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Immunization
Recommended Immunization schedule
98
Health Care
Not Applicable
08/18/2009

Additional Health Care Flashcards

 


 

Cards

Term

 

Recommended Immunization Schedule for Persons

Aged 4-6 years.

 4-6 yr olds decided playing inside igloos may value house moms

Definition

DTAP (diphtheria,Tetanus, Pertussis)

PPSV (Pneumococcal)*High Risk group

IPV (Inactivated Poliovirus)

Influenza-Yearly

MMR (Measles, Mumps, Rubella)

Varicella

HepA series (Hepatitis A series)

MCV (Meningococcal)

Term

True or False

 

All organs and systems in the body are subject to anaphylaxis.

Definition

 

 

TRUE

Term

What is the appropriate dosage when administering epinephrine 1:2000 aqueous intramuscular via EpiPen Junior?

a. 0.15mL

b. 0.30mL

c. 0.50mL

d. 1.0mL

 

Definition

 

a. 0.15mL

Term

Stimulation of which division of the autonomic nervous system causes the release of epinephrine?

 

a. Sypathetic division

b. Para-sypathetic division

Definition

 

a. Sypathetic division

Term

 

Anthrax

Definition

Route: SC

# of Doses:5

Dose: 0.5mL

Schedule: 0,1,6,12,18

Age range: 18-65

*Booster annually 

Term

Hepatitis A

 

Definition

Route: IM

# of Doses:2

Dose: 1.0mL

Schedule: 0,6

Age range: 19 and older

Term

Hepatitis B

(19 and older)

Definition

Route: IM

# of Doses:3

Dose: 1.0 mL

Schedule: 0,1,6

Age range: 19 and older

 

Term

What effect does epinephrine have on cardiac activity?

a. Epinephrine stimulates the receptor cells of the smooth cardiac

muscle causing the heart rate and blood pressure to decrease.

b. Epinephrine stimulates the receptor cells of the smooth cardiac

muscle causing the heart rate and blood pressure to increase.

Definition

b. Epinephrine stimulates the receptor cells of the smooth cardiac

muscle causing the heart rate and blood pressure to increase.

Term

There are two types of syringe tips—plain and locking.

 

a. True

 

b. False

Definition
a. True
Term

Epinephrine is referred to as adrenaline and causes____________?

 

a. Vasoconstriction/bronchodilation

b. Vasodialation/bronchoconstriction

Definition
a. Vasoconstriction/bronchodilation
Term

What is the most dangerous aspect of a vasovagal episode?

a. Injuries obtained from the fall.

b. Reduced blood flow to the brain.

c. Seizure activity.

d. None of the above.

Definition

a. Injuries obtained from the fall.

Term

What is the most common type of syringe used for administration of parenteral

injections?

a. Plastic

b. Insulin

c. Glass

d. Prepackaged inserts

Definition

a. Plastic

Term

Syringe selection is based on ____________?

a. purpose of the injection

b. the volume of vaccine to be injected

c. the need for accuracy in dosage

d. All of the above

Definition

                d. All of the above

Term

The most accurate size syringe is the _______________?

a. 1 mL

b. 3 mL

c. 5 mL

d. 10 mL

Definition

a. 1 mL

Term

Prepackaged units ________________.

a. guarantee accuracy

b. are convenient for normal use

c. are especially convenient for emergency situations

d. all of the above

Definition

d. all of the above

Term

The gauge of a needle is an inverse measurement of the diameter. As the

diameter increases, the gauge decreases.

 

a. True

b. False

Definition
a. True
Term

Which of the following should be considered when selecting a needle for

administering injections?

a. Size of the individual

b. Route and site of injection

c. Viscosity and volume of the vaccine

d. All of the above

Definition

d. All of the above

Term

Because vaccine administered parenterally is almost totally absorbed rather

than being partially destroyed by the digestive system, a smaller dosage will

achieve the same therapeutic effect.

a. True

b. False

Definition
a. True
Term

Only the purpose and characteristics of the vaccine determine the route of

administration.

 

a. True

b. False

Definition

b. False

Term

Of the different sites available for an intramuscular injection for an adult,

which site has the best blood supply and the most rapid response?

a. Gluteal Muscle

b. Deltoid Muscle

c. Rectus Femoris

d. Vastus Lateralis

Definition
b. Deltoid Muscle
Term

What steps can you take to prevent nosocomial infections and associated

complications?

a. Hand washing

b. Maintain sterility of equipment.

c. Cleaning of the injection site.

d. All of the above.

Definition

                  d. All of the above.

Term

When preparing a syringe for vaccine administration you notice the package

is partially open. What should you do?

a. Check the syringe for defects.

b. Make sure the plunger still has resistance.

c. Get a new syringe.

d. Use the syringe if it came from a locked and sterile area.

Definition

c. Get a new syringe.

Term

The proper procedure for drawing vaccine from a vial is?

Definition

Remove the protective cap on the vial and clean off the diaphragm with an alcohol swab. Pull back the plunger to aspirate the needed amount of air and insert the needle in the center of the rubber diaphragm. Inject the air and aspirate

the vaccine.

Term

When reconstituting a vaccine you should ?

a. Label the vial with the date and time mixed

b. Swirl the mixture gently

c. Agitate the mixture until foamy

d. Roll in your hands to warm the vaccine

Definition

a. Label the vial with the date and time mixed

Term

What steps should you take before administering a vaccine?

a. Ask the patient to tell you which vaccine is required, and give the vaccine

requested

b. Review available documents and refer patient to a Doctor.

c. Follow the 6 rights of medication administration

d. Review the Doctors orders and verify you have that vaccine in stock

 

Definition

c. Follow the 6 rights of medication administration

Term

What is the most commonly used area for the administration of Intradermal injections?

a. Top of thighs

b. Middle of back

c. Ventral surface of forearms

d. Chest

Definition
c. Ventral surface of forearms
Term

17) The most common site for subcutaneous injections is the

a. Deltoid

b. Abdomen

c. Triceps

d. None of the above

Definition
C. Triceps
Term

Which intramuscular injection site presents the most risk because of

proximity to the large sciatic nerve?

a. Femoral sites

b. Deltoid sites

c. Gluteal sites

d. Brachial sites

Definition

c. Gluteal sites

Term

Choose the correct intramuscular injection needle angle when

administering an injection into the deltoid muscle.

a. 45 degrees

b. 60 degrees

c. 90 degrees

d. 15 degrees

Definition
c. 90 degrees
Term

20) Vaccines can be given in the gluteal area to pediatric patients

a. True

b. False

Definition

b. False

Term

The #1 thing to know about most immunizations is that more often than not they are 0.5 ml and given IM. (Intramuscularly).

Definition
Term

The only 1ml Vaccines are: HHJRT – Hep A (when given to adults 19 and older) Hep B (when given to adults 20 yo) JEV (Japenese Encephalitis Virus) Rabies and Twinrix (a combination vaccine of Hep A and Hep B that’s is given at 18 yrs.

Definition
Term

Most of the time hepatitis is given to individuals when they are kids and in that case they get 0.5ml when 17 and under.

Definition
Term

-         For Twinrix, Hep A and Hep B try to remember TAB and that stands for Twinrix at 18yo, Hep A at 19yo and Hep B at 20 yo when they can receive the 1 ml.

Definition
Term

Hep A vaccines are:

Definition
Vaqta, Havrix, Twinrix (with Hep B)
Term

Hep B vaccines are:

Definition
Recombivax HB, Energix-B, Twinrix (with Hep A)
Term

The only vaccines given subcutaneously are:

(the ones mostly used are in bold)

Definition

MMR, MMRV, Varicella (Chicken Pox), Yellow Fever, Zoster (Shingles), Menomune (a type of meningococcal)

Term
The only live virus vaccines are:
Definition

MMR, Small pox, varicella, zoster, yellow fever, rotavirus (oral vaccine), Flumist (LAIV)

Term
And Live bacterial vaccine is:
Definition
Oral typhoid
Term

What is the difference between Passive and Active Immunity.

Definition

Passive Immunity: immunity acquired by transfer of antibodies (as by injection

of serum from an individual with active immunity).

 

Active Immunity: usually long-lasting immunity that is acquired through

production of antibodies within the organism in response to the presence of

antigens

Term

 

 Differentiate

Anaphylaxis/ Vasovagal Reactions

IN

Respiratory

Definition

Anaphylaxis:                     Vasovagal Reaction:

*Shortness of breath                          *Hyperventilation

*Hoarse, lump in throat

difficulty swallowing

*Wheezing, chest tightness

*O2 saturation Normal/ Low     *O2 saturation Normal /high

   

*Nasal congestion, rhinorrhea

Term

 Differentiate

Anaphylaxis/ Vasovagal Reactions

IN

Cardiovascular

Definition

Anaphylaxis:                  Vasovagal Reactions:

*Tachycardia                 *Normal or bradycardia

 

*Hypotensive Systolic               *Nomrmotensive or       

HIGH/LOW                                         Hypotensive

Diastolic LOW

 

 

 

 

 

Term

 Differentiate

Anaphylaxis/ Vasovagal Reactions

IN

Skin

Definition

Anaphylaxis:                   Vasovagal Reactions:

*Flushing                                          * Pallor

Urticaria (hives)                          *Cool, clammy

angiedema                                        diaphoresis

Term

Differentiate

Anaphylaxis/ Vasovagal Reactions

IN

CNS

Definition

Anaphylaxis:

Feeling of impending doom

 

Vasovagal Reactions:

Anxious, tense, fearful

 

Term

Differentiate

Anaphylaxis/ Vasovagal Reactions

IN

GI

Definition

Anaphylaxis:

*Nausea/vomiting

*Abdominal cramps/diarrhea

 

Vasovagal Reactions:

*Nausea/vomiting

Term
Epinephrine is given for anaphylaxis reactions (It goes epi, oxygen, call a doc). The dose for kids is .15 ml and for adults is .3-.5 for adults. Hold it for 10 seconds and is every 3-5 min. To give a second dose you need to consult a doctor
Definition
Term
Vaccine adverse event reporting system
Definition
Every adverse reaction to an immunization is reported by a VAERS
Term

Pediatric shots:

2/4/6 months

Definition

DtaP, IPV, Hep B, HIB, Prevnar, Rotavirus

Term

Pediatric shots:

12 months (they start to get their live vaccines)

Definition

– MMR, Varicella, Hep A, Prevnar, HIB

Term

Pediatric shots:

18 months

Definition
DtaP, Hep A
Term

Pediatric shots:

4-6 yo

Definition
DtaP, IPV, MMR, Varicella
Term

Pediatric shots:

11-12 yo

Definition

TdaP, Meningococcal (Menactra), HPV (suggested at this age)  over the age of 11 adults only receive 1 Tetanus with pertussis –TdaP. and you receive a tetanus booster (Td) every 10 years.

Term

Active immunity _____________?

a) is a reaction that stimulates antibody production

b) appears following exposure to an antigen

c) is a direct result of an immune response

d) all of the above

Definition

d) all of the above

Term

2. Artificially acquired passive immunity results from the administration of a specific

____________?

a. pathogen

b. antigen

c. antibody

d. microorganism

Definition
c. antibody
Term

The prescribed dosage and route for anthrax vaccine is _________ with a possible

mild ______ reaction.

a. 0.5 mL SQ; systemic

b. 0.5 mL IM; systemic

c. 0.5 mL SQ; local, systemic

d. 0.5 mL IM; local, systemic

Definition

d. 0.5 mL IM; local, systemic

Term

The recommended booster dose for the Anthrax vaccine is _____________.

a. Every 6 months if continued immunity is needed for epidemic area.

b. Annually if continued immunity is needed.

c. Every 6 months while on deployment status.

d. None of the above.

Definition
b. Annually if continued immunity is needed.
Term

5. What is the routine schedule for Hepatitis-B vaccination?

a. Day–45, day–90, day 180

b. Day–30, day–60, day 180

c. Day–0, day–30, day 180

Definition

b. Day–30, day–60, day 180

Term

A patient with a history of an anaphylactic reaction after ingestion of eggs should not

receive a (n) ___________ vaccination before they are skin tested.

a. Hepatitis-B

b. Influenza

c. Adenovirus

Definition
b. Influenza
Term

The Td booster dose is administered ____________.

a. Annually throughout lifetime

b. every 5 years throughout lifetime

c. every 10 years throughout lifetime

Definition

c. every 10 years throughout lifetime

Term

7. What is the dosage requirement for a child for Recombivax (Hepatitis-B) vaccine?

a. 0.50mL IM Deltoid muscle (< 20 years of age).

b. 0.50mL IM Deltoid muscle (< 12 years of age).

c. 0.50mL IM Gluteus Maximus muscle (> 19 years of age).

d. 0.50mL IM Gluteus Maximus muscle (< 12 years of age).

Definition

a. 0.50mL IM Deltoid muscle (< 20 years of age).

Term

A 6-month-old healthy child presents for routine immunizations. Child is up to date

through 4 months of age. What vaccines are required?

a. DPT, MMR, OPV, Lyme

b. DTaP, HiB, Prevnar, IPV

c. DTaP, MMR, Prevnar

d. DTaP, HiB, IPV, Varivax

Definition

a. DPT, MMR, OPV, Lyme

Term

An 8-week healthy child presents for routine immunization. The child has no

immunizations to date. What vaccines are required?

a. Typhoid, Td, Yellow fever

b. DT, OPV, HiB, Hep B, Prevnar

c. Comvax, Prevnar, IPV, DTaP

d. None because children do not start immunization until 2 months of age.

Definition

b. DT, OPV, HiB, Hep B, Prevnar

Term

Primary immunization series for the Pediarix vaccine is?

a. 2,4, and 6 months

b. 2,4,6, and 12 months

C. 2 and 4 months

d. Can only be given at 15 months of age

Definition
a. 2,4, and 6 months
Term

Smallpox vaccine (ACAM2000) is administered________ route.

 

a. Intranasal(IN)

b. Percutaneous

c. Intradermal

d. Subcutaneous

 

Definition
b. Percutaneous
Term

How many jabs does an individual receive if receiving the Smallpox vaccine for the first time?

a. 3

b. 10

c. 15

d. None ofthe above

Definition
c. 15
Term

TB test are administered intradermally on the volor aspect of either forearm.

About how far below the bend in the elbow should it be placed?

a. 1inch

b. 2 inches

c. 3 inches

d. 4 inches

 

Definition
d. 4 inches
Term

International health threat assessments are conducted by which governing

agency?

a. Center for Disease Control

b. World Health Organization

c. Department of Defense

d. Defense Intelligence Agency Armed Forces Medical Intelligence Center (AFMIC)

Definition

d. Defense Intelligence Agency Armed Forces Medical Intelligence Center (AFMIC)

Term

AFJI 44-102 outlines immunization guidelines for active duty personnel on alert

status?

a. True

b. False

Definition
a. True
Term

Can waivers for religious reasons be revoked if the mission is compromised?

a. Yes

b. No

Definition
a. Yes
Term

Who has the responsibility for ensuring that military and nonmilitary personnel

who are subject to rapid deployment, receive all required immunizations?

a. Immediate supervisor

b. First Sergeant

c. Individual

d. Commander

Definition

d. Commander

Term

Which of the following questions should you ask the patient prior to

administering a medication or vaccine?

a. Do you have allergies to any medications, foods, or vaccines?

b. Are you or a family member immunocompromised/deficient due to

medication, treatment, or disease (chemotherapy, radiation therapy, longterm

steroids, HIV, etc)?

c. Are you pregnant or have the intention of becoming pregnant in the next

three months?

d. All of the above

Definition

d. All of the above

Term

When annotating immunization records, using a signature stamp is authorized.

a. True

b. False

Definition

b. False

Term

When transcribing an adult’s immunization record, only transcribe

immunizations that are ____________.

a. once in a lifetime

b. current

c. last in a series

d. all of the above

Definition

d. all of the above

Term

IAW WHO Article 80, what document is considered adequate proof of

vaccination for armed forces personnel?

a. DD Form 2766C, Vaccine Administration Record

b. SF 600, Chronological Record of Medical Care

c. AF Form 1480, Summary of Care

d. AF Form 3992, Adult Prevention Care Flow Sheet

Definition

a. DD Form 2766C, Vaccine Administration Record

Term

At the time of initial immunization of Air Force non-military personnel, a DD

Form 2766C is established. Which other form can you use to document the

immunization?

a. Form 3922, Adult Preventive Care—Flow Sheet

b. SF 4700, Health Record—Chronological Record

c. Inernational Certificate of Vaccination or Prophylaxis (ICVP)

d. b and c only

Definition

c. Inernational Certificate of Vaccination or Prophylaxis (ICVP)

Term

Influenza

Definition

Route: IM

# of Doses: 1 dose 

Dose: 0.5mL

Schedule:Annually

Age range:>35

Term

Flu Mist

Definition

Route:IN

# of Doses: 1

Dose: 0.2 mL

Schedule:Annually

Age range:<49

Term

Gardasil

(Cervical Cancer/Genital Herpes)

Definition

Route:IM

# of Doses:3

Dose: 0.5 mL

Schedule:0,2,6

Age range:9-26

Term

IPV(Polio)

Definition

Route: IM or SC

# of Doses:3 doses

Dose: 0.5 ml

Schedule:0,(1-2),6, 12

Age range: >18

Term

JEV(Encephalitis)

Definition

Route:SC

# of Doses:1 or 2 doses

Dose:0.5mL

Schedule:0,7,30 days *booster every 2 yrs

Age range:2-55

Term

MMR

Definition

Route:SC

# of Doses:1-2

Dose: 0.5mL

Schedule: 1 month apart

Age range:>1

Term

Menomune (MPSV)

(Menigitis)

Definition

Route: SC

# of Doses: 1 dose

Dose: 0.5mL

Schedule:

Age range: All

Term

Menactra (MCV4)

(Menigitis)

Definition

Route:IM

# of Doses:1

Dose: 0.5mL

Schedule: *booster q 5 yrs

Age range: 2-55

Term

Pneumococcal

(PPV23)

Definition

(must be >2 yo)

Route: IM or SC

# of Doses:1

Dose: 0.5 mL

Schedule: *If vaccinated prior to G5 booster q 5 yrs

Age range: At risk (19-64)other>65

Term

Rabies

Definition

Route:IM

# of Doses:3/5

Dose: 1.0mL

Schedule:0,7,21,/0,3,7,14,28

*booster q 5 yrs

Age range: All

Term

Smallpox(Dryvax)

Definition

Route: Percutaneous

Dose: 3-15 jabs(pre 3 and post 15)  

*booster 10 yrs

Age range:> 1

Term

Smallpox

(ACAM2000)

Definition

Route: Percutaneous

Dose: 15 Jabs

Schedule: booster q 10yrs

Age range:>1

Term
TD (Teatanus/Diphtheria)

Definition

Route:IM

# of Doses: 3

Dose: 0,1-2,6-12,

Schedule: *booster q 10 yrs

Age range:>7

Term

Tdap (Adacel)

Definition

Route:IM

# of Doses:3

Dose: 0.5mL

Schedule:*booster q 10 yrs

Age range:11-64

Term

Typhim-VI (Typhoid)

Definition

Route:IM

# of Doses:1

Dose:0.5 mL

Schedule:*booster 3 yrs

Age range:>2

Term

Twinrix (Hep A&B)

Definition

Route:IM

# of Doses:3

Dose: 1.0mL

Schedule:0,1,6

Age range:>6

Term

TY21a (Typhoid)

Definition

Route:Oral

# of Doses:4 capsules

Dose: 4 caps

Schedule:0,2,4,6, days *booster 5 yrs

Age range:>6

Term

Varicella (chickenpox)

Definition

Route:SC

# of Doses:2

Dose: 0.5mL

Schedule:1 month apart

Age range:>1

Term

Yellow fever

Definition

Route:SC

# of Doses: 1

Dose: 0.5mL

Schedule:*booster 10yr

Age range:>9

Term

Zoster (Shingles)

Definition

Route:SC

# of Doses:1

Dose: 0.65mL

Schedule:

Age range:>60

Term

Tdap

Definition

Route:IM

# of Doses:

Dose: 0.50mL

Schedule:*booster >5 yrs

Age range:10-18

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