Killed vaccine

IPV,  TIV, Rabies

   Live attenuated infectious agent

–      MMR, V,  LAIV

for immunocompetent persons only , handling issues

–      Hepatitis B, HPV

•       Toxoid (toxin heated to weaken effect

–      Diphtheria, Tetanus, Pertussis

–      Polysaccharide conjugated vaccine
HIB, meningococcal, pneumococcal

TWO PERMANENT CONTRAINDICATIONS

(two reasons to withhold permanently)

Fluid volume limits per muscle

 infant_____     vs     child ______

•       Needle length 5/8 in to 1.25 in

Subcutaneous injection

1.     Small gauge needle size?
2.     Small volume amount?
3.     Angle degree?

1. Needle size  26-30
2. Volume amt 0.5 ml
3. degree  45 vs 90

 Center third lateral upper arm
Abdomen
Center third anterior thigh

Vastus lateralis (anterolateral thigh)

 [image]

IM:  1 inch

SC:  5/8 inch

may consider a 5/8" needle for IM injection only in newborns less than 4 weeks

IM =  1 to 1.5 inches

SC =  5/8 inch

children greater than or equal to

18 months (1 yr  1/2) with adequate muscle mass

Syncope of fainting may occur after vaccination in what age group?

usually within?

adolescent and young adult

within 15 minutes

IM and SC Needle length for children

ages 11 - 12 

IM  =  1 to 1.5 inch

SC =  5/8 inch

When should varicella be administered?

School aged children and adolescents without:

1. without a history of 2 doses of varicella vaccine
2. withoug a healthcare provider's diagnosis or varicella disease or verification of history of typical vacricella disease
3. without a history of shingles

Documentation
name
date                                      
lot number
expiration
site and route
Vaccine Information Sheet (VIS) date
facility site
name of administering health care professional

•       Vaccine Information Sheet

the most common?
  least severe?

what Takes:
1-3 days 
7-21 days 

 Local (is the most common)
Most frequent 80%, least severe

 Systemic
1-3 days following vaccination
7-21 days with live virus vaccines

Administer varicella at the same time as?

Administer the two varicella doses at least how far apart?

MMR

1 month apart

Live attenuated influenza vaccine is given?

–      Intranasal

–      All persons age 2 years thru age 49

–      Special emphasis on vaccinating children age 2 -5, household contact and out of home care providers

•       Trivalent inactivated vaccine is given?

–      Intramuscular-Flu (shot inactivated)

–      All children from age 6 months to the elderly

–      Special emphasis on vaccinating children age 5 and younger, household contacts providers
chronic illness

–      DT given  if precaution or contraindication to

•       Above age 10 or 11 Td, Tdap

–      Health care workers, adults in close contact to children  adolescents have Tdap every ?

Vaccine at what age?

11-12 or college freshmen living in dormitories

 Also at risk children 2-10; without spleens or with immune deficiencies 

9-26 years

3 doses

At 18 months (1 ¹/₂) how many does of

Hepatitis B should be given?

At what ages?

3 doses

1. Birth (dose 1)
2. 1-2 months (dose 1 to 2)
3. 6-18 months (dose 2 to 3)

Diphteria, Tetanus, Pertussis (DTaP)

by age 4-6 how many doses should be given?

5 doses

1.   2 months

2.   4 months

3.   6 months

4.   15-18 months

5.   4-6 years old

1. 2 months
2. 4 months
3. 6 months
4. 12-15 months

1. 2 months
2. 4 months
3. 6-18 months
4. 4 -6 years old

1. 2   months
2. 4   months
3. 6   months
4. 12-15 months

2 months

4 months

6 months