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Terms in this set (140)
Dose of Tetanus Immune 250 units IM
Globulin (TIG)
How many doses of Tdap Three doses needed. If <3, unknown, or >10 years
or Td IM needed for since last dose give dose of Tdap or Td for clean
protection after clean minor wounds. No need to give TIG.
minor wounds.
Non-"clean" minor wounds Tdap or Td IM & TIG
given both of these if
unknown tetanus hx or <3
doses of Tdap/Td.
Dirty wounds (puncture, If <3 doses Tdap or Td give both Tdap and TIG 250
crush injury, soil, saliva, units. If 3 doses in past, but none in the last 5 years
feces, dirt, avulsions, then given Tdap or Td. No need to give TIG If 3 or >
missiles, burns, frostbite) doses in the past
When to switch from DTap Age 7 or > given Tdap
to Tdap in children
A woman becomes Tdap is recommended for each pregnancy.
pregnant and received "Getting Tdap between 27 through 36 weeks of
Tdap during her last pregnancy is 78% more effective at preventing
pregnancy 1 year ago. whooping cough in babies younger than 2 months old
When should she receive (CDC)".
her next dose.
, A person with a hx of IPV, MMR, varicella
anaphylaxis to neomycin
should avoid which
immunizations (IZ)?
A person with a hx of IPV, vaccinia (smallpox)
anaphylaxis to neomycin
should avoid which
immunizations (IZ)?
A person with a hx of Hepatitis B
anaphylaxis to bakers
yeast should avoid which
immunizations (IZ)?
A person with a hx of varicella zoster (zostavax) and MMR
anaphylaxis to gelatin
should avoid which
immunizations (IZ)?
Supine, 911, give epinephrine:
7.5-15kg: give 0.1 mg IM x1
Epinephrine needs to be 15 to <30 kg: give 0.15mg IM; may repeat in 5-15 min x1
on hand for potential
anaphylaxis r/t >30 kg or Adult: Epipen 0.3mg/0.3mL IM; may repeat
immunization rxn. What in 5-15 min
other interventions/meds
should be considered H1/H2 blocker po (diphenhydramine, ranitidine)
during anaphylaxis?
IV access for fluids, Oxygen.
Anticipate ED might give glucagon (if on beta
blocker), systemic corticosteroids, bronchodilators
Correct
Save
Terms in this set (140)
Dose of Tetanus Immune 250 units IM
Globulin (TIG)
How many doses of Tdap Three doses needed. If <3, unknown, or >10 years
or Td IM needed for since last dose give dose of Tdap or Td for clean
protection after clean minor wounds. No need to give TIG.
minor wounds.
Non-"clean" minor wounds Tdap or Td IM & TIG
given both of these if
unknown tetanus hx or <3
doses of Tdap/Td.
Dirty wounds (puncture, If <3 doses Tdap or Td give both Tdap and TIG 250
crush injury, soil, saliva, units. If 3 doses in past, but none in the last 5 years
feces, dirt, avulsions, then given Tdap or Td. No need to give TIG If 3 or >
missiles, burns, frostbite) doses in the past
When to switch from DTap Age 7 or > given Tdap
to Tdap in children
A woman becomes Tdap is recommended for each pregnancy.
pregnant and received "Getting Tdap between 27 through 36 weeks of
Tdap during her last pregnancy is 78% more effective at preventing
pregnancy 1 year ago. whooping cough in babies younger than 2 months old
When should she receive (CDC)".
her next dose.
, A person with a hx of IPV, MMR, varicella
anaphylaxis to neomycin
should avoid which
immunizations (IZ)?
A person with a hx of IPV, vaccinia (smallpox)
anaphylaxis to neomycin
should avoid which
immunizations (IZ)?
A person with a hx of Hepatitis B
anaphylaxis to bakers
yeast should avoid which
immunizations (IZ)?
A person with a hx of varicella zoster (zostavax) and MMR
anaphylaxis to gelatin
should avoid which
immunizations (IZ)?
Supine, 911, give epinephrine:
7.5-15kg: give 0.1 mg IM x1
Epinephrine needs to be 15 to <30 kg: give 0.15mg IM; may repeat in 5-15 min x1
on hand for potential
anaphylaxis r/t >30 kg or Adult: Epipen 0.3mg/0.3mL IM; may repeat
immunization rxn. What in 5-15 min
other interventions/meds
should be considered H1/H2 blocker po (diphenhydramine, ranitidine)
during anaphylaxis?
IV access for fluids, Oxygen.
Anticipate ED might give glucagon (if on beta
blocker), systemic corticosteroids, bronchodilators
