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IOS 11 Exam 3
Travel Vaccines
| Question | Answer |
|---|---|
| Routine infant vaccines | DTap, HBV, penumococcal, polio, MMR, HAV |
| Routine adolescent vaccines | Tetanus-pertussis, conjugate pneumococcal, HPV |
| Routine adult vaccines | Pneumococcal, influenza, tetanus-pertussis, HBV, zoster |
| Travel vaccines commonly used | Tetanus, HAV, typhoid fever, polio |
| Travel vaccines less common | yellow fever, HBV, meningoccoal |
| Travel vaccines rarely used | Japanese encephalitis, rabies |
| Pneumococcal - | Best when give children 7 conjugate at 2,4,6,12-15 month- Adult is 23 valent-aspenic, >65 0.5ml IM or Sq |
| Tetanus | Initial is 3 primary- then 10year booster 0.5mL IM (tetanus-pertusis) |
| MMR- | Live vaccine- childhood vaccine give all live at 1 time |
| Polio | Oral-fecal, oral-oral Dose-Childhood 3 dose series then 0.5mg SQ booster |
| Polio recommended if | Travel to African, India, middle east |
| HBV | 3 dose series given IM |
| HAV recommended if | Travel to central & south america, africa, middle east some areas in Asia |
| Typhoid fever | Oral-fecal transmission- Oral (5 years) or injection vaccine (2years) |
| Typhoid fever recommended if | Treveling to area of poor sanitation-Sub saharian Africa |
| Yellow Fever | Must be administered at licinsed center 0.5ml IM |
| Yellow Fever is recommended if | Traveling to equatorial South america or Africa, NEver give if <4 months- Feel like bee sting |
| Neisseria Meningitis | Conjugate vaccine preferred (8years) for 11-55- 0.5ml IM |
| Meningoccal | Africa, Hajj pilrimage, asplenic patients |
| Rabies | 3 does 0,7,21-28 most IM if bitten 2 more needed |
| Japanese Encephalitis | Leading cause of encephalitis in Asia- transmitted via mosquitos low risk 3 does 0,7,30 Iml Sq or 0.5mL if 1-2 years old |
| Japanese Encephalitis is recommended if | Traveling to areas high in rice paddies, marshes, pig farming in China |
| Cholera | Vaccine is no longer available |
| Anthrax | Military use only |
| Travelers Diarrhea prevention | Cook it, and take Bismuth sub-salicylate |
| Travelers diarrhea supportive care | Rehydration, lopermide, Fluoroquinolones, azithromycin, metronidazole |
| Malaria | #1 parasitic diease-Msquito, increase risk traveling at night, lower altitudes |
| Malaria prophylaxis is recommended if | Central or south america, middle east, Africa, All of India |
| Prophylaxis of Malaria | Chloroquine 1 week b/f and 4 weeks after (only centra america) or Mefoquine 1 week B/f and 4 weeks after (psychosis) or Doxyxyline 1 day prior -4 weeks after(thailand, cambodia, myanmar), Atovaquone/Prouanil (1 day prior -7 after) |
| Motion Sickness | Dimenhydrinate, meclizine, promethazine |
| Altitude Sickness | Keep hydrates, descend gradually, acetazolamide, dexamethasone |
| Healthcare vaccinations | HBV, Varicella, MMR, influenza |
| polio is given | SQ |
| HBV is given | IM |
| HAV is given | IM |
| Typhoid fever is given | Oral or IM |
| Yellow Fever is given | IM |
| Meningitis is given | IM |
| Japanese enchephalitis is given | Sq |
| Pneumococcol is given | IM or Sq |
| Influenza is given | IM |
| Mosquito carried illness are | Japanese encephalitis, Yellow fever, malaria |
Created by:
liza001
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