Immunisation Programme Flashcards

(44 cards)

1
Q

What immunisations are in the 8 week imms? (3)

A

6 in 1 DTaP/IPV/Hib/HepB - diphtheria, tetanus, whooping cough (pertussis), polio, Haemophilus influenzae type b, Hepatitis B

Rotavirus vaccine - by mouth

Meningococcal Group B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Part of the body for 8 week imms?

A
In Thigh (Men B in Left Thigh)
Rotavirus vaccine – by mouth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What immunisations are in the 12 weeks imms? (3)

A

6-in-1: DTaP / IPV / Hib/HepB (2nd dose)

Rotavirus vaccine (2nd dose) – by mouth

Meningococcal Group B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Part of the body for 12 weeks imms?

A

6 in 1 - into thigh

Rotavirus in mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What immunisations are in the 16 weeks imms? (2)

A

6-in-1: DTaP / IPV / Hib /HepB (3rd dose)

Pneumococcal (13 serotypes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Part of the body for 16 weeks imms?

A

In Thigh (Men B in Left Thigh)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What immunisations are in the 12 months imms? (3)

A

MMR – measles, mumps & rubella (1st dose)

Pneumococcal PCV vaccine (2nd dose)

Meningitis B vaccine (3rd dose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Part of the body for 12-13 months imms?

A

Upper Arm/Thigh (Men B in Left Thigh)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What immunisations are in the 18 months imms? (2)

A

DTap/IPV/Hib/HepB

MMR (2nd dose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What immunisations between 2-15 years imms? (1)

A
Flu vaccine (annual)
Live attenuated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Part of the body for between 2-11years imms?

A

Both Nostrils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What immunisations are in the 3 year & 4 months imms? (1)

A

DTaP/ IPV (pre-school booster) – diphtheria, tetanus, whooping cough (pertussis) & polio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Part of the body for 3 year & 4 months imms?

A

In Upper Arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What immunisations are in the boys and girls aged 12/13 imms? (1)

A

HPV vaccine (human papillomavirus) – two jabs are given 12 months apart. Gardasil 9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Part of the body the girls aged 12/13 imms?

A

In Upper Arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What immunisations are in 14 years old imms (Year 9)? (2)

A

Meningitis ACWY vaccine – single jab containing vaccines against meningitis A,C,W and Y

3-in-1 Teenage Booster: Td/IPV – Tetanus, diphtheria, polio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Part of the body the 13-15 imms?

A

In Upper Arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Explanation of why immunisations are important?

A
  • Vaccinations help protect children from serious disease and also provide protection for society as a whole (herd immunity).
  • Programme is very safe, and almost all babies will have them
  • To protect your child from harm, and the community as a whole
  • Dramatically lowers the risk of them catching the illness which could be extremely harmful to them both in the short and long-term
  • By stopping the disease developing in your child, we also stop your child being able to spread the disease, so it can be considered a public health benefit too
  • The aim is to immunize enough people that we can stop the disease completely – this happened with smallpox in some countries
  • Check understanding
  • “Does everything I’ve said so far make sense?”
  • “Do you have any questions?”
19
Q

What to expect on vaccine day?

A
  • The nurse will ask a few questions about how baby is – whether they have been unwell recently, started on any new medication, had any new diagnoses or any allergic reactions
  • This is to make sure it is suitable to give the vaccination
  • The vaccination will be given as an injection, usually in the thigh (can be given in the upper arm of children older than 1 year)
20
Q

What are the normal reactions in immunisations?

A
  • Normal for baby to be a bit upset by the injection and cry at the time
  • You may find they are a little more irritable for 48 hours afterwards, and may have a bit of a temperature
  • If this occurs there are a few things you can do to help – ensure baby keeps up their fluids, and you can give Calpol
  • In about 1 in 10 children, the place of injection can be a bit red and sore for a day or so – this again is relieved by Calpol, some reassurance and a cold compress may help
21
Q

More extreme reactions to immunisations?

A
  • If there is a large swelling at the site of injection, or you notice any rashes or swelling elsewhere (especially around the lips and mouth) it is important to contact the doctor urgently
  • Very occasionally, a child may have an adverse reaction to the vaccine and may have a temperature that does not respond to Calpol or a seizure
  • If this happens contact the hospital
  • Complications of vaccines are very rare (less than 1 in 1000, and anaphylaxis in less than 1 in 500,000)
  • Complications of the diseases which we are vaccinating against are more common and often more serious, and that is why we feel it is for the best to immunize children
22
Q

Contraindications of vaccines?

A
  • Immunocompromised
  • Current pyrexia
  • Pregnancy
23
Q

MMR causes autism??

A
  • There was a piece of research published a number of years ago, claiming a link between MMR and autism
  • Since its release it has been discredited – the research was on a very small group of individuals and the outcomes were biased by several factors
  • The research has since been withdrawn and the researchers have been struck off
  • Giving the MMR as one injection rather than 3 separate ones is shown to be just as safe, and arguably gives baby less pain to go through
24
Q

Summary to do in immunisations?

A

o Just to summarise – with your consent, your child will have ….vaccination(s)
o The reason for vaccination is both to benefit baby and reduce any potential harm to them, as well as in the interest of public health and reduction of spread of disease.
o Vaccinations are safe, but may have some minor side-effects including a slight fever and some irritability; this can usually be managed with Calpol and some reassurance
o If baby has a more severe reaction or there is anything you are worried about, we advise you to contact a doctor straight away.”

25
What to offer to patient in vaccine explanation?
- Offer an information leaflet on the relevant vaccinations | - Arrange follow-up/schedule vaccination appointments
26
Which vaccine is most likely to cause febrile convulsions?
MenB
27
When should premature babies get their vaccinations?
At chronological age
28
Selective Group Vaccinations - Babies Born to Mothers with Hepatitis B?
At Birth Four Weeks (If born before July 2024 - additional dose at one year)
29
Selective Group Vaccinations - Infants in areas of the country with TB incidence >40/100,000? Or infants with a parent or grandparent born in high incidence country?
TB BCG - Within 28 days old Check SCID screening outcome before giving
30
Selective Group Vaccinations - Children in at risk clinical group with flu vaccine? Age groups
Age <2 years - If first ever flu vaccine, give second dose at 4 weeks (Inact flu vaccine) Age 2-8 years - - If first ever flu vaccine, give second dose at 4 weeks (LAIV - if LAIV CI then give inactivated) Age 9-17 years - Only one dose required each flu season (LAIV - if LAIV CI then give inactivated)
31
Selected group vaccinations - pregnant women - when do they receive flu vaccine?
At any stage of pregnancy during flu season - Inactivated flu vaccine
32
Selected group vaccinations - pregnant women - when do they get pertussis vaccine?
From 16 weeks gestation
33
Selected group vaccinations - pregnant women - when do they receive RSV vaccine?
From 28 weeks gestation
34
Special Medical Conditions - what vaccines do Asplenia or splenic dysfunction (inc sickle cell and coeliac disease) need?
Men ACWY Men B Pneumococcal Annual flu vaccine
35
Special Medical Conditions - what vaccines do cochlear implants need?
Pneumococcal
36
Special Medical Conditions - what vaccines do chronic respiratory and heart conditions need?
Pneumococcal Annual flu vaccine
37
Special Medical Conditions - what vaccines do chronic neurological disorders such as Parkinson's MND, LD need?
Pneumococcal Annual flu
38
Special Medical Conditions - what vaccines do diabetes need?
Pneumococcal Annual flu
39
Special Medical Conditions - what vaccines do CKD inc haemodialysis need?
Pneumococcal Annual flu Hepatitis B
40
Special Medical Conditions - what vaccines do chronic liver disease need?
Pneumococcal Annual Flu Hepatitis A &B
41
Special Medical Conditions - what vaccines do haemophilia need?
Hepatitis A Hepatitis B
42
Special Medical Conditions - what vaccines do immunosuppression need?
Pneumococcal Annual Flu
43
Special Medical Conditions - what vaccines do complement disorders need?
MenACWY MenB Pneumococcal Annual flu vaccine
44
Which groups get pneumococcal every 5 years?
Asplenia Splenic dysfunction Chronic kidney disease,