Vaccinations OME Flashcards Preview

Pediatrics Board Review > Vaccinations OME > Flashcards

Flashcards in Vaccinations OME Deck (22):
1

passive immunity

first 6 months - mom donates Ab to kid

2

toxoid

something looks like toxin

3

vaccines with egg

MMR, yellow fever, influenza

4

live attenuated virus vaccines

MMR, varicella - old flu shot

5

abnormal rxn to vaccine

T greater than 105F and anaphylaxis

6

hep B if mom positive

baby - IVIG and hep B at delivery

7

hep B mom negative

baby need hep B by 2 months

8

hep B mom unknown

need Hep B now - at delivery

9

hep A and B

requrie 3 doses

10

DTaP

three doses in first year
-diptheria, tetanus, acellular pertussis

three doses in first year
-2 more by 4yo
-tetanus - booster every 10 year

11

dirty wound and more than 5 years from tetanus

IGIG and tetanus toxoid

12

Hib vaccine

infection does not confer immunity
-prevent epiglottitis and meningitis

13

MMR

everyone booster before go to school

14

pneumococcal vaccine

elderly with lung disease
immunocompromised
asplenic patient

15

HPV vaccine

boys and girls - before sexually active

16

diptheria presentation

fever, dysphagia, dyspnea
-gray pseudomembrane obstructs upper airway

DO NOT remove pseudomembrane

17

tx of diptheria

intubation - protect airway

IV abx and IVIG - Ab against toxin

18

tetanus presentation

painful muscle spasms and lockjaw

19

tx of tetanus

supportive
-sedation - muscle relaxants

if more than 5 years since vaccination
-tetanus booster

if more than 10 years
-booster and IVIG

20

pertussis

whooping cough

21

phases of pertussis

1 - catarrhal - infectious
-low grade T, cough, runny nose
-2-3 weeks in kids

2 - paroxysmal - coughing fits
-inspiratory stridor

3 - resolution - get better

22

tx of pertussis

supportive
-erythromycin if tx early - and all contacts