaccines

Virus
- polio
- rabies
- hepatitis A

Protein based/toxoid
- hep B
- influenza
- pertussis
- diptheria
- tetanus

Polysaccharide based
- pneumococcal
- HIb
- meningococcal

7

Simultaneous admin of vaccines

OK for inactivated vaccines at separate sites except:
- cholera
- typhoid
- plague

Live viruses should be administered 1 month apart

Pneumococcal and whole virus flu can be given together at diff sites

8

Vaccine hypersensitivities 2/2 to..

Egg

Neomycin

Streptomycin

9

When are you permanently contraindicated to vaccines?

Severe allergy to prior admin

Encephalopathy after pertussis vaccine

10

OK to immunize preterm infants at chronologic age?

Yes!

And don't reduce dosage

11

General rules for catch up

For lapsed vaccines
- resume schedule as if usual interval has elapsed - don't repeat doses

- 2nd dose HiB only if 1st dose > 15 mo old

- 2nd dose PCV7 only if child < 2 yo

12

When is Hib 2 dosing needed and when is it not?

If had HiB disease < 2 yo - no immunity conferred

Don't need 2 dose if give vaccine > 15 mo age

13

If mom is Hep B +, what do you do for neonate?

Begin prevention within 12 h birth

HBV and HBIG at DIFFERENT sites

14

Vaccinations at birth

Hep B #1

15

Vaccinations at 2 months

6 vaccines

(Pentacel)
DTaP #1
Polio #1
Hib #1

Pneumococcal #1 (Prevnar)

Rota #1

Hep B #2

16

Vaccinations at 4 months

5 vaccines

(Pentacel)
DTaP #2
Polio #2
Hib #2

Pneumococcal #2
(Prevnar)

Rota #2

17

Vaccinations at 6 months

6 vaccines

(Pentacel)
DTaP #3
Polio #3
Hib #3

Pneumococcal #3 (Prevnar)

Rota #3

Hep B #3

18

Vaccinations at 9 months

No vaccines, catch up on missed doses

19

Vaccinations at 12 months

3 vaccines

MMR #1

Varicella #1

Hep A #1

20

Vaccinations at 15 months

DTaP #4

Pneumococcal #4
(Prevnar)

Hib #4

21

Vaccinations at 18 months

Hep A #2

22

Vaccinations at 4-6 years

DTaP #5

Polio #4

MMR #2

Varicella #2

23

Vaccinations at 11-17 years

Tdap (only for kids s> 7 yo)

Meningococcal

24

Vaccinations at 9-17 years

HPV
- minimum 9 yo
- dose at 0, 2, 6 months

25

Dtap vs Tdap

DTap only for kids < 7 yo

Tdap only for kids > 7 yo

26

Screening labs at 12 months

CBC

lead

27

#1 contraindication for intranasal flu vaccine

Asthma

28

Tdap vs DTap

Tdap for adults > 7

DTap for kids < 7

29

Contraindications vs precautions for diptheria/tetanus vaccine

Contraindication
- anaphylaxis

Precautions
- mod - severe acute illness
- Guillain-Barre within 6 wks of vaccine
- arthus-type hypersensitviity rxn

30

Contraindications vs precautions for pertussis vaccine

Contraindications
- anaphylaxis
- progressive neuro d/o (uncontrolled epilepsy, infantile spasms)
- Encaephaloathy w/in 1 week of prev vaccine dose

Precautions
- mod - severe acute illness
- seizure w/in 3 days
- temp > 105 within 2 days
- hypotonic-hyporesponsive episode within 2 days
- inconsolable, persistent crying within 2 days

31

DTaP is only available combo usuall. When do you give just the diptheria and tetanus toxoids wthout pertussis?

Encephalopathy within 1 week., progressive neuro d/o

Anaphylaxis to DTaP in past is a contraindication to avoid all components!

32

Contraindications to rotavirus vaccine

Anaphylaxis to ingredients

Hx of intussusception

Hx uncorrected congenital malformation of GI tract (eg Meckel)

SCID