Exam (elaborations)
CMN 571 - Unit 3 origin) Questions and Answers 2024
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CMN 571 - Unit 3 origin)
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CMN 571 - Unit 3 origin)Immunizations (SCHEDULED) - Ages 11 - 18 - answer Age 11 - 12: Tdap, HPV,
Meningococcal
Age 16: Meningococcal
HPV Administration Schedule - answer Starting < 15 years: 2 doses (0, 6-12 months)
Starting ≥ 15 years: 3 doses (0, 1-2, 6 months)
(CDC)
HPV Admin - Special populations - answer+ Children with hx of sexual abuse or assualt,
begin HPV dosing at *9 years*
+ Immunocompromised people should get *3-dose series*, regardless of age when
started.
+ MSM and transgender persons -- Routine vaccination for all adolescents, and
vaccination through age 26 years for those who were not adequately vaccinated
previously.
+ Not recommended during pregnancy
(CDC)
HPV Catch Up Schedule - answer+ ACIP also recommends vaccination for *females
through age 26 years* and for *males through age 21* years who were not adequately
vaccinated
previously. (See "special populations" for exceptions.)
+ If the vaccination schedule is interrupted,
the series *does not need to be restarted*. The number of recommended doses is
*based on age at administration of the first dose*.
(CDC)
HPV: Benefits, Risks, Contraindications - answerBenefits:
+ 9vHPV protects against types 16/18 (cancer-causing), 6/11 (genital warts) + 5 other
types.
+ Duration of protection: from *10 years to lifelong.*
+ Per CDC, 9vHPV is the only type being distributed in the the US.
Risks:
+ Adverse effects - Injection site pain, fever, nausea, dizziness and syncope
Contraindications:
, + People wiht hx of anaphylaxis to any vaccine component
+ Not recommended for use during pregnancy
++OK TO GIVE to people with minor acute illnesses and immunocompromise people++
(CDC)
Tdap Administration Schedule - answerRegular schedule:
+ 1 dose between 11 - 12 years
*NOTE*: Should be given at same time as meningococcal if patient is due for both. If
not, an interval of ONE MONTH between vaccines is suggested.
(CDC)
Tdap Admin - Special populations - answer+ Adults > 65 years should receive 1 dose of
Tdap if they have not prviously received Tdap and if they anticpate *close contact with
an infant < 12 months*.
+ *Women who are pregnant* should receive a Tdap booster *in 3rd trimester of each
pregnancy (the earlier the better).*
(CDC + hay)
Tdap -- Catch Up Schedule - answerExceptions:
+ Patients ≥ 7 years who are not fully immunized with DTaP vaccine should receive
*Tdap vaccine as 1 dose (preferably the first)* in the catch-up series; if additional doses
are needed, use Td vaccine.
----*NOTE:* For children 7 through 10 years who receive a dose of Tdap as part of the
catch-up series, an adolescent Tdap vaccine dose at age 11 through 12 years may be
administered.
+ Persons aged 11 through 18 years who have not received Tdap vaccine should
receive a dose, followed by tetanus and diphtheria toxoids (Td) booster doses every 10
years thereafter.
+ ADULTS
For people who are unvaccinated or behind, *complete the primary Td series (3 doses
with an interval of 1-2m between dose #1 and #2, and an interval of 6-12m between
dose #2 and #3)*;
substitute a one-time dose of Tdap for one of the doses in the series, preferably the
first.
• Give Td booster every 10yrs after the primary series has been completed.
• Tdap should be given regardless of interval since previous Td.
(CDC)
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