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Vaccinations Flashcards

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1
Q

What book provides information about commonly used vaccines and diseases they prevent?

What about for international travelers?

A

Pink book

Yellow book

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2
Q

Can all vaccines be given at the same time?

A

Yes, all vaccines can as long as you separate injection sites

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3
Q

What influenza vaccine(s) can be given at 6 months?

A

Fluzone quad

Afluria IM

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4
Q

What influenza vaccines can be given starting at 18y.o?

A

Afluria (needle-free)

Flublock

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4
Q

What influenza vaccine can be given starting at 65y.o?

A

Fluzone HD

Fluad

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4
Q

What influenza vaccine can be given if egg allergy and what is the age?

A

ANY

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4
Q

Which influenza vaccine is live and what is the age? What is the dose?

A

Flumist

2-49y.o

2-8y.o - 0.2mL dose and repeat in a month
9-49y.o - 0.1mL in each nostril

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4
Q

When do you give two doses of influenza vaccine?

A

6months-8y.o previously unvaccinated receive 2 doses separated by 4 weeks

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4
Q

What makes you contraindicated to get the influenza vaccine?

A

Guillain-barre syndrome

Allergy to thimerosal

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5
Q

What age do you give the pneumococcal vaccine?

A

> 6 weeks

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6
Q

What are the four pneumococcal vaccines? What brand name and age?

They are all IM, but which one is subQ?

A

PCV 15 - Vaxneuvance - >6 wks

PCV 20 - Prevnar 20 - >6 weeks

PCV21 - Capvaxive - >18y.o

PPSV23 - Pneumovax - >2 y.o - IM and SUBQ

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7
Q

What are the options for pneumococcal vaccines for 19-50 who haven’t had it yet?

A

PCV 20 or PCV 21 alone

OR

PCV15 then PPSV23 a year later

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8
Q

What are the hepatitis B vaccines?

When do you give it?

A

Engerix-B / Recombivax -B - at birth before discharge (0, 1, and 6 months)

Heplisav - >18y.o

Prehevbrio - >18y.o

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9
Q

do you give the hep B vaccine after 60 y.o?

A

Yes, if they are high risk

CLD, sexually active, IVD ,

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10
Q

What do you give to baby if mom is Hep B positive ?

A

Hepatitis B immune globulin and hep B vaccine at the same time within 12H of birth

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11
Q

Brand name of hepatitis A vaccines

When and how much to give?

How is it transmitted?

A

Havrix
VAQTA

2 doses 6 months apart starting at 1y.o

Via fecal-oral route

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12
Q

What is the DTaP?

ROA?

Storage?

Who is it for? and how many doses?

When is it contraindicated?

A

Tetanus
Diptheria
Pertussis

IM

Fridge

Only for infants and not past 7 y.o
5 doses - 2,4,6,18 months and 4-6 y.o

Kids with encephalopathy or neurological problems

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13
Q

When do you give the Tdap booster?

A

11-12 y.o after completed DTap series

Then every 10 years (can give Tdap or Td)

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14
Q

Brand name of DTaP?

Brand name of TdaP?

Study These Flashcards
A

Daptacel
Infanrix

Adacel
Boostrix

15
Q

When do you give the tdap vaccine in pregnancy? Do you repeat with each pregnancy?

Study These Flashcards
A

In third trimester (27-36 weeks)

Yes repeat because its protecting the baby not her

16
Q

MMR

ROA - why?
Storage
Brands
When to give
How many doses?

Study These Flashcards
A

SubQ because it is live

Fridge or freezer

MMRII / Priorix

1 y.o

2 doses at 1 year then 4-6 year

17
Q

Contraindications of MMR?

Study These Flashcards
A

Pregnancy, immunocompromised, neomycin or gelatin allergy . severe thrombocytopenia

18
Q

Can you give MMR to HIV patients?

Study These Flashcards
A

Can give to HIV but not AIDS (CD4 <200)

19
Q

What is ProQuad? Where is it stored?

Study These Flashcards
A

MMR and Varicella

In freezer or fridge for up to 72 hours before reconstitution

20
What is variZIG?
Immune globulin (IM) Not a vaccine
20
Varicella Brand ROA When to give How many doses Storage
Varivax SubQ because it's live 1 y.o 2 doses Freezer
21
Polio Brand ROA Doses When to give
IPOL IM/SC but it is not live 4 doses 2,4,6 m then 4-6 y.o
22
What is Kinrix / Quadracel ? What age?
DtaP - IPOL 4-6 years old , 1 dose
23
H. Influenza B (HiB) What does it protect against When to give Doses Brand
Meningitis, pneumonia, epiglottis 2 months - 5 years ActHIB - 4 doses Hiberix - 4 doses Pedvax HIb - 3 doses
24
Meningococcal Brand Age
Menveo - 2mon - 55y.o Menquadfi - >2 y.o
25
What is trumenba / Bexsero?
Only protect against men.B An additional coverage
26
When do you give meningococcal vaccine?
All adolescents 11-18 y.o , unless high risk then give at 2 months Then a booster at 16y.o Then another if they are in a crowded area, like a dorm, military, HIV, spleen injury
27
HPV vaccine Brand When to give and how many doses and ROA
Gardasil 9 9-45 y.o (recommended at 11-12) 9-14y.o - 2 or 3 dose IM 15-45 - 3 dose
28
Shingles vaccine Brand Who Doses / ROA Storage Do you give if they had shingles? What about zostavax?
Shingrix Patients >50 y.o or >18y.o if immunocompromised 2 doses , 2-6 months apart IM Fridge Yes still give it for both situations
29
Rotavirus A common cause of.. Brand When Doses / ROA Storage
Viral gastroenteritis Rotarix - live, ORAL , 2 doses, at 6 weeks and 10 weeks RotaTeq - live, ORAL, 3 doses at 2,4, and 6 months Refrigerator
30
Ixiaro Covers? When Who Doses ROA
Japanese encephalitis vaccine transmitted by mosquitos > 2 months , 2 doses IM 28 days apart , 1 week prior to travel
31
Typhoid Caused by? Types of vaccines When, Who ROA Doses Storage
Salmonella typhi Typhim Vi - inactivated, > 2y.o , x 1 dose Vivotif - LIVE , > 6y.o , 1 CAPSULE every other day x 4 doses on empty stomach Fridge
32
Yellow fever Transmission Who When Doses / ROA Cautions
Via mosquitos >9months 1 dose SC (because its live) Egg allergy, pregnant women, immunosuppressed
33
Rabies Brand Doses
RabAver, Imovax, 2 doses for prophylaxis 7 days apart Kedrab - Immune globulin for POST exposure - 4-5 doses over 2-3 weels
34
What are the components of TwinRix Proquad Kinrix/quadracel Pediarix Pentacel
1. HepA and hepB 2. MMR and varicella 3. DTap + IPV 4. DTap + hepB + IPV 5. DTap + Hib + IPV
35
What are the three vaccines that must be given to patients who had damage to spleen or a splenectomy?
Pneumococcal HiB Meningococcal
36
What are fridge and freezer temps/?
fridge - 36-46 F or 2-8 C Freezer - -58 to 5 F or -50 to -15 C
37
What are three vaccine recommendations for diabetes patients
Pneumococcal Influenza Heb B (19-59 y.o)
38
What gauge vaccine for IM vaccines? Where do you give vaccine up to 2 y.o? What needle length for <130lbs? > F200lbs , M >260?
22-25 Side of the thigh 5/8 - 1 inch 1.5 inchWh
39
What gauge and needle length for subQ?
23-25G 5/8 inch

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