n304 immunizations

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Author:
buckwild
ID:
174996
Filename:
n304 immunizations
Updated:
2012-10-09 10:38:42
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immunzations
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immunizations
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  1. what is VAERS?
    vaccine adverse event reporting system. 
  2. what is VIS?
    vaccine information statements.  informational packet
  3. nurse's role when a parent refuses or delays vaccines?
    assess their reasons in a non-confrontational way.  paraphrase and give them accurate information
  4. which provides better immunity: natural infection or artificially acquired?
    almost always natural
  5. inactivated virus provides what % protection?
    90-100%.  requires frequent boosters
  6. passive immunity given when?
    congenital immunodefiency, transplant, cancer
  7. what type of protection has highest level of side effects?  natural active / natural passive / artificial active / artificial passive
    natural active acquired
  8. hep B given when?
    • birth to 2 months
    • 1 to 4 months
    • 6 to 18 months
  9. side fx of hep B vaccine?
    low grade fever
  10. what are given to babies exposed or possibly exposed to hep B?
    hep B vaccine & HBIG (hep B immune globulin)
  11. Dtap includes what?
    diphtheria, tetanus, pertussis
  12. when is a Dtap given? / how many?
    • series of 5 injections:
    • 2, 4, 6 months
    • boosters at 15-18 months and 4-6 years
  13. possible side effects of Dtap?
    • swelling, soreness, fever, restlessness, inconsolable
    • possible allergic reaction - seizure or brain alteration. look for nonstop crying > 3 hours of fever up to 105
  14. polio vaccine given when
    • 2, 4, 6-18 months
    • booster at 4-6 years
    • given subQ
  15. Pedarix and Pentacel?
    combo of Dtap, IPV, hep B
  16. dont give polio vaccine if allergic to...
    neomycin, streptomycin, or polymyxin B
  17. HIB haemophilus influenza B
    2, 4, 6 months and 12-18 months
  18. pneumococcal conjugate PCVR13 (Prevnar)
    • protects against meningitis and various other strands
    • given 2, 4, 6, 12-15 months
  19. PPV23 (Pneumovax).  used for who?
    • not approved for under 2 years
    • used for chronically ill children/immunodeficient
  20. if reaction to DTap, should not get what?
    Prevnar or Pneumovax
  21. influenza contraindications?
    • eggs or bird reactions
    • < 6 months old
  22. TIV - influenza (Fluzone)
    • inactivated.  should get it in fall and winter
    • first time under age of 9:  2 doses 4 weeks apart
  23. LAIV (influenza) Flumist
    • intranasal.  2-49 years old
    • 2 doses 4 weeks apart
  24. symptoms of rotaviris?
    gastroenteritis virus causing fever, vomiting, severe diarrhea > serious dehydration.
  25. Rotateq and Rotarix
    2 types of rotavirus vaccines
  26. Rotarix given orally how?
    2 doses at age 2 and 4
  27. is rotavirus vaccine live or killed?
    live.
  28. first dose must be given between what ages?
    no earlier than 6 weeks of age, no later than 14 weeks 
  29. contraindications for rotavirus vaccine?
    • uncorrected congenital GI malformations
    • any pts with immunocompromised siblings
  30. adverse reactions of rotavirus vaccine?
    • mild: fever, runny nose, fussy, vomiting
    • severe: intussception, Kawasaki disease
  31. MMR vaccine is live or killed?
    live
  32. MMR given when?
    12-15 months and again at 4-6 years
  33. MMR given in how many doses?
    2 (12-15 months & 4-6 years)
  34. contraindications to MMR?
    • allergies to gelatin, neomycin, or previous dose
    • allergies to egg >> must be watched for 90 min
    • immunocompromised
    • pregnant
    • + PPD
  35. varicella vaccine - live or killed?
    live attenuated
  36. varicella - how many doses & when?
    two (12-15 months & 4-6 years)
  37. contraindications to varicella vaccine
    • allergies to gelatin, neomycin, streptomycin
    • severely immunocompromised (HIV+, chemo)
    • pregnancy
  38. MMRV vaccine contains immunity against what?
    measles, mumps, rubella, varicella
  39. MMRV approved for what ages?
  40. HiB has helped with a decreased incidence of what?
    epiglottitis
  41. varicella and MMR should not be given prior to what age?
    1 year
  42.  RSV vaccine given to what population?
    <2 years of age who has CLD, CHD, severe immunodeficiency
  43. RSV given prophylactically to what population?
    preemies
  44. target population for HPV (Gardasil)?
    preadolescent girls
  45. how many doses and when for HPV vaccine?
    • 3 doses total
    • first dose: reccommended @11-12 years. 
    • second dose:  2 months after first dose
    • third dose:  6 months after first dose
  46. contraindication for HPV?
    latex allergy
  47. Hep A vaccine - how many doses, when given?
    • 12 months
    • 18 months - booster
  48. how is hep A spread?
    person to person; contaminated food & water
  49. meningococcal vaccine (MCV4) - given when?
    • routine around 11-18 years
    • 19-55 for high risk population (college frosh, travelers)
  50. general vaccine contraindications?
    • immunocompromised persons (especially live viruses)
    • hx of anaphylaxis to vaccine
    • moderate-severe illness with or without fever
  51. preemie infants are given according to what age- corrected or actual?
    actual age.
  52. how long of an interval between immunizations?
    4 weeks
  53. how long should you wait before doing a PPD after a live vaccine?  why?
    4-6 weeks.  will produce a false negative
  54. vaccine administration injection sites?
    • vastus lateralis (for infants & toddlers lacking deltoid mass)
    • deltoid (toddlers, children, adults)

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