Primary Care 7th Edition By Starr, Brady, Gaylord,
Driessnack, Duderstadt
child Tylenol dosage - ANSWER:80mg/.8mL no longer used due to dosing issues and
OD
how many years for child to face rear in car - ANSWER:2 years; immature necks
who should get HPV vaccine
-when
-what if they are pregnant? sexually active? - ANSWER:both boys and girls
-vaccinate before they become sexually active bu does not require pregnancy test
before giving and you should also vaccinate if sexual active
-3 dose series between 11-13
active immunization - ANSWER:live virus to induce antibody response
passive immunization - ANSWER:exogenous antibodies; can be passed down from
mom-short term
barriers to vaccination - ANSWER:shortages, parental refusal, complex immunization
schedules
Immunization schedule; why? - ANSWER:vaccines at certain ages dt. who is at risk
during that time
6 steps in immunization process - ANSWER:1. assess record
2. cureent scheudle?
3. screening questions (allergies, sick?)
4. educate parent
5. give vaccine
6. doc
who not to give a vaccine to? - ANSWER:fever, immunocompromised, sick (runny
nose is ok-if not that sick they are fine to be given)
site, length of needle and pain control when admin vaccine for infant - ANSWER:-
anterolateral thigh
-1 inch for baby
-tylenol. EMLA
What is a live vaccine?
-what does it do?
-examples - ANSWER:live, weakened virus
, -produces immunity without disease
-varicella, MMR, LAIV, rota, zoster
-inactivated vaccines
-what does it do
-how many doses
-examples - ANSWER:Cannot cause disease even in immuno-compromised persons
Usually requires 3-5 doses
DTaP, Tdap, Td, DT, Hib, hep A, hep B, IPV
Live-Live Vaccine Rule - ANSWER:must give all live vaccines on the same day or
seperate by 28 days; ok if family is sick or pregnant; not recommended for pregantn
people, look how far along mother is
permanent contraindications for vaccines - ANSWER:-anaphylactic reaction to
vaccine or vaccine component (eggs)
temp. contraindications - ANSWER:-mod-severe illness
-pregnancy or possibility
-immunocomprosed
-blood products in the past year
is immune overload scientifically valid - ANSWER:no; we are exposed to 1000s of
antigens daily
what vaccine should babies receive first? what happens if they get the disease from
not being vaccinated? - ANSWER:hep b; prognosis and liver damage likely if baby
gets disease
how many doses of hep a and b - ANSWER:hep a: 2 doses IM hep b: 3 doses IM
science of consensus - ANSWER:if people make the claim it must be true
when to give MMR - ANSWER:on or after 1 yr; booster 4-6yrs
DTaP protects against:
-when would you not give this vaccination - ANSWER:diphtheria, tetanus and
pertusis
-5 doses at 2, 4, 6 months + boosters
-do not give after 7 years old
TDap - ANSWER:recommended as a booster dose for children at age 11 or 12
Rota virus vaccine
-dead or alive
-precaution
-how to give - ANSWER:live vaccine