Ch 41 Immunizations Flashcards

1
Q

Tdap

Tetanus and diphtheria toxoids and pertussis vaccine

A

Administer one dose at 11-12 years

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2
Q

Haemophilus influenza type B booster

Hib

A

Administer doses at 2,4,6 and at 12-15 months

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3
Q

Td booster

Tetanus and diphtheria

A

Administer one dose every 10 years following DTaP

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4
Q

Rotavirus RV oral vaccine

A

Max age of administration is 8 months
RV-5 vaccine administered as a 3 dose series at 2,4,6 months of age
RV-1 vaccine administered as a 2 dose series at 2&4 months

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5
Q

Inactivated poliovirus vaccine

IPV

A

Administer doses at 2,4 and 6-18 months and at 4-6 years

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6
Q

MMR

measles mumps and rubella vaccine

A

Administer at 12-15 months and at 4-6 years

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7
Q

Varicella vaccine

A

Administer one dose at 12-15 months and 4-6 years or two doses administered 4 weeks apart if administered after age 11

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8
Q

PVC

pneumococcal conjugate vaccine

A

Administer doses at 2,4,6 and 12-15 months

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9
Q

Hepatitis A vaccine

A

Administer 2 doses after 12 months of age administer the second dose 6-18 months after the 1st.

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10
Q

Hepatitis B Vaccine

A

Administer within 12 hr after birth with additional doses at 1-2 months and 6-18 months after the first

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11
Q

Seasonal influenza vaccine

A

Annually beginning at 6 months administer trivalent inactivated influenza vaccine TIV
Starting at age 2 the live, attenuated influenza vaccine LAIV nasal spray can be used it is contraindicated in kids with asthma
Oct- nov is the ideal time dec is acceptable

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12
Q

What are adverse effects of IPVs and contraindications and precautions

A

Adverse effects;Local reaction at injection site
Rare; vaccine associated paralytic poliomyelitis

Contraindications;pregnancy, unless woman is at high risk for contracting polio
Confirmed allergy to streptomycin, neomycin, or polymyxin B

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13
Q

What are adverse effects as well as contraindications and precautions of MMRs

A

Adverse effects;local Reaction at injection site
Rash, fever, swollen glands
Possibility of joint pain lasting for days to weeks
Risk for anaphylaxis and thrombocytopenia

Contraindications; pregnancy or possibility of
Immunocompromised patients
Recent transfusion with blood products
history of thrombocytopenia

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14
Q

What are adverse effects as well as contraindications and precautions of varicella vaccine

A

Adverse effect; varicella like rash, local or generalized such as vesicles on the body

Contraindications;cancers of the blood and lymphatic system
Allergy to,gelatin and neomycin
Immunocompromised recent transfusion of blood products

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15
Q

What are adverse effects of PCV and PPV vaccines

A

Mild local reactions
Fever
No serious adverse effects

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16
Q

What are adverse effects as well as contraindications and precautions of hepatitis A and Hepatitis B vaccines

A

Local,reaction at injection site
Mild fever
Anaphylaxis

Contraindications; hep a- pregnancy may be a contraindication
Hep b- allergy to bakers yeast

17
Q

What’s a contraindication of MCV4

A

History of Gillian barre syndrome

18
Q

What are adverse effects of HPV2 or HPV4 vaccine

A

Mild local reaction and fever
Fainting shortly after vaccination
Rare: risk for Gillian barre syndrome

Contraindications;
Pregnancy
Allergy to bakers yeast

19
Q

Wheat part of the body should vaccinations be administered

A

In the vastus lateralis for infants and young children

In the deltoid muscle for older children and adolescents

20
Q

For a vaccination, where should subcutaneous injections be given

A

Administer subcutaneous injections in the outer aspect of the upper arm or anterolateral thigh

21
Q

What should parents avoid the administration of aspirin to children to treat fever or local reaction

A

Because of the risk for Reye syndrome

22
Q

How should a parent treat a child’s pain prior to and after immunizations

A

Instruct parents to premedicate with. On opioid analgesic/ antipyretic prior to immunizations and the following 24 hours

Use acetaminophen for infants 2-6 months
Ibuprofen can be administered starting at 6 months

23
Q

DTaP

Dpitheria and tetanus, toxoids and acellular pertussis vaccine

A

Given at 2,4,6; 15 to 18 months and at 4 to 6 years