Immunizations

FDA

ACIP

CDC

Pink book

FDA - approves indications based on safety and efficacy

ACIP (advisory committee on immunization practices) - recommendations for vaccine administration

CDC - publish morbidity and mortality weekly report

Pink Book - vaccine information and education material

vaccine information statment

made by the cdc and given to a patient before vaccination

what is the mercury containing preservative used in some vaccines?

thimerosal

live vaccines (7)

MICRO-VY

MMR

intranasal influenza

cholera

rotavirus

oral typhoid

varicella

yellow fever

true or false: most live and inactivated vaccines can be given simultaneously?

true

live vaccines can give a false _____ TST result?

negative

ways to reduce risk of negative TST result with live vaccines (3)

give both on the same day

wait 4 weeks after the live vaccine

do the TST first, then give the live vaccine

general rules of vaccine timing and spacing (3)

can give multiple vaccines on the same day

live vaccines can be given on the same day, or spaced 4 weeks apart

if >1 dose required, can give later but not earlier

MMR/varicella vaccine and antibodies separation

vaccine -> 2 weeks -> antibodies

antibodies -> >3 months -> live vaccine

invalid contraindications to vaccination

mcpaprlf

mild illness

currently on antibiotics

previous skin reaction

allergy to penicillin

pregnant

recent TB skin test

living with immunocompromised

family history of adverse reactions

yellow fever vaccine contraindication

severe egg/gelatin allergy

DTap routine vaccine

children <7

big D = 3-5x more diphtheria

Td or Tdap routine vaccine

every 10 years

with every pregnancy

close contact with infants

wound prophylaxis if >5 years since last dose

Hib routine vaccination

adults with asplenia

hepatitis A indication

chronic liver disease

hepatitis B indications (3)

within 24 hours after birth

adults 19-59yo

>60 with risk factors (liver disease, HIV, blood exposure)

HPV ages and doses

start 11-12yo

<15: 2 doses

>15: 3 doses

egg free flu shots

flublok (>18)

flucelvax

pregnancy flu shot

do not give live vaccine (FluMist)

>65yo flu shot

fluzone high dose

fluad

flublok

MenACWY vaccine

>2yo: asplenia, sickle cell, HIV

adolescents: 2 doses at 11-12yo

first year college students

lab workers exposed to n meningitidis

traveling to african meningitis belt

pneumococcal

ages and recommendations

children: PCV15 or PCV20

adults 19-49 at risk, >50:

PCV20 × 1

PCV21 × 1

PCV15 × 1 then PPSV23 × 1 >12 months (>8 weeks if immunocompromised)

RSV reccomended population

pregnant weeks 32-36 (Abrysvo)

adults >75

nirsevimab - neonates/infants <8 months born during or entering first rsv season

vericella group and doses

adolescents: 2 doses

which vaccine do antivirals interfere will?

Varivax

stop antivirals 24 hours before vaccination

shingrex

adults >50

2 doses: give first dose then booster 2-6 months later

true or false: patient’s can get a zoster vaccine even if they’ve had shingles

true

SC only vaccines

Yes Sir My Dude

yellow fever

smallpox

monkeypox

dengue

IM or SC vaccines

Make Me Push Vaccines

MMRII

MMRV

PPSV23

varicella

internasal vaccine

FluMist

PO vaccines (3)

typhoid

cholera

rotavirus

IM vaccine administration technique

size,angle,adults,infants,length

22-25 guage needle

90 degree angle

adults: deltoid

infants: mid-thigh

1 inch needle

1.5 nch needle: m>260, f>200 lbs

SC vaccine administration technique

guage, degree, adults, infants, length

23-25 gauge needle

45 degree angle

adults: fatty tissue over triceps

infants: thigh

5/8 inch needle

vaccine storage

rotate stock - use soonest expiration

keep in OG packaging

do not store in the door

buffered temperature probe

document twice each workday

keep log for 3 years

vaccines to keep in the freezer (2)

varicella

MMRV

(move to fridge when ready to administer)

vaccines to store in either the fridge or freezer (1)

MMR II

diluents storage

fridge or room temp