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Verified Answers| Latest 2025/2026 Update |
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University of Texas, Arlington. i,- i,- i,-
Immunizations - The advisory committee on Immunization
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Practices (ACIP) publishes updated immunization schedules
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annually in January
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- Administration for all vaccines are typically 0.5 mL, IM or SQ
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depending on vaccine, with the exception of the influenza vaccine
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- First dose must be monovalent vaccine
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- Vaccine intervals need to be at least 6 weeks
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Immunization Catch-up Pearls: If there is a break in
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immunizations from the recommended schedule, resume
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immunizations according to the child's current age regardless of
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the vaccines previously missed
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Women's Health i,-
,Contraindications for pill - Current breast cancer (history of- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
refer to oncologist. Likely will not want them to take)
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- Endometrial cancer
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- Unexplained vaginal bleeding
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- Solid organ transplant
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- Severe cirrhosis
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-Hepatic adenoma i,- i,-
- Systemic lupus
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- factor V Leiden mutation
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- <21 days post-partum
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- SBP ≥160 or DBP ≥100
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- Multiple CAD risk factors
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- Long-standing /complicated diabetes
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- Ischemic heart disease
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- Stroke
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- Complicated valvular disease
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- Smoking after age 35
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- Thrombophlebitis / history of clot
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- Migraine with aura
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Women's Health i,-
,Estrogen-progestin contraceptive contraindications Absolute: i,- i,- i,-i,- i,- i,-
age ≥35 years and smoking ≥15 cigarettes per day, <21 days
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postpartum, SBP ≥160 mm Hg or DBP ≥100 mm Hg, multiple i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
CAD risk factors, current/prior venous thromboembolism (VTE),
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thrombophilia, long-standing/complicated diabetes, ischemic i,- i,- i,- i,-
heart disease, stroke, complicated valvular disease, systemic
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lupus, migraine with aura, breast cancer, severe cirrhosis, solid
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organ transplant, hepatocellular adenoma, or malignant
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hepatoma
Relative: age ≥35 years and smoking <15 cigarettes per day,
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breastfeeding <42 days postpartum, SBP 140 to 159 mm Hg or i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
DBP 90 to 99 mm Hg (or well-controlled on medications),
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symptomatic cholelithiasis, certain anticonvulsants, bariatric i,- i,- i,- i,- i,-
surgery, migraines without aura but ≥35 years, or breast cancer
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history in remission >5 years
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Women's Health i,-
Progestin-only (pill/Depo/implant) contraindications - can i,- i,- i,-i,- i,- i,- i,-
give when estrogen contraindicated including breast feed/ 6
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weeks post partum) i,- i,-
Absolute: current breast cancer i,- i,- i,-
, Relative: bariatric surgery, ischemic heart disease, history of
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stroke, lupus, migraine with aura, severe cirrhosis, certain
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anticonvulsants, hepatocellular adenoma, or malignant hepatoma
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Women's Health i,-
Levonorgestrel—intrauterine device (IUD) i,- i,-
contraindications Absolute: immediate postseptic abortion,
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postpartum sepsis, gestational trophoblastic disease, current
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breast cancer, distorted uterine cavity. The following are absolute
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contraindications for initiation but not continuation of method:
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cervical/endometrial cancer, unexplained vaginal bleeding, i,- i,- i,- i,- i,-
current pelvic inflammatory disease (PID), purulent cervicitis,
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gonorrhea/chlamydia infection, pelvic tuberculosis (TB). i,- i,- i,- i,-
Relative: ischemic heart disease, lupus, severe cirrhosis,
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hepatocellular, adenoma or malignant hepatoma, increased risk
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of STDs, solid organ transplant
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Women's Health i,-