Term
| What is anaphylaxis a result from |
|
Definition
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|
Term
| What is the most appropriate question to ask before administering a vaccine |
|
Definition
| do you have any allergies to food or meds |
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|
Term
| How do you start each day in the immunization clinic |
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Definition
| by checking emergency equipment, supplies, and emergency duress system |
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|
Term
| What is the epinephrine dose for adults |
|
Definition
|
|
Term
| Anaphylaxis dose of epi for kids |
|
Definition
| 0.01 mg/kg body weight to a max of 0.3 ml |
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|
Term
| What is the epin pen junior dose |
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Definition
|
|
Term
| where is epinephrine made |
|
Definition
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|
Term
| What is the most common post injection event? |
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Definition
|
|
Term
| what is the most important effect of a vasovagal episode |
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Definition
| the slowing of the heart rate |
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Term
| what is the most dangerous aspect of a vasovagal episode |
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Definition
| injuries sustained from falling |
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|
Term
| how do pulses differ from vasovagal and anaphylaxis |
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Definition
slow and steady pulse- vasovagal
weak and thready pulse- anaphylaxis |
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Term
| What happens to the respiratory rate and skin during a vasovagal |
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Definition
| hyperventilation and pallor, cool, clammy and diaphoresis |
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Term
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Definition
| Vaccine Adverse Event Reporting System |
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Term
|
Definition
|
|
Term
| What is the purpose of VAERS |
|
Definition
| To capture all clinically significant medical events occurring post vaccination |
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|
Term
| What is the problem with VAERS Data |
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Definition
| It is derived from passive surveillance system and represents unverified reports of health events |
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|
Term
| Where can you find guidance for filling out a VARES form for active duty |
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Definition
|
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Term
| What is the mission of the National Vaccine Healthcare Center (VHC) |
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Definition
| to enhance the medical readiness of the DOD by acting as specialized clinical support system |
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Term
| What are the two types of medical exemptions listed in ASIMS |
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Definition
| medical temporary and medical permanent |
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Term
| What is a parenteral vaccine |
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Definition
| Using a needle for injection into some part of the body |
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Term
| What are the basic components of a syringe |
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Definition
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Term
| What are the two types of syringe tips |
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Definition
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Term
| What is syringe selection based on |
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Definition
| purpose of the injection, the volume, and the need for accuracy |
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Term
| What are the disadvantages to a plastic syringe |
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Definition
| expense and sometimes unlclear calibrations |
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Term
| what is the most accurate syringe |
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Definition
| the 1ml or tuberculin because it measures 0.1, 0.05, and 0.01ml |
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Term
| What is a benefit of a prepackaged vaccine |
|
Definition
| guarantee accuracy and can be used in emergency situations |
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Term
| what are the basic components of the needle |
|
Definition
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|
Term
| What is syringe selection based on |
|
Definition
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|
Term
| how much fluid is used for a I.D injection and needle size |
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Definition
| 0.1 ml using a 3/8-5/8 inch 26 or 27 gauge |
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Term
| What is the size of needle used for Sub-q injections |
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Definition
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|
Term
| What is the size of needle used for IM |
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Definition
|
|
Term
| How much fluid can you inject in a IM injection |
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Definition
|
|
Term
| What muscle has the best blood supply for a IM |
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Definition
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|
Term
| What is the most common occupational injury for hospital employees |
|
Definition
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|
Term
| What injections sites should be avoided |
|
Definition
| tissue damage or reduced muscle mass |
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Term
| What causes the pain felt during a parenteral injection |
|
Definition
| trauma to the pain receptores, distention of the tissues by the vaccine and muscle tension caused by anticipation |
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Term
| How do you know what to do when reconstituting a vaccine |
|
Definition
| follow the manufactures package insert |
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|
Term
| What do you do when you have reconstituted muli-dose vials |
|
Definition
| label the vial with date and time it was mixed |
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Term
| Where are ID injections commonly placed |
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Definition
| ventral surface of the forearms at least 2 inches from the elbow |
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|
Term
| what is the injections angle for a I.D injection |
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Definition
|
|
Term
| What is the most commonly used site for a Sub-q injection? |
|
Definition
| Tricep for adults and anterolateral thigh for infants |
|
|
Term
| What is the injection angle for sub-q |
|
Definition
|
|
Term
| Where is the preferred injection site for infants |
|
Definition
| vastus lateralis(mid lateral thigh) |
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|
Term
| How do you administer the small pox vaccine |
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Definition
| so skin prep is needed unless obviously contaminated. Using a bifurcated needle, dip it into the vaccine and rapidly make 15 jabs in a 5mm diameter. Jabs should be hard enough to draw blood |
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Term
| How do you administer the flumist |
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Definition
| spray 0.2 ml into each nostril. Patient does not need to inhale during procedure |
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Term
|
Definition
| a suspension of killed or live-attenuated microorganisms |
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|
Term
| What is Naturally acquired active immunity |
|
Definition
| person is exposed to a live pathogen, develops the disease and becomes immune |
|
|
Term
| What is Artificially acquired active immunity |
|
Definition
| administration of a vaccine that contains an antigen. |
|
|
Term
| What is naturally acquired passive immunity |
|
Definition
| This type of immunity happens druing pregnancy. antibodies pass through the placenta from the maternal into fetal bloodstream. |
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|
Term
| What is artificially acquired passive immunity |
|
Definition
| administration of antibodies that are not produced by the recipients own immune cells. - Immune globulin or gamma globulin |
|
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Term
| what is an attenuated vaccine |
|
Definition
| it is a weakened form of the virus or bacteria |
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|
Term
| What is a polysaccharide vaccine |
|
Definition
| contains long chains of sugar molecules that make up the surface of some bacteria |
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|
Term
| What is adjuvants? what do they look like? |
|
Definition
| They are used to assist the vaccine to stimulate a vigorous and early immune response- They are typically milky in color |
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|
Term
| What are inactive ingredients |
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Definition
| vaccine components not involved in promoting or enhancing the immune response |
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|
Term
| What is the purpose of a stabilizer |
|
Definition
| the help the vaccine retain potency when subjected to unfavorable conditions |
|
|
Term
| What is the purpose of a preservatives |
|
Definition
| in order to keep the vaccine from becoming contaminated and to avoid providing a breeding ground for bacteria ect. |
|
|
Term
| What are types of preservatives in vaccines |
|
Definition
| antibiotics, formaldehyde, thimerosal,and phenoal. |
|
|
Term
| What is the purpose of a detergent |
|
Definition
| to prevent adhesion of the vaccine molecules to the glass of the vaccine vial |
|
|
Term
|
Definition
| 1`it is an inert substance that act as diluents or vehicles for a drug or vaccine |
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|
Term
| What are examples of active ingredients |
|
Definition
| live-attenuated, non-live, protein antigens, polysaccharide antigens |
|
|
Term
| what does attenuated mean |
|
Definition
|
|
Term
|
Definition
| contain long chains of sugar molecules that make up the surface of some bacteria |
|
|
Term
| how is yeast used in vaccines |
|
Definition
| it is a vehicle to produce antigens taht are then used as vaccines |
|
|
Term
| how are adjuvants used in vaccines |
|
Definition
| are used to assist the vaccine to stimulate a vigorous and early immune response to the antigen through the production of anitbodies |
|
|
Term
| how does a adjuvants vaccine look |
|
Definition
|
|
Term
| what types of ingredients are components not involved in promoting or enhancing the immune response are called |
|
Definition
|
|
Term
| What are kinds of inactive ingredients |
|
Definition
| stabilizers, preservatives, detergents, excipients, |
|
|
Term
| Why are stabilizers used in vaccines |
|
Definition
| they are to help retain potency of the vaccine when exposed to unfavorable conditions like light and temperature |
|
|
Term
| Why are antibiotics used in vaccines |
|
Definition
| inhibit the growth of bacteria in vaccine vials- neomycine and streptomycin |
|
|
Term
| Why is formaldehyde used in vaccine |
|
Definition
| inhibits both bacterial and viral growth. It is also used to inactivate or detoxify bacterial products such as toxins |
|
|
Term
| why are detergents used in vaccines |
|
Definition
| to prevent adhesion of the vaccine molecules to the glass of the vial |
|
|
Term
| Why are excipients used in vaccines |
|
Definition
| they are inert substances that act as diluents or vehicles for a drug or vaccine |
|
|
Term
| Where can you find specific information related to immunizations for active duty personnel |
|
Definition
|
|
Term
|
Definition
| 0.5 ml at 0,4 weeks and 6,12,18 months |
|
|
Term
| Booster timing for anthrax |
|
Definition
|
|
Term
| Age population for anthrax |
|
Definition
|
|
Term
| Age population for adenovirus |
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Definition
|
|
Term
| How is adenovirus administered |
|
Definition
single dose of 2 tablets--one WHITE tablet of adenovirus type 4 and one PEACH tablet of adenovirus type 7
TABLETS MUST BE SWALLOWED |
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|
Term
| Age population for Hep A vaccine |
|
Definition
|
|
Term
| Dosage for Hep A and Booster |
|
Definition
<18 y/o- 0.5 mL IM deltoid
19 y/o and older 1.0 mL-- IM deltoid
2 shot at 6-12 months later |
|
|
Term
| Where is the dosing site for HEP A |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
19 y/o and younger is 0.5 mL
20 y/o and older is 1 mL
0, 1, 6 months |
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|
Term
| How do you prep Hep A and Hep B vaccine before administration |
|
Definition
|
|
Term
| This vaccine is used to prevent cervical cancer/ genital warts |
|
Definition
| Human Papillomavirus HPV aka (GARDASIL) |
|
|
Term
|
Definition
Males and females between 9-26 y/0
0.5 mL- IM at 0, 2 and 6 months. |
|
|
Term
| Injection route for HPV- Gardasil or Cervarix |
|
Definition
|
|
Term
| What are the most common HPV types |
|
Definition
HPV 6, 11, 16,18
16 and 18 cause the most problems |
|
|
Term
| When does the ACIP recommend the first does of HPV given |
|
Definition
|
|
Term
| What is the dosing for CERVARIX |
|
Definition
Females 10-25 y/0
0, 1, 6 months |
|
|
Term
| What does Cervarix prevent |
|
Definition
|
|
Term
| Dosing for Influenza Injectable |
|
Definition
| Shake and admin 0.5 ml IM |
|
|
Term
| What is a contraindication to the Influenza vaccine |
|
Definition
|
|
Term
| What is Gullain-Barre Syndrome |
|
Definition
It is an autoimmune disease that affects the nerves and causes de-mylenation.
Frequently occours after minor infection |
|
|
Term
| What is the intra-nasal influenza population |
|
Definition
2-49
contraindicated in 2-17 y/o receiving aspirin therapy because of reye syndrome |
|
|
Term
|
Definition
It is sudden brain damage and liver function problems
Associated with giving aspirin to kids who have chicken pox or flu
Kids get sick very quickly and vomit for hours |
|
|
Term
| what the dose for intra-nasal influenza |
|
Definition
| 0.2 ml in each nostril. no need to actively inhale |
|
|
Term
| What is the storage temp for most vaccines |
|
Definition
|
|
Term
| What is the primary route of transmission for M. Tuberculosis |
|
Definition
| inhalation of droplet nuclei from coughing |
|
|
Term
| When are TB patients contagious? |
|
Definition
| pts with active disease and productive cough. Not all patients are contagious |
|
|
Term
| What does effective atomization of TB depend on |
|
Definition
| the force of the cough and the characteristics of the bronchopulmonary secretions |
|
|
Term
| What is the problem with unchecked TB |
|
Definition
| The disease can spread to other organs |
|
|
Term
| What is meant by a primary pulmonary TB infection |
|
Definition
| the TB test is positive and the x-ray is negative |
|
|
Term
| How many hours after the test must the patient get a TB test read? |
|
Definition
|
|
Term
|
Definition
| It is surveillance, prevention, and control of diseases and conditions of public health or military significance |
|
|
Term
| Where does the injection go for a PPD |
|
Definition
| volar aspect approximately four inches from the elbow |
|
|
Term
| What is the test dose for PPD |
|
Definition
| 0.1cc with a 26-27 gauge needle |
|
|
Term
| What should happen if a wheel or bleb is not formed after the injection of PPD |
|
Definition
| It should be repeated on the opposite arm |
|
|
Term
| How big does the margins of induration on a ppd test be to be refered to the military public health office |
|
Definition
|
|
Term
| What is the booster effect of the PPD test. |
|
Definition
| The first test is administered with a negative reaction and the second one is administered with a positive reaction. The second test has the same significance as the first. |
|
|
Term
| How do you store PPD immunization vials |
|
Definition
| PPD is light sensitive and needs to be tossed after 30 days after opening. |
|
|
Term
| How does air affect potency of PPD |
|
Definition
| oxygen reduces the potency of the test-thus needing to be tossed after 30 days |
|
|
Term
| where can you find details on how to correctly accomplish a permanent waiver for vaccines |
|
Definition
|
|
Term
| What can happen if a patient is in noncompliance with immunization requirements |
|
Definition
| The member can be detained during travel accross internation borders and are subject to punishment under the UCMJ |
|
|
Term
| Who's responsibility is is to ensure that all rapid deployment personnel receive all required immunizations |
|
Definition
|
|
Term
| What immunizations are contraindicated in a pregnant or Immunocompromised patient |
|
Definition
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