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Flashcards in Well Child 3 Deck (32)
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1

Hep B Vaccine

  • How many doses?
  • Given at what ages?
  • Incidence of Hep B has declined by 82% since 1990
  • Disease spread how?

  • 3 doses
  • birth, 1-2 months, 6-18 months
  • contact w/ blood or bodily fluids, birth

2

Hep B

  • 5 sxs? (may be asymptomatic too)
  • 3 complications of dz?
  • 1 contraindication to vaccine
  • 2 ADEs from vaccine

  • Sxs: jaundice, HA, wkness, V, joint pain
  • complications: chronic liver infection, liver failure, liver cancer
  • Contraindication: severe allergy to yeast
  • ADEs: fever / pain at injection site

3

What is the leading cause of hospitalizations & death from acute gastroenteritis in young children worldwide?

Rotavirus

4

Rotavirus

  • What type of vaccine?
  • Given at what 3 ages?
  • Dz spread how?
  • 3 dz sxs?
  • 2 complications of dz?

  • Type: Live, oral vaccine
  • ages: 2, 4, 6 months
  • spread: saliva, oral contact
  • sxs: V, D, fever
  • Complications: severe diarrhea, dehydration

5

Rotavirus

  • 3 contraindications to vaccine
  • 2 ADEs from vaccine

  • Contraindications: 
    • hx of intussusception
    • infants w/ SCID (severe combined immunodeficiency)
    • defer in those w/ acute moderate-severe gastro
  • ADEs:
    • slight incr risk of intussusception
    • V/D, cough/rhinorrhea

6

DTaP (Diphtheria-tetanus-acellular pertussis)

  • How many doses?
  • What ages?
  • How is diphtheria spread?
  • How is tetanus spread?
  • How is pertussis spread?

  • # doses: 5
  • Ages: 2, 4, 6, 15/18 months, 4 yrs
  • Diphtheria: air & direct contact
  • Tetanus: exposure through cuts in skin
  • Pertussis: air & direct contact

7

4 sxs of Diphtheria

  • sore throat
  • fever
  • weakness
  • swollen glands in neck

8

5 sxs of tetanus

  • stiffness in neck
  • stiffness in abdominal muscles
  • difficulty swallowing (dysphagia)
  • muscle spasms
  • fever

9

3 sxs of pertussis

  • severe cough
  • rhinorrhea
  • apnea

10

5 complications of diphtheria

  • pericarditis
  • heart failure
  • coma
  • paralysis
  • death

11

3 complications of tetanus

  • broken bones
  • breathing difficulty
  • death

12

2 complications of pertussis

  • PNA
  • death

13

3 contraindications of DTaP vaccine

  • do not give to children who have developed encephalopathy w/in 7 days of a previous dose of this vaccine
  • defer for those w/ progressive neurological disorders (infantile spasms, uncontrolled epilepsy) until condition is stabilized
  • precaution if pt developed high fever, inconsolable crying, or shock like state previously w/in 48hrs of vaccine admin.

14

2 ADEs from DTaP vaccine

  • swelling/redness at site
  • fever

15

HIB (Haemophilus influenza type B)

  • How many vaccines?
  • What ages?
  • Before vaccine, HIB was leading cause of what?

  • # doses: 4
  • Ages: 2, 4, 6, 12/15 months
  • invasive bacterial disease in children <5 yrs in the U.S.

16

2 contraindications to HIB vaccine

  • Infants < 6 weeks of age
  • Individuals w/ allergic rxn to previous HIB vaccine

17

PCV 13 (Pneumococcal) 

  • # doses?
  • Ages?
  • Common cause of what 2 infections?

  • 4
  • 2, 4, 6, 12 months
  • AOM & Sinusitis

18

2 contraindications to PCV 13 (Pneumococcal)

  • severe previous allergic reaction to vaccine
  • defer for individuals during moderate or severe acute illness w/ or w/o fever

19

5 ADEs of PCV 12 (Pneumococcal)

  • Fever
  • Local rxn
  • Irritability
  • Increased or Decreased sleep
  • Risk of febrile seizures when administered w/ influenza vaccine**

20

IPV (Poliomyelitis)

  • # doses?
  • Ages?
  • No longer what?

  • 4
  • 2, 4, 6-18 months, 4 yrs
  • no longer a live vaccine

21

3 contraindications to IPV (Poliomyelitis)

  • allergic reaction to previous IPV vaccine
  • defer during moderate or severe acute illness
  • pregnancy

22

MMR (Measles, Mumps, Rubella)

  • # doses?
  • Ages?
  • Type of vaccine?
  • DOES NOT CAUSE WHAT?

  • 2
  • 12-15 months & 4 years
  • autism

23

5 sxs of measles

  • rash
  • fever
  • cough
  • rhinorrhea
  • pink eye

24

5 sxs of mumps

  • swollen salivary glands
  • fever
  • HA
  • fatigue
  • muscle pain

25

3 sxs of rubella

  • rash
  • fever
  • swollen lymph nodes

26

Does Measles, Mumps, or Rubella have very serious complications in pregnant women--> miscarriage, stillbirth, premature delivery, birth defects?

Rubella

27

3 contraindications to MMR vaccine

  • pregnant women, women intending to become pregnant within 28days
  • immunocompromised persons
  • egg or neomycin allergy (anaphylactic)

28

3 ADEs of MMR vaccine

  • fever (5-15%) about 6-12 days following vaccine
  • transient morbilliform rash
  • GBS (1 case per 3million)

29

Varicella

  • # doses?
  • Ages?
  • 2 contraindications
  • Unique ADE 

  • 2
  • 12-15 months & 4 yrs
  • allergic rxn after previous varicella vaccine
  • pregnant women
  • ADE: sparse varicelliform rash outside injection site 5 - 26 days after vaccine

30

Hepatitis A 

  • # doses?
  • Ages?

  • 2
  • 12 & 18 months (must be 6 months from 1st dose)