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Travel Health 3 Latest ,recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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Travel Health 3 Latest ,recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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Travel Health 3 Latest ,recent and
frequently tested exam with
comprehensive questions and verified
accurate solution (detailed &
elaborated) GRADED A+
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Pharmacists can administer ACIP routinely recommended vaccines to who? - correct ans:Patients 3+
years old

,Which travel medications can pharmacists furnish? - correct ans:Medications not requiring a diagnosis
for the purpose of international travel



Risk factors for Hep A - correct ans:-Developing countries

-VFR

-Long-stay travelers

-Adventurous eating habits

-Non-fixed itineraries

-Travel to rural areas

-Travel off of typical tourist routes/destinations



Names of the two Hep A vaccines - correct ans:-Havrix

-VAQTA



Can you use the two Hep A vaccines interchangeably? - correct ans:Yes



Dosing for Hep A vaccines in pediatrics and adults - correct ans:-Pediatrics (< 19 y.o.): 0.5 mL

-Adults: 1 mL



(Two-dose series: primary dose and then booster dose 6 months later)

(IM injection in deltoid)



Hep A:

Length of vaccine protection - correct ans:-First dose: provides protection for 1 year



-Second dose: provides protection for lifetime

, Purpose of using IGIM instead of Hep A vaccine - correct ans:-Gives immediate immunity the next day
and provides short-term immunity, whereas Hep A vaccine takes a while and provides long-term
immunity. *(This is why you should consider giving them together.)*

-May use when departure is eminent (< 2 weeks)



-The problem is that it's like taking any drug, so it washes out of the body after a period of time.

-0.02 mL/kg provides 3 months of protection.

-0.06 mL/kg provides 3-5 months of protection.



What is TwinRix? - correct ans:-Inactivated, combination vaccine that contains Hep A and B antigens.

-Main use is for "high risk" travelers.



(Problem is that it only contains the pediatric dose of Hep A, so you need to do two doses spaced about
a month apart. It's hard to get them to come back for a second dose.)

*Less preferred*



Hep A vaccine contraindications and precautions - correct ans:Contraindications:

-Severe allergy to vaccine component

-Severe allergy to prior dose of vaccine



Precautions:

-Moderate or severe illness, with or without a fever.



Hep A vaccine and IGIM ADRs - correct ans:IGIM has way more ADRs than Hep A vaccine, because it's
weight-based dosing, so lots of fluid gets injected. Therefore, it's painful.



-Pain at injection site, erythema, swelling

-*Syncope*



When do you choose Hep A vaccine or IGIM? - correct ans:-If leaving for trip in 2+ weeks: Hep A vaccine

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