Immunizations

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Author:
giddyupp
ID:
75127
Filename:
Immunizations
Updated:
2011-03-25 00:59:07
Tags:
Immunizations PHPR524 Test5
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Immunizations
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  1. What type of pathogen is used for live vaccines?
    active, but weakened strain of the virus
  2. What type of pathogen is used for killed/inactivated vaccines?
    • Killed virus
    • virus fragments
    • killed bacteria
    • bacterial antigens
  3. What type of pathogen is used for toxoids?
    Inactivated bacterial toxins
  4. Which type of vaccination is confers the greatest immunity?
    live vaccines
  5. How are live vaccines generally dosed?
    • 1-2 doses (1 dose and a booster)
    • Only given to those >1 yo d/t possible interference of circulating maternal antibodies
  6. How are inactivated vaccines generally dosed?
    • In a series, 4 wks between shots
    • Last dose 6mo after 1st dose or 2nd to last dose
  7. How are toxoids generally dosed?
    • In a series
    • Boosters required for life
  8. How are live vaccines spaced from other vaccines?
    • Live vaccines can be given simultaneously, but if they are not, the must be 28d apart
    • Separate by at least 1yr from blood products
  9. What are the SE associated with live vaccines?
    milder version of the disease
  10. What are the SE associated with inactivated vaccines?
    generally only mild injection site reactions
  11. What are the SE associated with toxoids?
    More local tissue reactions than other vaccines (most likely d/t adjuvants)
  12. Which vaccines are live?
    • Varicella/Zoster
    • MMR
    • Smallpox
    • Polio (oral)
    • LAIV
  13. Which vaccinations are inactivated?
    • Hep A
    • Hep B
    • Influenza IM
    • Meningococcal
    • Pertussis
    • Polio (injection)
    • Pneumococcal
    • HPV
  14. Which vaccinations are toxoids?
    • Diptheria
    • Tetanus
  15. What should you do if a patient has a serious adverse reaction to a vaccine?
    Report it to VAERS
  16. Which vaccines are recommended for the immunocompromised?
    • TIV
    • PCV/PPSV
    • MCV4/MCSV4
    • Hib
  17. Which vaccines are CI in the immunocompromised?
    • MMR
    • Varicella
    • Zoster
    • MMRV
    • LAIV
  18. Which vaccines are recommended in Pregnancy?
    • TIV
    • Td (if indicated)
  19. Which vaccines are CI in pregnancy?
    • LAIV
    • MMR
    • Varicella
    • Zoster
    • MMRV
  20. Which vaccines are recommended in Asplenia?
    • Pneumococcal
    • Meningococcal
    • Hib
  21. Which vaccines are recommended for the elderly?
    • Zoster
    • Pneumococcal
    • Influenza
  22. Which vaccines are scheduled for teens?
    • Tdap (11-12)
    • HPV (11-12)
    • MCV4 (11-12)
    • Influenza (yearly)
  23. How is Tetanus, Diphtheria, Pertussis scheduled for adults?
    • Replace one booster with Tdap
    • Td q 10y thereafter

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