Vacunas
What is in Pentacel
DTaP-IPV/Hib
diphtheria, tetanus, whooping cough, polio, and Haemophilus influenzae type B
Minimum and Maximum age for first dose of Rotavirus vaccine
Minimum age 6 weeks
Maximum age for first dose is 14 weeks, 6 days.
History of Intussusception
6 year old never vaccinated for Hepatitis A what is the dosing interval
6 months
Who discovered the Polio Vaccine
Jonas Salk
What is in Kinrix
Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Inactivated Poliovirus Vaccine
5 year and never vaccinated with MMR. What is the series.
2 doses MMR at least 4 weeks apart
*MMRV 3 weeks apart
Contraindication to annual flu shot
Severe allergic reaction to previous Flu shot
Patient got Rotavirus vaccine at 2 months and then moved and was lost to follow up. At 10 months patient returns when do they get second Rotavirus.
Never
When is RSV season (roughly)
Mid September to Mid May
Dtap vs Tdap - what is the difference
The DTaP vaccine contains full-strength doses of all three vaccines. The Tdap vaccine provides a full-strength dose of tetanus vaccine and smaller doses of diphtheria and whooping cough to maintain immunity
2 year old without prior Dtap or Tdap
when are the 4 vaccines given
1st dose today, 2nd dose 4 weeks later, 3rd dose 4 weeks after 2nd
4th dose 6 calendar months after third AND >15months of age
Which vaccines are contraindicated in DiGeorge Syndrome
Live vaccines (sorta)
Based on Lymphocyte count
16 year old female has received all vaccines except HPV presents to the office. How many doses of HPV
3 doses
Interval: today, 1-2months, 6-12months
Min interval: (0, 4wks, 12wks after second dose)
Time interval between MMRV vaccines
3 months
What is in ProQuad
MMRV
Infant <2kg, what are the 3 conditions that determine when the patient can get Hepatitis B
Whichever is earliest:
1) Weight >2kg
2) Age = 1 month
3) Hospital DC
How long after IVIG administration should someone wait to get MMR or Varicella Vaccine
8 months
17 year old never received meningococca vaccine. Patient gets first dose today, when do they come back
Maximum age a patient can receive MMRV
12 years old
What is in Pediarix?
DTaP-HepB-IPV
11 year old female never vaccinated for varicella presents for first dose of Varicella vaccine. When does she come back for the second dose?
3 months if less than 13 years old
When both indicated which vaccine is given first PCVB or PPSV213 and how long is the interval inbetween
1)PCVB
2)PPSV23
8 weeks apart
15 year old female never vaccinated for varicella presents for first dose of Varicella vaccine. When does she come back for the second dose?
4 weeks
Indications for Synagis
- <29 weeks
- <32 weeks and requirement for >21% oxygen for at least 28 days after birth
- pulmonary abnormality or neuromuscular disease that impairs the ability to clear secretions
-24 months who will be profoundly immunocompromised during the RSV season