When do you give the MMR Vaccine for pediatric patients?

(given twice)

12-15 months

4-6 years

What is contraindicated in the

MMR Vaccine?

anaphylactic reaction

to neomycin or eggs,

pt. with immunodeficiency,

pregnant women

Can you give MMR Vaccine

to HIV patients?

Yes

Can you give MMR Vaccine

to breastfeeding women?

Yes

How do you give an MMR vaccine?

SubQ at separate sites

What is a side effect of getting the MMR Vaccine that is normal?

May have a light rash within 2 weeks after administration

Why do you want to take a detailed hx before giving a vaccine?

Because bad reactions could happen or their current health situation

What is contraindicated in giving the DPT Vaccine?

What is contraindicated in giving the MMR Vaccine?

Anaphylactic reaction

to eggs and neomycin

What dose DTaP stand for?

Diphtheria, Pertussis, Tetanus

When do you give DTaP?

Start @ 2 months,

Then give 3 doses in 2 month intervals

When do you give

booster shots for DTap?

@ 15-18 months

again @ 4-6 years 

What vaccine do you give

after the 7th birthday?

Td

If you can't give a pertussis vaccine, what do you give instead?

Dt vaccine full strength

(until 7th birthday)

What do you want to tell the parents after getting a DTaP vaccine?

Tylenol after the shot 10-15 mg/kg

What are contraindications of the pertussis vaccine?

encephalopathy w/i 7 days of previous DTaP dose

neurologic symptoms after getting the vaccine

systemic allergic reactions to vaccine

history of seizures

pertussis fatalities occur in the unimmunized infants

Who do you give the IPV

or inactive polio vaccine to?

Give to all people under 18

When do you typically give IPV shot?

@ 2 months

@ 4 months

When are boosters for IPV given?

@ 6-18 months

@ 4-6 years

How do you give IPV?

subQ or IM at separate sites

What are the contraindications of IPV?

hx of anaphylactic reaction

to neomycin or streptomycin

Can you give IPV with

 other vaccines?

Haemophilus Influenza Type B

(HIB Vaccine) Protects Against...

epiglottitis

bacterial meningitis

septic arthritis

chronic illness

sickle cell anemia

How many times do you give the

HIB vaccine? When do you start?

Give 3 doses

start when they are 2 months old

Can you give the HIB shot after age 5?

How do you give the HIB shot?

IM

Hepatitis B Vaccine

When do you start it?

Give to newborns

Hepatitis B Vaccine

Who is it contraindicated in?

Patients with anaphylactic reaction

to baker's yeast

How do you give the Hep B Vaccine?

IM

When do you give the Hep B Vaccine?

0-2 months

1-4 months

6-18 months

What does the varicella

vaccine protect against?

12-18 months

MUST be at least 12 months old

Yes, but at separate sites

Or you can give it 30 days apart

Mantoux - ID injection

Tine - 4 prongs pressed into forearm

irritability, fever (<102'F)

redness, soreness @ site w/i

2-3 days DPTand IPV

When do you need to call

the HCP after a vaccination?

warm washcloth at site

bicycling legs at diaper changes

photophobia

Koplik's spots on buccal mucosa

Confluent rash on the face, spreads downward

macular

popular

vesicular

pustular

aka Rubella

common viral disease which has teratogenic effects on the fetus during 1st trimester

3 days;

It's also known as the "3 Day Measles"

Describe Pertussis

(Whooping Cough)

Paroxysmal stage starts with coughing and crowing/whooping upon inspiration

Lasts 4-6 weeks

pneumonia

hemorrhage

seizures