Vaccines Flashcards Preview

NAPLEX > Vaccines > Flashcards

Flashcards in Vaccines Deck (8)
Loading flashcards...
1
Q

How are vaccines approved

A

FDA approved them

Advisory Commitee on Immunizations (ACIP) provides the recommendations

CDC approves the recommendations and distributed them

PINK BOOK: Epidemiology and prevention of vaccine preventable diseases

Vaccine Information Statement (VIS) information for patients prepared by the CDC federal law requires that these be given to all patients before vaccination

2
Q

Live vaccines

COZY IV RM

A
  • CHolera
  • Oral typhoid
  • Zoster (Zostavax)
  • Yellow Fever
  • Intranasal influenza
  • Varicella
  • Rotavirus
  • MMR
3
Q

Timing and Spacing for vaccines

A
  • Vaccines can usually be given at the same time
  • Multiple live vaccines can be given at the same time or spaced 4 wks apart
  • If series requires more than one dose the interval in between doses can be extended without restarting the series but they cannot be shortened

Live vaccines and Antibody

  • MMR and varicella containing vaccines not zoster, require separation from antibody containing products (blood transfusion, IVIG),
    • Vaccines –> 2wks–> from antibody containing products
    • Antibody containing products–> 3 months or longer–> vaccine
  • Live vaccines are held until the child is 12 months
4
Q

Live Vaccine and TB tests

A
  • Give live vaccine on the same day as the skin test
  • Wait 4 wks after live vaccine to perform skin test
  • Admin skin test get results in 48-72 hours then get vaccine
5
Q

Vaccine Adverse Reactions

A
  • Monitor pt for at least 15 minutes after
  • Vaccine Adverse Event Reporting System (VAERS)
6
Q

Systemic and True Allergic Reactions from vaccines

A
  • The flu shot is inactive and cannon cause the flu
  • With live vaccines mild systemic reactions can occur 3-21 days after the vaccine is given
  • Intranasal flu can give cold symptoms
  • Minor Allergic reactions can be treated with OTC diphenhydramine or hydroxyzine
  • Severe allergic reactions (rare) IgE mediated and occur within minutes after the vaccination: Hives swelling of the airways: epinephrine should be given
7
Q

Epinephrine dosing and use for anaphylaxis

A

.01 mg/kg max o.5 mg per dose up to 3 times

8
Q
A