Term
| what did the epsdt program mandate |
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Definition
| every child gets an exam witin 48 hours |
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Term
| what does the wic program provide |
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Definition
| food for mom and child up until 6mo-1yo |
|
|
Term
| what does social security provide for kids |
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Definition
|
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Term
|
Definition
| child advocacy aid to dependent children |
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Term
| what are the reasons for decreased mortality in kids |
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Definition
| vaccines, antibiotics, car programs |
|
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Term
| what is the current highest mortality demographic in kids, why |
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Definition
| non-hispanic blacks; poverty, access to care |
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Term
| what are the hot ethics topics in peds |
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Definition
| medial indications, parental choices, quaility of life, research involving children, social responsabilities |
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Term
| active immunizations: composition, MOA |
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Definition
| microorganism or microbe product is put into host which through an immune response makes antibodies |
|
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Term
| passibe immunity: composition, MOA |
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Definition
| get antibodies from another source (Ig or monoclonal) and put them in the person |
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Term
| what is a vaccine composed of |
|
Definition
antibody/antigen
fluid suspension
preservitives (antibiotics, mercury)
adjuctavants: increase immunogenesis of antigens |
|
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Term
| give examples of live attenuated vaccines |
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Definition
| measles, mumps, rubella, varicella, nasal influenza |
|
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Term
| give examples of inactivated or killed vaccines |
|
Definition
| polio, hepA, intramuscular influenza |
|
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Term
| give examples of recombinant vaccines |
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Definition
|
|
Term
| give examples of reassortment vaccines |
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Definition
|
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Term
| give examples of vaccines using imunogenic components |
|
Definition
| pertussis, hemaophilus influenza B |
|
|
Term
| give examples of vaccines using inducing toxoids |
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Definition
|
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Term
| what vaccines conjugate to a protein carrier, why would we want this |
|
Definition
induces T dependent response
H influenza B, S pneumonae, meningitis |
|
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Term
| what is the down side of vaccines that use T independent antigens |
|
Definition
| initiate B cell proliferation but do not involve CD4 cells, not good in kids under 2 yo |
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Term
| where are most vaccines put in an infant |
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Definition
|
|
Term
| where are most vaccines put in children and adults |
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Definition
|
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Term
| what if you have to give someone a bunch of vaccines |
|
Definition
| put in different limbs or seperate by 1 in |
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Term
| what are contraindications to vaccines |
|
Definition
immunocompormized is contraindicated to live vaccines
previous anaphylaxis
administration of blood products and Ig can diminish response to live virus vaccines
egg allergy for flu vaccine |
|
|
Term
| define primary prophylaxis |
|
Definition
| prevention of infection before occurance |
|
|
Term
| define secondary prophylaxis |
|
Definition
| prevent reoccurance after first occurance of infection |
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Term
| what vaccines does the GTP/DT/Td/DTaP have in them |
|
Definition
| diptheria, tetanus, acellular pertussis |
|
|
Term
| what type of vaccine is diptheria |
|
Definition
|
|
Term
| tetanus: type of vaccine, side effects, secondary prophylaxis |
|
Definition
toxoid
anaohylaxis, brachial neuritis
clean with soap and water, remove depris, vaccination |
|
|
Term
| pertussis: type of vaccine, side effects |
|
Definition
invasive bacteria
anaphylaxis, encephalopathy/encaphalitis |
|
|
Term
| where should GTP/DT/Td/DTaP be given? |
|
Definition
| 2 mo, 4 mo, 6 mo, (6 mo must elapse here), 12 mo, 4-6 yo if high risk, 11-12 booster |
|
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Term
| hemaophilus influenza B vaccine: composition, side effects, dose schedule |
|
Definition
bacterial polysaccharide conjugated to a protein
anaphylaxis
2 mo and 4 mo, 6 mo if 2 or 4 month dose was skipped, 12 mo |
|
|
Term
| oral polio vaccine: composition, side effects, why would it be used |
|
Definition
live attenuated virus in 3 serotypes
more effective: causes gut immunity first then systemic providing two types of immunity
side effects: paralytic polio, vaccine strain polio infection |
|
|
Term
| subcutaneous polio vaccine: composition, schedule, side effects |
|
Definition
IPV/inactivated
anaphylaxis
2 mo, 4 mo, 12-15 mo, school time |
|
|
Term
| what vaccines does MMR have. what type are they |
|
Definition
measles, mumps, rubella, varicella
live |
|
|
Term
|
Definition
12-15 mo, kindergarten time 4-6 yo
If immunosuppressed give two doses: one at 12 mo and one at 15 mo |
|
|
Term
| measles vaccine side effect |
|
Definition
| thrombocytopenic purpura, vaccine strain measles infection if immunodeficient |
|
|
Term
| side effects of rubella vaccine |
|
Definition
|
|
Term
| varicella vaccine schedule |
|
Definition
|
|
Term
| side effects of MMR vaccine |
|
Definition
| anaphyalzis, encephalopathy/encephalitis |
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|
Term
| chicken pox vaccine: aka, schedule |
|
Definition
| 1st dose at 1 yo, booster at 2-4 yo |
|
|
Term
| meningitis vaccine: when to give it, serotypes |
|
Definition
MPSV4 polysaccharide vaccine (menimune): subcutaneous at 2yo+
MPSV4 conjugate vaccine (menactra): intramuscular at 11yo+, used in USA
high risk chilren, teens, and young adults |
|
|
Term
| HPV vaccination: suggested age to get, dose schedule |
|
Definition
Suggested to all girls under the age of 25, preferable 11-12
Girls 11-12 yo preferred, safe at 9 yo, catch up allowed 13-26 yo
Second dose at 2 months, third dose at 6 months |
|
|
Term
| HPV vaccine types, their suggested patient, what they protect against |
|
Definition
HPV4 (Gardisil): types 16 and 18 (high risk) and types 6 and 11 (low risk). females and males 9-26 yo
HPV2 (Cervarix): Types 16 and 18 (high risk). Females 10-25 yo |
|
|
Term
what are the types of HepA vaccines. what is the difference
what is the schedule
type of vaccine |
|
Definition
inactivated
Havris: has 2-phenoxyethanol preservative in it
Vaqta: has no preservativies
12 months old then 18 month booster, can catch up any time after 12 months |
|
|
Term
|
Definition
1st dose: 45 h unless under 2000g (if so wait until 1 mo only if mom is HepB neg). Immunoglobin of Hep B: given in mother is positive for HepB
2nd dose: 1-2 mo
3rd dose: 6 mo
3 doses from 9-18 mo if mom has HepB
Booster: 11-12 yo |
|
|
Term
| rotavirus: type of virus and vaccine, dose schedule, aka |
|
Definition
Dose at 2 and 4 months. Dose at 6 mo if a 2 or 4 month dose was missed
Rotateq: bovine rotavirus based pentavalent vaccine |
|
|
Term
| pneumococcal (strep): dose schedule |
|
Definition
|
|
Term
| flu shot: dose schedule, types of vaccine and their administration |
|
Definition
Given yearly starting at 6 mo – 18 yo
Inactivated subunit (TIV): intramuscular, trivalent
Live attenuated (LAIV): intranasal, trivalent |
|
|
Term
| types of the flu, their severity, who they infect, when |
|
Definition
Type A: Moderate to severe. All ages. Humans and animals
Type B: Milder disease. Children. Humans only
Type C: Rarely in humans |
|
|
Term
| complications of influenza (4) |
|
Definition
Pneumonia: secondary bacterial, primary influenza viral
Reye syndrome
Myocarditis
1/1000 death |
|
|
Term
| RSV Virus vaccine and schedule, type of vaccine |
|
Definition
give performed antibody (immunoglobin) every month to 6 mo if there is a risk
no auctal vaccine |
|
|
Term
| what are common misconceptions that are not contrindications to vaccination (9) |
|
Definition
| illness, diarrhea, antibiotics, previous DTp reaction (unless fever >105), premature baby, pregnacy of mother, breast feeding, allergy to penicillin, egg allergy (except flu shot), family history of SIDS |
|
|
Term
| what happens if someone has an adverse reaction to a vaccine on the legal side of things |
|
Definition
To promote physicians vaccinating patients, if sued for a vaccine reaction it goes to a federal court and doesn’t hurt the physician
All patients with a reaction will be compensated
All reactions need to be reported |
|
|
Term
| if someone gets vaccine and has anaphylaxis what do you do |
|
Definition
| give epi 1:1000 0.01 - 0.5 mL/kg every 10-20 min depending on the age of the child |
|
|
Term
| what are the steps of ravies prophylaxis |
|
Definition
vaccination if symptoms havent shown with additional doses at 3, 7, and 14 days
clean bite with soap and water, irrigate with iodine
RIG 20 U/kg subcutaneous, remainder intramuscular
evaluate the animal |
|
|
Term
| dog/cat bite rabies percautions: |
|
Definition
Observe healthy animal for 10 days: prophylaxis only if animal gets rabies sign
Rapid or suspected rabid: immediate vaccination and RIG
Unknown or escaped animal: consult public health officials |
|
|
Term
| Skunks, raccoons, bats, foxes, other carnivores, woodchucks rabies percautions |
|
Definition
Regarded as rabid unless geographic area is known to be rabies free or animal lab test negative
Immediate vaccination and RIG |
|
|
Term
| Livestock, ferrets, rodents, lagomorphs (rabbits/hares) rabies percautions |
|
Definition
Consider individually: consult public officials
Squirrels, hamsters, guinea pigs, gerbils, chipmunks, rats, mice, rodents, rabbits, and hares almost never have rabies |
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